Assisted Dying

Debate between Steve Brine and Matt Hancock

Monday 4th July 2022 Westminster Hall

[Matt Hancock (West Suffolk) (Con)]

I think that the sheer number of us in this room today and the power of the testimony from so many is itself the strongest possible case for the motion that Parliament must have an informed, compassionate debate on assisted dying. We know and have heard that the vast majority of people support choice in how they die. Indeed, we know that an even higher proportion of people who live with disabilities support having choice in how they die. And I think we all agree, on both sides of the debate, that the debate should be informed and compassionate.

It is seven years, as many have mentioned, since we last had a substantive vote on this subject. Since then, out of the 650 Members of Parliament, more than 200 have changed. The composition of Parliament has changed. Many Members have not had the opportunity to consider this question and express their view. The issue is not only that changes have been brought in in other countries. The Royal College of Nursing has dropped its opposition to assisted dying. The British Medical Association has removed its opposition. I can speak as a former Health Secretary and say that the medical movement as a whole is also changing its view, and I think it is appropriate that we raise these questions in a votable manner on the Floor of the House proper once again.

I have a few personal reflections. As Health Secretary, I found this area of policy bereft of data. I found that there had been a muddle in the way Government think about it. Because this has been a conscience vote for parliamentarians—and rightly so—the Government felt that they had to step back from the debate as a whole, so I wrote to the Office for National Statistics to ask it to investigate this area, as it does so brilliantly in every other area of life. That is how we now know that twice as many terminally ill people take their own life as people who do not have a terminal diagnosis. That is a striking fact. We should encourage the Office for National Statistics, and every other part of Government, to publish data to inform this debate in exactly the way that it would for any other area—for most of which, of course, there are whipped votes.

[Steve Brine (Winchester) (Con)]

It is really good to hear from my right hon. Friend, given his experience. I know that this is a very difficult debate. I lost both my parents when I was 46. I watched both of them pass away —with dignity, I have to say. Does my right hon. Friend, with whom I served in government at the Department, recognise the problem that, although this debate has moved on and we have seen great progress in survival from the acute episodes that some of our loved ones face, that has not been matched by the development in pain relief? I wonder whether that is why so many people, including myself, who voted against the Marris Bill seven years ago, are on a journey and listening intently today.

[Matt Hancock]

Yes, I think there is a lot in that. As Health Secretary, I met people on both sides of the argument. I admire so much those who give palliative care. I took the opportunity to put more funding into palliative care, although I also support the mixed model of funding because I think that the funds raised through voluntary efforts and philanthropy are important—I have raised money for my brilliant local hospice, St Nicholas Hospice in Bury St Edmunds. But the truth is that even the best palliative care in the world cannot stop the deep pain and trauma that comes with some diseases, especially but not only cancers, at the end of life. Medicine simply cannot stop the pain in every case.

As Health Secretary, I also heard from supporters of change. I want briefly to mention two examples. The first is Sir Paul Cosford, the former medical director of Public Health England—my hon. Friend the Member for Winchester (Steve Brine) will have worked with him—who gave enormous and great service during the pandemic. Everybody in this Chamber will have heard him on Radio 4. What most people will not know is that he was living with cancer for the entirety of the pandemic. The work from home provisions allowed him to keep serving right up until very shortly before his death. A month before his death, he asked for some time with me, one on one, and he explained to me that he was nearing the end. As a doctor, he had seen many, many patients go through what he was about to go through, and he did not want to go through that. He said to me, “The end, when it comes for me, will be brief, but others do not have that choice.” He asked me this question: “Would you want the choice of how to die?” I ask everyone in the Chamber that same question.

As a local MP, I was honoured six weeks ago to meet David Minns, who has terminal myeloma. He told me a heart-rending story about how he saw in recent years his daughter die of a very painful cancer without successful pain mitigation, and he does not want to go through that. Nor does he want to go to Switzerland; he is a proud, patriotic man. He could potentially live longer if he knew that he could be assisted in his death, as we have heard from so many others.

Nine countries now allow assisted dying in a highly specific form. There are reasonable arguments on both sides, so there are constraints in place. We can learn from the experience overseas. There are countries with our common law tradition and parts of this United Kingdom that are considering assisted dying.

Coronavirus

Debate between Steve Brine and Matt Hancock

Wednesday 16th June 2021 Commons Chamber

[Matt Hancock]

With flu, of course, if people have symptomatic flu and are ill, they do tend to stay at home. Of course we have not done that on a mandatory basis before, but it is advisable that if people have symptoms of flu, they stay at home. For contacts, as the hon. Gentleman probably knows, we are already piloting an approach whereby instead of having to isolate as contacts, vaccinated people go into a testing regime. That is an approach that I am very attracted to for the future, especially as more and more people get vaccinated, because we know that the risk once vaccinated is so much lower.

We are accelerating the second doses, and we are reducing from 12 weeks to eight weeks the time from first to second jab for all those aged 40 and above. In fact, since I came to this House on Monday, I have rearranged my second jab to be eight weeks rather than 12 weeks after my first.

[Steve Brine (Winchester) (Con)]

Me too—I have rearranged mine for tomorrow morning, in line with my right hon. Friend’s advice.

Further to the intervention from my right hon. Friend the Member for Forest of Dean (Mr Harper), it is very clear that the regulations will be passed by the House today. Regulation 2(3) talks about substituting 18 July for 30 June, and the Prime Minister talked about 19 July being a “terminus”. The definition of a terminus is the end point—the end of the line. Would the Secretary of State categorise it in exactly those terms? I think our constituents want to know what 19 July means that 21 June did not.

[Matt Hancock]

Yes, I would characterise it in that way. Our goal, ahead of 19 July, is to take step 4. On the basis of the evidence so far, I am confident that we will not need more than the four weeks to get this job done and take step 4.

Covid-19 Update

Debate between Steve Brine and Matt Hancock

Monday 14th June 2021 Commons Chamber

[Matt Hancock]

This is an issue I have discussed with my clinical advisers, because it is very sensitive. I am sure that the hon. Lady would join me in urging all pregnant women to come forward and discuss vaccination with their clinician, because that is important, and she set out some of the reasons why. Of course, we have opened up, from tomorrow, vaccination to all those aged 23 and over, so vaccination will soon be available to every adult, which means that questions of prioritisation will be for the past—other than the question of the vaccination of children, which is separate in many ways and an important question that we will address in the coming weeks.

To anybody who is pregnant, I say: as soon as you are eligible for a vaccine, please discuss it with your doctor, because for the vast majority of people who are pregnant the right thing to do is to get the jab as soon as possible and get both jabs as soon as is practicable. I think that is something on which the hon. Lady and I would agree.

[Steve Brine (Winchester) (Con)]

Last week, the Secretary of State told me:

“Our goal…is not a covid-free world…the goal is to live with covid”.—[Official Report, 7 June 2021; Vol. 696, c. 678.]

Well, you could have fooled me, and many of our constituents. There is dismay out there tonight. The reopening of the wedding industry is not a meaningful reopening and I think it is cruel the way some are being misled. The Prime Minister and my right hon. Friend have been very clear today that 19 July is not a new “not before” date but an end to all this, so will the Secretary of State tell the country his assessment of risk and personal responsibility and whether he feels that as a country we remotely have that right at this time?

[Matt Hancock]

In a pandemic, the balance between risk and personal responsibility is different, because someone can affect somebody else in a life-threatening manner even without knowing it. If we go to the philosophy of this, the first duty—in fact, the legitimate duty—of the state for any liberal is to prevent harm by individuals to others. Unfortunately, in a pandemic that is what people do if they have the disease, especially asymptomatically—they could be harming others without even knowing it.

Once we have the offer of a vaccine to everybody, and once we have protected and mitigated the large part of that risk, we do need to move back to a world based on personal responsibility. That is right, and that is where we intend to go. I think that we have made steps already in that direction in steps 1, 2 and 3. This country is freer than almost any other in Europe in terms of our economy and of our society. That is partly because of the very rapid vaccination effort here, but I hope that my hon. Friend can take from that the direction we intend to go.

Covid-19 Update

Debate between Steve Brine and Matt Hancock

Monday 7th June 2021 Commons Chamber

[Matt Hancock]

The hon. Gentleman is obviously a mentor of his former leader, Tony Blair, who made this case at the weekend. We are looking into this question for certain occasions. It will be necessary for international travel. However, in this country we have moved together—everyone is treated equally—in the same way that the virus treats us equally. I note that Israel, which did bring this proposal in, has now removed it.

[Steve Brine (Winchester) (Con)]

The Secretary of State’s announcement that we are opening up appointments for 25-year-olds will be warmly welcomed by many in the NHS in my area, so I thank him for that. On any possible delay to stage 4 of the road map on the 21st of this month, I totally get the logic that he is talking about; he is absolutely right to reserve judgment until one week before, as was always to be the case when the road map was published. However, may I gently press him to tell the House what we would be delaying for? Would it be a world without covid and therefore without any possibility of a variant of concern in the future, which I do not think is his belief? Can he see, though, why, for many, that would be to write covid a blank cheque and just continually delay?

[Matt Hancock]

That is an excellent question astutely put. The purpose of the road map, and the purpose of following the data within the road map and therefore having not-before dates, is that we are in a race between the vaccine programme and the virus, and with the delta variant the virus got extra legs. Our goal, sadly, is not a covid-free world, because that is impossible; the goal is to live with covid much as we live with some other unpleasant diseases, including, of course, flu. That does mean that there will be vaccinations long into the future; it means that, especially in winter, in hospitals for instance, we will have to be very careful to prevent infection from spreading; and it means that we will have to live with this virus and manage our way through it, but with the supreme power of science and the vaccine at our hand. That will be so powerful, and it is already proving, including through the data that I announced to the House just now, to be an incredibly powerful ally in getting us through this. However, at the moment, only 76% of people have had the jab and only 52% of people have had both jabs, and unlike with the previous variant, the second jab appears to be even more important this time around.

Covid-19: Government Handling and Preparedness

Debate between Steve Brine and Matt Hancock

Thursday 27th May 2021 Commons Chamber

[Matt Hancock]

Of course we are donating items directly—for instance, to India, Nepal and others—but the single biggest global contribution that the UK has made is the Oxford vaccine, which is being delivered at cost by AstraZeneca around the world following funding from Oxford, AstraZeneca and the UK Government. That has already led to 450 million jabs globally, two thirds of which are in low and middle-income countries. Everybody, in all parts of this country, should be proud of that, and there was Scottish support in the development of that vaccine. Of course, we will do as much as we can within the official development assistance budget directly, but that decision to waive the intellectual property charge has been called for from others—from President Biden down—but it is something that we in this House and the whole country should be very proud of.

[Steve Brine (Winchester) (Con)]

The vaccine roll-out is going really well in my area and I cannot help but note that the turning of the tide against covid, because of that roll-out, seemed to exactly mirror the turning of the year. Is not it the case that, far from the world being divided into people who are either useless or brilliant and the British state failing at every turn, we have a Government in this country who did their best and a public who came together, as always in the UK, when the chips were down?

[Matt Hancock]

My hon. Friend, who was a superb Health Minister, has captured not just the spirit of what this country has been through in the last 18 months, but the spirit of the debate today in this House. The truth of the matter is that we work best when we work together, and we work together when we have a common mission, and the common mission has been tackling this virus. It is absolutely true that we must always do that with an open mind on how to do it better in future, but, in my view, the attitude needed is one where you welcome people in and take things forward in a spirit of positive partnership. That is how you get stuff done, and that is how we have made the progress we have been able to make.

Coronavirus

Debate between Steve Brine and Matt Hancock

Thursday 25th March 2021 Commons Chamber

[Matt Hancock]

Furlough is provided for under the Act. As I just said, it is a permanent provision of the Act, but the statutory sick pay is not and I think we should be giving people statutory sick pay to help them to self-isolate.

[Steve Brine (Winchester) (Con)]

The Secretary of State is asking for a further six months under the Act, which is all that we can do. The Prime Minister has been talking in the last few days about the need for section 2, for instance, on the emergency registration of nurses, to help us to deal with the backlog. The same is true of sections 53, 54, 55 and 56 with respect to the courts. In six months’ time, will we need that? Will we have dealt with the backlog in the health service and the courts, or will he need to renew this again in six months?

[Matt Hancock]

That is a good question. The truth is that we have a record number of nurses in the NHS, over 300,000, in part because the Act allowed for their emergency registration much more swiftly than previously. Parts of the Act have allowed us to do good things like that, which everybody would like to see. When we come to retire the Act, which we must within one year and preferably within six months, we will need to make sure we can continue to do that sort of thing to ensure that nurses can be enrolled into the NHS as easily as possible. I cannot answer whether we will be retiring it in six months. My preference would be yes, but given the last year I think a prediction would be hasty.

[Steve Brine]

Further to that point, may I make a suggestion to my right hon. Friend? The expansion of the availability of live links for criminal proceedings will be put into the Police, Crime, Sentencing and Courts Bill, so that will not be needed. The Secretary of State is bringing forward a new health Bill during the new Session. Would that be an opportunity to update that?

[Matt Hancock]

Yes, that is an important point. We have just started the process of working on that. If measures have worked well and we want to keep them because they are good, can we put them permanently on the statute book? That should, properly, take the process of normal primary legislation. My hon. Friend mentions a forthcoming health and care Bill. I look to the Leader of the House and I can see that he is smiling, although I cannot, of course, say whether that Bill will be brought forward until we have a proper sign-off—it is nice to see him looking so handsome there. [Laughter.]Our aim would be to get that on to the statute book, should we bring it forward, in the middle of next year, so there is a shorter-term question of the handling from here to there. We need to do that with the best administrative efficiency that we can, but I am talking here about the less controversial elements of the Act.

Covid-19 Update

Debate between Steve Brine and Matt Hancock

Tuesday 2nd March 2021 Commons Chamber

[Matt Hancock]

Yes, all international passengers are required to comply with the rules. It is the first time I have heard of that particular issue. I will write to the hon. Gentleman to set out either why the system is done in that way or that it has been rectified, if that is what is needed.

[Steve Brine (Winchester) (Con)]

The road map contains a chapter on building resilience to future pandemics, which I think we must be honest and say will not leave us alone for another 100 years. Therefore, with respect to the global network of zoonotic research hubs, as the Prime Minister wisely set out in his five-point plan at the UN last September, can we ensure that they build on the work of experienced virus hunters already out there such as the Global Health Network who have years of experience searching for unseen viruses that leap from animals to humans?

[Matt Hancock]

Yes. The proposed work, as set out by the Prime Minister at the UN General Assembly, which we are working on with our presidency of the G7, aims precisely to build on and strengthen the existing work that is under way. However, clearly we need to ensure that all the future risks, whether they are from zoonotic diseases or are due to environmental changes that lead to risks to human health, are taken into account and we need to have an early warning system that is as effective as possible.

Future of Health and Care

Debate between Steve Brine and Matt Hancock

Thursday 11th February 2021 Commons Chamber

[Matt Hancock]

Yes, of course. The figures out today demonstrate the scale of the challenge when it comes to cancer treatment. Of course the pandemic has had a challenging impact on cancer treatment. We are supporting cancer alliances to improve outcomes as much as possible, and to work through the backlog that has inevitably built up because of the pandemic. Cancer alliances are a very important part of the future of the delivery of care. In many cases, they will be bigger geographically than an ICS. For them and for other specialist treatments, of course some cases will have to be at a larger scale than an ICS. Alongside putting these reforms in place, we are absolutely determined to do everything we can to ensure that people get the treatment for cancer that they need as soon as possible.

[Steve Brine (Winchester) (Con) [V]]

I very much welcome the White Paper. I urge my right hon. Friend to “think workforce” at every stage, but to ensure that prevention is the golden thread that runs through all future legislation and plans. Given that the last 12 months has very much laid bare the impact of inequalities on our public health outcomes, will we be truly bold and return to our prevention Green Paper, which the Secretary of State knows well, when it comes to facing the obesity crisis, smoking prevalence, alcoholism, diabetes and stroke prevention, to name just a few?

[Matt Hancock]

Yes. There are measures in this White Paper that precisely pick up the work of the prevention Green Paper that my hon. Friend did so much to shape when he was in the Department with me. In fact, many of the proposals in the White Paper are built from conversations that he and I shared. I want to put on the record my gratitude for the work that he did in shaping this agenda, because ultimately a population health agenda is an agenda about the prevention of ill health. Of course we must—and we will—treat those who become ill, but it is far better for everybody to support people to take a shared responsibility, including their own personal responsibility to stay healthy in the first place. The population health agenda that will be at the heart of the integrated care systems is ultimately a preventive agenda, and one that I am very glad to hear that he supports so wholeheartedly.

Covid-19 Update

Debate between Steve Brine and Matt Hancock

Tuesday 9th February 2021 Commons Chamber

[Matt Hancock]

It is the Minister for the vaccine roll-out, my hon. Friend the Member for Stratford-on-Avon, who is leading those efforts. It is obviously an incredibly important subject, because it matters to us all.

[Steve Brine (Winchester) (Con)]

The Secretary of State said earlier that the virus treats us all the same, which is of course quite right. Sadly, it does not go easy on those who do not take up the offer of a vaccine, so can I ask my right hon. Friend what his thinking will be if, despite all the excellent work going on to support the vaccine hesitant, and there is lots of it, we have fellow citizens not protected? Will he confirm that such a personal decision cannot impact on the ultimate release of our society and our economy?

[Matt Hancock]

We are not proposing to mandate vaccination, partly for the reasons that my hon. Friend sets out. Anyway, vaccine take-up has been really very high—much higher than expected—which is terrific. In fact, in the latest international surveys that I have seen, the UK has the highest enthusiasm for taking the vaccine—up from about fifth highest a couple of months ago. Our attitude, tone and communications throughout have been purposefully entirely positive about why the vaccine is good for people and for their communities, and how people like them are taking the vaccine. I praise the Government Communication Service, NHS England and local councils, which have worked so hard to drive vaccine take-up as high as it has been.

Covid-19 Update

Debate between Steve Brine and Matt Hancock

Tuesday 2nd February 2021 Commons Chamber

[Matt Hancock]

I take all that as a compliment. The £500 payment is incredibly important in supporting people on low incomes, as is the huge roll-out of test and trace, with more than 90% of contacts now identified and contacted by NHS Test and Trace, which is doing a magnificent job. Of course, the roll-out of the vaccine is going rapidly, and this weekend, one in 60 of all adults in the country got a jab, which is testament to that. We are always looking to improve and learn lessons wherever we can, but I am glad that things are making the progress they are.

[Steve Brine (Winchester) (Con)]

I echo what the Secretary of State said about HIV. Binge-watching “It’s a Sin” is five hours well spent on a reminder of how close we are to that magic zero transmission. The Government’s acceptance last week that the release of our society, rightly starting with our schools, should move in lockstep with the success of the vaccine roll-out, was welcome. Will the Secretary of State assure parents that we will follow an increasing number of countries around Europe, and in the UK, and stick to that as the vulnerable groups, and those liable to overwhelm the NHS, are protected?

[Matt Hancock]

Yes, of course.

Public Health

Debate between Steve Brine and Matt Hancock

Wednesday 6th January 2021 Commons Chamber

[Matt Hancock]

Yes, of course, we have been not only watching for mutations but, indeed, testing for mutations throughout, and it is partly because the UK has the biggest genomic testing capability of any country in the world that we have been able to pick this one up. There may be new mutations in other countries that do not have this scale of genomic testing, and just under 50% of all the sequenced genomes of covid-19 that are deposited with the World Health Organisation are deposited by the UK because of this capability.

That leads to a challenge, which is that it is the countries that have the genomic testing capability that spot the new variant and report it. There are countries that may have variations that are not known about and are not discovered in this way and cannot be reported, but that is the nature of the pandemic. My strong view is that we should be transparent and clear with our international friends when we find a new variant that is difficult to deal with.

When I have previously come to ask for the House’s support for national restrictions, we had to take it on trust that there would be an exit, because it was before a vaccine had been approved. Today I come to the House seeking approval of these regulations knowing, from the huge pressure on the NHS right now, that this action is necessary today, but also with the certain knowledge that we have a way out.

Before turning to the detail of the regulations, I want to set out the plan for how we get out of them, because that is critical. This country was the first in the world to deploy not one but two vaccines, and more than 1.3 million people have been vaccinated already, including a quarter of the over-80s.

[Steve Brine (Winchester) (Con)]

I do not like it one bit, but I will support the Health Secretary tonight. The reason I will do it, and I suspect the reason why there is such high public support for these measures, is the position in which the NHS finds itself and the level 5 ruling. If we have, by the middle of February, vaccinated the top four groups, who are the ones likely to overwhelm the NHS, does the logic not follow that at that point we will be able to lift the restrictions on our constituents’ lives?

[Matt Hancock]

I will come on precisely to my hon. Friend’s point, because that is a critical question that I know people are rightly asking: if we are going to have these restrictions, how do we get out of them and, frankly, how do we get out of all the restrictions that we have had to put in place?

--- Later in debate ---

[Matt Hancock]

My hon. Friend is quite right. The supply of vaccines can take place on all seven days of the week, but, in a regular way, we do it on six days of the week and then, on the seventh day, people can either rest or deliver further vaccine if that is what is necessary. As a result of this delivery schedule, there has been no point at which any area has been short of vaccine. We have a challenge, which is to increase the amount of vaccine available. The current rate-limiting factor on the vaccine roll-out is the supply of approved, tested, safe vaccine, and we are working with both AstraZeneca and Pfizer to increase that supply as fast as possible. They are doing a brilliant job, but that is the current rate-limiting step. As that supply increases, we will need more people to give vaccinations. We will need to get pharmacists involved in the vaccination. I very much hope to get my right hon. Friend the Member for South West Wiltshire (Dr Murrison), a former doctor, and others involved in vaccinations. We will need more people, but the current rate-limiting factor is the supply of vaccines.

That is not to say that the companies are not supplying on the schedule that was agreed; they are, and they are doing their bit, but we do need to increase that supply and then the NHS will increase its delivery. I hope to make that point crystal clear, because Public Health England work to get the vaccine out is not a rate-limiting factor, the current discussion with pharmacists is not a rate-limiting factor, and the fill and finish is not a rate-limiting factor. What is a rate-limiting factor is the amount of the actual juice—the actual vaccine—that is available, which is not manufactured like a chemical. It is a biological product. I do not know whether you bake your own bread, Madam Deputy Speaker, but I sometimes do and it is a bit like the creation and the growth of yeast. That is probably the best way to think of it. It is a complicated and difficult task and that is the rate-limiting factor. I pay tribute to those who are engaged in the manufacturing process of this critical product.

[Steve Brine]

My right hon. Friend knows that I am obsessed with this point. He mentioned the agreed schedule of delivery. Will he consider publishing that, so that we can see what the agreed schedule is?

[Matt Hancock]

I can assure my hon. Friend that the agreed schedule of delivery will enable us to offer vaccinations to everyone in the top four priority groups by the middle of February. That is why the Prime Minister was able to commit us to that schedule.

I want to talk about the support that has been outlined. We are providing an additional £4.6 billion of support to businesses, including those in retail, hospitality and leisure that have been forced to close their doors once again, on top of the £280 billion plan for jobs, which includes the extension of the furlough scheme until April.

Covid-19 Update

Debate between Steve Brine and Matt Hancock

Wednesday 30th December 2020 Commons Chamber

[Matt Hancock]

The hon. Lady’s question is one for my right hon. Friend the Chancellor of the Exchequer, who has done more than almost any Finance Minister in the world to support people—whether in employment or self-employed—with some of the most generous schemes that have ever been put together. We appreciate that it is not possible to save every job, but we have done the most that we possibly can. I will make sure that someone from the Treasury gets back to the hon. Lady with a clear answer.

[Steve Brine (Winchester) (Con)]

The Secretary of State knows that the vaccine roll-out programme in Hampshire is in a very, very strong position. What he will not know is that, by the close of play today, just over 40,000 people in the county will have had their first dose, which is impressive work by Nigel Waterson, who is leading that—sorry, I meant Dr Nigel Watson; Nigel Waterson is a former colleague. The only thing holding us back, I am told, is supplies, so does today’s decision mean that the county’s endeavour can match its ambition? How many doses exactly will be in the country by the turn of the year?

[Matt Hancock]

I want to thank Nigel Watson and all his colleagues who have delivered this fantastic effort across Hampshire. It is true that the current rate-limiting factor on the roll-out of the vaccine is the supply of the approved vaccine. Not only do we need to have it manufactured and in the country, but each batch needs to be checked, because it has to be in pristine condition. The worst thing we could do is inject someone with something that we think is vaccine, but does not work because it has not been stored properly. That takes time.

We have 530,000 doses of the AstraZeneca jab ready to go, and they will be deployed from Monday. In addition, we have over 3 million doses of the Pfizer vaccine that are ready, because we needed to hold one dose back. Once we move to the 12-week window for dosage—for the Pfizer vaccine, too—which has been recommended today by the regulator and by the Joint Committee on Vaccination and Immunisation, we will be able to roll those out. That will happen through January, rather than immediately. The end result of all that is that we can significantly accelerate the roll-out of the vaccine programme.

Covid-19 Vaccine Roll-out

Debate between Steve Brine and Matt Hancock

Tuesday 8th December 2020 Commons Chamber

[Matt Hancock]

We have not made such an assessment; we are still in the early days.

[Steve Brine (Winchester) (Con)]

I think I have sat through every single urgent question and statement that the Secretary of State has done, but the fact that it says “Covid-19 Vaccine Roll-out” on the annunciator screen is still hard to believe. The Secretary of State said earlier that we had got there because of international science. We will deliver global health security only through an international effort—put another way, no one is safe until everyone is safe—so I wonder whether he can update us on how we will work with Gavi, the Vaccine Alliance to help the poorest countries in the world, and of course, those nearest to us who are not the poorest countries, but with which we have a lot of inbound and outbound travel? How can we get them on the same page as us quickly?

[Matt Hancock]

The UK has put more money into the international search for a vaccine, and the distribution of a vaccine to the countries that otherwise would not be able to afford it, than any other state of any size, and we should be very proud of that. The way that we have managed the Oxford-AstraZeneca vaccine is to ensure that it is available on a not-for-profit basis, essentially, worldwide. We have taken this approach because, to put it exactly as my hon. Friend did, nobody is safe until everybody is safe. This is a global pandemic and we need to address it globally. That is the only fundamental way to solve this for the long term. In the short term, what we all need to do is keep following the rules.

Public Health

Debate between Steve Brine and Matt Hancock

Wednesday 4th November 2020 Commons Chamber

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

The measures that we have just debated are indeed extraordinary; they are in response to an extraordinary threat to our nation’s health and prosperity. Taking these measures does not come easily to me or my right hon. Friend the Prime Minister, nor should it to the House. Our historical liberties are hard-won and precious, and should not be infringed save in the gravest of times, but these are grave times indeed, and if we do not act now, the NHS will not be able to cope. No Member of this House wants to see the scenes that we have witnessed elsewhere in the world of hospitals overrun, or of doctors forced to choose who to treat and who to turn away.

We must drive this virus down together and take these tough yet time-limited measures, making sacrifices now for the safety of all. It will not be easy—I know that—but in a pandemic there are no easy choices. As my hon. Friend the Member for Eddisbury (Edward Timpson) put it, we face an invidious choice. We are called to make fundamental changes to how we live, work and socialise, but it is in pursuit of a common cause. We must and will use this time to drive forward innovations that will help ensure, if at all possible, that this lockdown is the last: the mass testing mentioned by so many, which we began to roll out this week and are driving forward night and day; the vaccine mentioned by my right hon. Friend the Member for South West Wiltshire (Dr Murrison) and others, which, while not yet assured, we will be ready to roll out as soon as we safely can; and the treatments that this country has pioneered.

There have been some excellent speeches, all made with a heavy heart and with regard to the seriousness of the situation. My right hon. Friend the Member for Maidenhead (Mrs May) spoke of the need to assess the impact on not only health but the economy. We know that the economic impact of the measures will be significant, but we also know that if the virus continues to rise—to double—the economic impact will be still more serious.

Many Members raised the issue of the impact on mental health. I take that very seriously. Before supporting this decision, I consulted with the Royal College of Psychologists, which has said that stricter measures to control the virus are needed, because the virus itself has a negative impact on people’s mental health.

There is a wider point on mental health services and health services more broadly: the NHS is open. We are determined to ensure that it stays open as much as is possible for non-covid treatments. My hon. Friend the Member for Bexhill and Battle (Huw Merriman), for whom I have a huge amount of respect, argued passionately about the impact of the first lockdown on the health services available. I say to him with all sincerity that it is by tackling the rise in the virus that we will keep the NHS open, rather than by allowing the virus to grow. In his constituency, the number of cases has almost doubled in the last two weeks; I looked that up as he was speaking. I urge him and others who support the NHS so strongly to support these measures, in order to allow the NHS to continue to do its job.

[Steve Brine (Winchester) (Con)]

The Prime Minister very honestly said to me on Monday that one of the lessons from the end of the first lockdown was that we did not insist enough on people isolating when they were contacted by Test and Trace. Going forward, at the end of lockdown 2.0, how will we improve on that?

[Matt Hancock]

We have to constantly improve on that. First, the number of people being contacted and who are isolating has risen sharply. Secondly, while of course there is always a need for more, the proportion has started to rise recently, and the amount of resources and support that we are giving to the Test and Trace service continues to grow. I absolutely support my hon. Friend’s point that we must use this month to ensure that that service is there and ready. Those who have said that it does not have any impact are wrong. It is having a significant impact on bringing the R down from its natural elevated rate of around 2.5 to where it is today, but with the R above 1, the virus continues to grow, and we must bring it down.

A number of colleagues in all parts of the House raised the issue of communal worship, including my right hon. Friend the Member for Gainsborough (Sir Edward Leigh) and my hon. Friend the Member for Gloucester (Richard Graham). I can tell the House that Ministers are talking to faith leaders to do everything we can to reach an accommodation as soon as possible. I understand the impact of this infringement on liberties, which many colleagues mentioned.

We saw support for the measures from across the House. The hon. Member for Aberavon (Stephen Kinnock) talked about how furlough must be fair for all, and we have extended the furlough system. My hon. Friend the Member for Wimbledon (Stephen Hammond) talked about the overwhelming weight of scientific evidence. While science of course consists of men and women with different views, I truly believe that the overwhelming weight of scientific evidence is in favour of suppressing the virus. We heard from my hon. Friends the Members for Wealden (Ms Ghani) and for Loughborough (Jane Hunt) about how, with heavy hearts, they are supporting these measures. My right hon. and learned Friend the Member for Kenilworth and Southam (Jeremy Wright) talked about taking damaging decisions to prevent a disastrous outcome later, and I think that was about right.

The hon. Members for Reading East (Matt Rodda) and for Blackburn (Kate Hollern) expressed their support, even though they also wished that this had come in earlier. My right hon. Friend the Member for East Hampshire (Damian Hinds) and my hon. Friends the Members for Bosworth (Dr Evans) and for South West Bedfordshire (Andrew Selous) spoke so eloquently of what the promise that the NHS is always there for you means. It is something that binds us together as a country and something that we must protect and cherish. The issue of care homes was raised, including by the hon. Member for Leicester South (Jonathan Ashworth). The updated visitor guidance was published this morning. I agree with him about seeking further expansion of testing in care homes, including for visitors.

There was a widespread debate about the need for more data publication. All I can say is that we are constantly expanding the data that is being published. There is more and more data from the NHS on hospitalisations, more and more data on cases and where they are, and more and more contact tracing data. I am absolutely enthusiastic about publishing more and more data. Indeed, we have been commended, as a country, for the open approach that we are taking to the amount of data that is published.

Ultimately, this comes down to a very significant judgment about how we best lead a nation through an incredibly difficult period with a virus that exists only to multiply, and lives and breathes off the essence of what it is to be human. My hon. Friend the Member for Broxbourne (Sir Charles Walker) spoke of a passion for freedom and I, too, am a lover of freedom, but I also care about protection, and it is the combination of the two that we must balance and address.

In ordinary times, these measures would be unimaginable, but these are not ordinary times. The virus in circulation feeds off the human contact that makes life worth living, and we must act to thwart its deadly march to protect our NHS and to save countless lives while supporting every person with everything that we have, and supporting the science that, with increasing confidence each day, I know will help us to find a better way through. I commend these regulations to the House.

Public Health: Coronavirus Regulations

Debate between Steve Brine and Matt Hancock

Tuesday 13th October 2020 Commons Chamber

[Matt Hancock]

Yes, as the hon. Lady will know, three Nightingale hospitals were put on alert yesterday to be reopened. The closest Nightingale is in Manchester, but we keep that under review because expanding the capacity of the NHS is one of the things that we can do. Nevertheless, no matter how big the NHS is, if the virus is not under control it will make more people need hospital treatment than there could possibly be hospital treatment available for. While we are, of course, restarting the Nightingales, which have been mothballed for months, that is only a precaution; it cannot be the full answer to the question. We had a very good discussion yesterday about the measures in Liverpool city region, which I will come on to in some detail.

[Steve Brine (Winchester) (Con)]

To follow on from what my right hon. Friend said about our strategy being to suppress the virus until a vaccine makes us safe—until science saves us—the Prime Minister yesterday was, very wisely, cautious in his answer to our hon. Friend the Member for Wycombe (Mr Baker) on the vaccine. What if it does not come, and what if it comes and the efficacy of it is not good enough, and there are challenges with roll-out and all sorts of other challenges that he and I know about—the anti-vaxxers notwithstanding? Can he give those of us who are nervous about—

Coronavirus Act 2020 (Review of Temporary Provisions)

Debate between Steve Brine and Matt Hancock

Wednesday 30th September 2020 Commons Chamber

[Matt Hancock]

Yes, we are renewing that schedule, because it is very important for ensuring that we prioritise care for those who need it most. The concerns that the right hon. Gentleman raises now were raised during the passage of the Act, when we had a good discussion on the subject. I believe that the way the Act has worked has, overall, improved access to care for people both in hospital and in our social care system, which has, of course, been an area of great scrutiny throughout the pandemic.

[Steve Brine (Winchester) (Con)]

I thank the Secretary of State very much for the sensible measures the Government have taken today on the involvement and ongoing consent of this House. There is widespread public concern out there about consent and the measures we are imposing on their lives. Just to be clear for the public, and some sectors of the media, watching this debate: many of the restrictions that we are reluctantly having to place on our constituents’ lives do not come through the Coronavirus Act 2020; they come through many other pieces of legislation, but primarily the Public Health (Control of Disease) Act 1984.

[Matt Hancock]

Yes. What I have said relates to measures to do with the pandemic response. As my hon. Friend says, the vast majority of the measures in respect of social distancing restrictions were introduced under 1984 Act; only a minority were introduced under the Coronavirus Act. Nevertheless, the point about scrutiny is an important one no matter what the origin of the statutory instrument. In essence, we have managed to innovate with parliamentary procedure to find a way that we can move both quickly and with the proper scrutiny of Parliament. That is what we have been seeking to do. In these unprecedented circumstances, many innovations have had to be made, not least in Parliament, and this is another one. There were two contrasting needs—the need for proper scrutiny and the need for very speedy action—and I am really pleased that we have been able to find a way through that, I hope, commands the support of the whole House.

Covid-19

Debate between Steve Brine and Matt Hancock

Monday 28th September 2020 Commons Chamber

[Matt Hancock]

Help like that is always very welcome. What I can say is that we want to ensure that the House can be properly involved in this process while also allowing the whole nation to move fast where that is necessary. What I would say to my right hon. Friend and others on this point is that I welcome the rightful recognition that sometimes we do have to decide at pace. This is an unprecedented situation and the truth is that the secondary legislation procedures were not designed for a situation like this. The question is how we can have the appropriate level of scrutiny while also making sure that we can move fast where that is necessary.

[Steve Brine (Winchester) (Con)]

On another point—with the leave of the Chair, we may debate these matters around process in a couple of days’ time—may I focus the Secretary of State on the positives? Although there are many challenges, which I will come to if I catch the Speaker’s eye later, we have many things to celebrate in this country about how we have approached the response to this pandemic—not least the brilliant scientific community in this country, which has produced the only known effective treatment for covid-19 and is doing great work on getting us closer to a vaccine. We like to beat ourselves up—or, rather, the media like to beat us up—but is not the truth that we have many things that the rest of the world follows us in?

[Matt Hancock]

That is right, and in fact my hon. Friend leads me to where I was going to come next. He is right: whether it is producing the only known treatment, dexamethasone, or having a leading vaccine candidate around the world, or the work that our staff in the NHS did to protect the NHS in the peak of the crisis, or building the Nightingale hospitals in nine days—they told us we would never get that done, but we did—or sorting out the huge problems we had in the provision of personal protective equipment. With the PPE strategy that we set out and published today, we have made it clear that, on all but one line of PPE, by the end of this year we are on track for 70% of our PPE to be produced here in this country. When I got this job, it was 1%. These changes are all huge areas of progress that we have made in tackling this virus, and I am very proud of the whole team who have come together to make them happen.

Covid-19 Update

Debate between Steve Brine and Matt Hancock

Monday 21st September 2020 Commons Chamber

[Matt Hancock]

I would be very interested in the examples, especially of people being sent long distances, because, as I said earlier, the information I have been given is that that problem has been resolved. I am working incredibly hard to resolve all the other problems and to bring to bear the record testing capacity that we have.

[Steve Brine (Winchester) (Con)]

Again, I support my right hon. Friend and his statement today, but I echo calls for what comes next to reflect the reality on the ground in areas such as mine, where rates are way down on the England average. Linked to that, as we move into what is clearly the next phase of this battle, will he look at a much more devolved and decentralised test, track and trace system? I think “keep Winchester safe” will have much more cut-through with my constituents, and that is surely better managed in Hampshire.

[Matt Hancock]

Yes. We need the scale of the national system and the resonance of the local system and the local knowledge. We are increasingly driving things in that direction, and I would love to talk to my hon. Friend, who is incredibly knowledgeable in these matters, to see what more we can do.

Coronavirus

Debate between Steve Brine and Matt Hancock

Tuesday 15th September 2020 Commons Chamber

[Matt Hancock]

The answer is yes. In Oldham in particular, where there has been a very serious outbreak, making sure we have that connection between the national system and the data flowing through to local contract tracers is incredibly important. We are working on some innovative solutions proposed by the local authority and others in Manchester to enhance that system as much as we possibly can to keep control of the virus.

[Steve Brine (Winchester) (Con)]

Lots of my constituents in Winchester have had tests, and the Government deserve credit for that, because we as a country started from a position where we did not have a system in place. The Health Secretary had to create a system from scratch, and he had great help in that from the private sector. We certainly should not be denigrating that; we should be thanking it and expanding on that help. Given the operational challenges that the Secretary of State spoke about, I wonder whether GP surgeries, or even our wonderful community pharmacists, could be part of the solution for front-door testing. What is the cross-Government superhuman effort part II to increase lab capacity—AstraZeneca was very helpful in part I —as that seems to be the challenge outlined by my right hon. Friend?

[Matt Hancock]

We are increasing that capacity, and we are bringing in new technologies to those labs to expand on that. My hon. Friend is a great expert in this issue and makes a really important point. The current technology works best in labs—people send a swab to the lab and get the result back, but there is a huge amount of logistics around that. We want technologies that can be in a pharmacy or a GP service, so that people get the test result back straight away. When such technologies come on stream—I am optimistic about this, as I am about a lot of things; I do not think I could do this job at the moment without being optimistic—that will give us a chance to get testing out into the community at every level.

We need to tackle problems such as the challenges you have in Chorley, Mr Speaker—you rightly brought them to my attention in your role as a local MP, as we all are—not by having a big national system, but through solutions that are deeply embedded in the community. When we have the technology to do that, we will be in a stronger place, and we are putting every possible effort and support behind people to try to make that happen.

Covid-19

Debate between Steve Brine and Matt Hancock

Tuesday 1st September 2020 Commons Chamber

[Steve Brine (Winchester) (Con)]

The Secretary of State will know that, as somebody who knows PHE well and knows what it actually does, I have some concerns about the changes that he announced last month. Although I can see the arguments about future health protection and future pandemics, of which sadly there will be more, we need to know who is taking ownership of the long-term public health work on smoking, air quality, obesity and childhood vaccinations, and the inequalities work that PHE does. Is he considering bringing that experience and vast expertise, which I benefited from as a Minister, back into the Department of Health and Social Care, for instance?

[Matt Hancock]

My former ministerial colleague, a distinguished former Public Health Minister, raises an incredibly important point. We are undertaking consultation on precisely this question right now; in fact, I invite him to come into the Department to give his views. The critical thing is that we need to ensure that we drive the health improvement agenda, the obesity agenda and the wider health improvement agenda forward very strongly. Local councils have a huge role to play in this, and they must be bound yet further into the health improvement agenda. The NHS has a huge role to play, and that must be bound more strongly again. Today’s announcement is good progress from the NHS. This is incredibly important. We are going to get it right. It is a very high priority of the Prime Minister, and I look forward to working with him on making it happen.

Coronavirus

Debate between Steve Brine and Matt Hancock

Tuesday 7th July 2020 Commons Chamber

[Matt Hancock]

The hon. Gentleman has repeatedly raised this vital question; I think he was the first in the House to raise the importance of restarting cancer services, right at the peak of the pandemic. We have been working incredibly hard to do so. Of course, we have put extra funding into the NHS this year—very large sums—because of the crisis, and of course we want to see cancer services fully restored as safely as possible. I just repeat the point that I made to my hon. Friend the Member for Derbyshire Dales (Miss Dines): it is critical that people come forward if they suspect that they might have cancer.

[Steve Brine (Winchester) (Con)]

As the Health Secretary knows, Hampshire Hospitals NHS Foundation Trust is currently doing a big engagement process called Hampshire Together, which will look at the future of health services, not just in the acute sector, over the next 30 to 40 years. That is a critical piece of work, going on throughout June and the rest of July. My constituents are emerging from a pandemic; understandably, many are worried about whether they will still be within furlough in a few months’ time and are not thinking about the next 40 years of health services. Will the Health Secretary be minded to big decisions being taken now, while the public are understandably distracted?

[Matt Hancock]

I take my hon. Friend’s point very seriously. We are planning significant investment in the health service in Hampshire. That has to be done in a way that enhances services locally, in Winchester and across the county. We have learned a huge amount during covid about how the health system works best, with system working, much more community activity, and much more treatment at home by telemedicine, which is one of the things that have gone incredibly well in this crisis.

Covid-19: R Rate and Lockdown Measures

Debate between Steve Brine and Matt Hancock

Monday 8th June 2020 Commons Chamber

[Matt Hancock]

I am afraid that I do not recognise that picture at all. The local directors of public health have been heavily engaged in addressing local outbreaks throughout this pandemic. In the past few weeks, for instance, there have been outbreaks locally that have then been addressed, with a leadership role played locally by the local director of public health. Perhaps the hon. Gentleman was not listening to the answer given to one of his hon. Friends that we have also put £300 million into local authorities to assist them to make sure that they have that capability on the ground.

[Steve Brine (Winchester) (Con)]

The work that PHE has done with Cambridge to understand the R rate at a regional level is very welcome. It might yet, of course, prove invaluable if needed. Can my right hon. Friend say how local is realistically possible? I think that I am right in saying that we could not hone in on Winchester, as an example, if we needed to stamp on an outbreak. Would other factors come into play, such as how effective an area was on the test and trace programme, for instance?

[Matt Hancock]

Yes, absolutely. As I tried to say in my opening statement, R is one of many measures that we need to look at. The number of new infections—the level of new infections as opposed to the rate of change—is also important and more directly measurable both through test results and through the surveys that we discussed earlier. Of course, the surveys, the number of test results in particular and the number of people presenting for testing, which we get from the test and trace programme, are much more granular local data that can give us a view of local outbreaks. If there is evidence of a local outbreak, then symptomatic testing can be done in that community in order to find out how serious the problem is locally, so a whole suite of tools are at our disposal.

Covid-19 Update

Debate between Steve Brine and Matt Hancock

Tuesday 24th March 2020 Commons Chamber

[Matt Hancock]

I repeat an answer that I have given before: there are no proposals to change the law around abortion.

[Steve Brine (Winchester) (Con)]

Sorry to return to the “going to work” point, but last night the Government were saying, “The only reason you may leave home is to go to work (if you’re a key worker)”, but then the part in brackets changed to “but work from home if possible”. I think that is where there is confusion. People are not sure what they can and cannot do. That is a pattern that we have, sadly, seen repeated, and which has led to “lockdown/not lockdown”. Could the Secretary of State say what the advice is again? I am not wishing to cause trouble; I am just looking for clarity.

[Matt Hancock]

The Prime Minister was clear in his address to the nation; I have been clear in my statement today; and the guidance on gov.uk is absolutely clear on this point.

Covid-19

Debate between Steve Brine and Matt Hancock

Monday 16th March 2020 Commons Chamber

[Matt Hancock]

The hon. Lady is right to remind me. Of course we want as much staff testing, as soon as possible. We are using the testing capacity we have to save lives, and that includes saving the lives of medics.

[Steve Brine (Winchester) (Con)]

In the past 24 hours or so, I have spoken to a great number of the headteachers in my constituency. I think it is a fair summary to say that there is support for the decision to keep schools open, and I agree with them. However, there is great concern that no matter what they or we might want, an increasing number of teaching staff becoming unwell and therefore unable to be in school might end up forcing the issue, leaving heads in an impossible position. I feel slightly guilty asking the Health Secretary these questions, but his is the statement we have today. What is the Government’s view on relaxing the student-staff ratio and getting Ofsted off schools’ back now, please. Also, if we were to run a skeleton service in schools to allow key workers to keep working, how are we to define key workers, given that we are in the middle of a national crisis?

[Matt Hancock]

We are looking at all those questions. The proposal to relax student-staff ratios is in the Bill. We will publish the content of the Bill tomorrow and the Bill itself on Thursday. The point about key workers is incredibly important. I am working hard with the Education Secretary to address precisely the concerns that my hon. Friend raises. Of course schools play an important part not just in educating our children but in allowing so many people to go to work, but we have to make sure that they are safe as well. One of the blessings of this virus is that it almost entirely spares children, which means that it is safe for children to go to school.

Coronavirus

Debate between Steve Brine and Matt Hancock

Wednesday 11th March 2020 Commons Chamber

[Steve Brine (Winchester) (Con)]

I would like to take the Secretary of State back to his point about a real national effort. Last week, he talked about the supermarkets helping to get supplies to elderly and vulnerable constituents, many of whom cannot get out—and right now we do not want them to do so. Will he join me in paying tribute to the army of volunteers across the country in community shops such as the Hursley community shop in my constituency? The shop told me today of the service that it is running for elderly parishioners in getting essential supplies to them and picking up prescriptions for them. That is a brilliant example of the big society—remember that?—doing its bit to help this country to get over this terrible time.

[Matt Hancock]

Gosh, that is a blast from the past—that phrase was invented almost exactly 10 years ago. My hon. Friend is quite right, though. This is a national effort, and community shops can play a huge role in helping people to get the groceries and other supplies that they need. There has been much discussion of supermarkets. I am glad to say that the vast majority of supermarkets are playing an absolutely incredible part in this national effort; we are working very closely with them and have been for some time. Our community shops will be really embedded in their communities; they often know which people are going to need the most support, and have those personal relationships. As long as they are following the public health advice to ensure that the people they are helping are also kept healthy, then they have an important role to play in our national effort.

Coronavirus

Debate between Steve Brine and Matt Hancock

Tuesday 3rd March 2020 Commons Chamber

[Matt Hancock]

I would highlight two. The first is that there is an economic and social impact of disruption; if an action has no medical benefit, there is no need for that disruption. The second is a medical risk. Behavioural science and experience from previous similar outbreaks shows that, if we ask people too early to do things that are disruptive to their normal life, they may try to return to normal earlier than they otherwise would. At the moment, the number of cases is relatively small. If we go into the reasonable worst-case scenario, it will rise sharply and be high for a number of weeks. We need to keep people doing the right, responsible thing over a period of weeks and, if we ask them to move too soon, they may question whether that advice was the right advice.

[Steve Brine (Winchester) (Con)]

Experience here suggests that these outbreaks are about cool heads and timing, and I suggest that the Secretary of State, his chief medical officer and his Public Health Minister have been exemplary in both those things. Does he agree that the media have a responsibility in this regard? You do not release everything in the locker at once. That is not about the Government being slow to this; it is about the Government having a plan. What they have set out today is a clear, strategic and staged plan to do what is needed, when it is needed, in the national interest.

[Matt Hancock]

I am grateful to my hon. Friend for what he says. We are trying to take exactly the approach that he sets out. It builds on my answer to the right hon. Member for Leeds Central (Hilary Benn) on getting the timing right as well as the decisions on the correct actions to take. We need to get both right. We will be guided by the science in supporting the public through what will be a difficult time.

Coronavirus

Debate between Steve Brine and Matt Hancock

Wednesday 26th February 2020 Commons Chamber

[Matt Hancock]

The hon. Lady is absolutely right to raise this issue. I have of course talked to the Treasury and the new Chancellor of the Exchequer on this question. Another important consideration is that overreaction has economic and social costs too. We have to keep the public safe, but we need to act in a way that is proportionate, so that does come into our considerations. My primary goal is to keep the public safe—of course it is—but we also have to take into account other impacts. For instance, as I set out in the statement, schools should stay open, with no blanket ban, unless there are specific reasons for them not to. Closing a school does not just have an impact on children’s education—there are wider social and economic impacts too.

[Steve Brine (Winchester) (Con)]

I thank the Secretary of State for the very responsible way he is handling this very serious situation. He is clearly working very closely—as his predecessor did and I did when I worked with him—with Professor Chris Whitty, the chief medical officer, and following the evidence. That has to be right. Last time the Secretary of State made a statement to the House, he said that he felt it would get worse before it got better. I think that that has been borne out by events. What level of personal responsibility should individuals and employers take—there are alternatives to travel, especially business travel, where there are technological solutions—to help with containment?

[Matt Hancock]

That is a very wise question and my hon. Friend is absolutely right to ask it. The NHS has a very important role to play in responding to this crisis, Public Health England is leading the public health response brilliantly, and Professor Chris Whitty, as chief medical officer, has done an amazing job over the past two months and is one of the finest epidemiologists in the world, but the truth is that everybody has a role to play, from the simple action of washing hands all the way through to responding in a sensible and proportionate way. It is important to dwell on that.

NHS Funding Bill

Debate between Steve Brine and Matt Hancock

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

[Matt Hancock]

As in so many other areas, we are hiring. My response to hearing about problems of shortages is, of course, to use all the tools available to ensure that we help those who are currently working in the NHS—for instance, with new technology—but also to hire and train more.

[Steve Brine (Winchester) (Con)]

My right hon. Friend will know that, as well as financial clout from No. 11, it is important to have political will from No. 10 around prevention. He has mentioned this already, but can he assure me that during this new Parliament we will focus relentlessly on prevention, and especially on the obesity challenge? Obesity is leading to preventable cancers, and we did so much good work in the last Parliament—some of which I did with my right hon. Friend—so will he please double down on this? It is so important that we prevent the illnesses that we know we can prevent, through positive interaction from Government.

[Matt Hancock]

Yes. My hon. Friend should know that, on this as on so many things, he and the Prime Minister are absolutely as one. Prevention is an incredibly important part of our plan. After all, prevention is better than cure.

Health and Social Care

Debate between Steve Brine and Matt Hancock

Thursday 16th January 2020 Commons Chamber

[Matt Hancock]

I am very happy to meet the hon. Gentleman. As well as the new hospitals, we also have upgrades going on that are very important. Some hospitals need to be completely rebuilt, we need some that are completely new and we also need to upgrade some. I am very happy to take that forward.

[Steve Brine (Winchester) (Con)]

On the subject of the Secretary of State being true to his word—I welcome him back to his place—he will remember being robustly challenged on the NHS pensions issue when he came to Winchester hospital during the campaign. Can I thank him for what appears to be a very positive response to that conundrum, as reported this morning, and can I urge doctors’ leaders to recognise a compromise when they see one? However, does he recognise that there is a big job to be done now in rebuilding rotas? That could really have an impact on patient care in Winchester and across England.

[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.

The National Health Service

Debate between Steve Brine and Matt Hancock

Wednesday 23rd October 2019 Commons Chamber

[Matt Hancock]

The hon. Gentleman makes an important point that capital investment needs to be strategic, and the new health infrastructure plan, which I was discussing at the Health and Social Care Committee yesterday, is intended to put in place that long-term plan for capital investment, and we are building 40 new hospitals over the next decade. It may be fair to say that I got some flak from Labour Members for proposing 10 years’ worth of new hospitals, because they said that only the first part of the health infrastructure plan—the so-called HIP 1—should be announced. I do not think that that is true, however, because we need a long-term approach to capital investment, with 40 new hospitals over the next decade.

[Steve Brine (Winchester) (Ind)]

I thank the Secretary of State for his vote of confidence in the NHS in Winchester. He has always been willing to listen. After a difficult Care Quality Commission report last year, we managed to secure investment to transform the A&E department, which the Minister for Care, the hon. Member for Gosport (Caroline Dinenage), visited recently. We are working with the sustainability and transformation partnership across Hampshire to reimagine what a district general hospital looks like. I encourage the Secretary of State to come down to Winchester—an hour on the train from Waterloo—to see where a new district general hospital is emerging to deliver long-term safe and sustainable services.

[Matt Hancock]

I would love to. I pay tribute to the hon. Gentleman’s work not only on the prevention agenda and public health in government, but on ensuring that the long-term plan approach to capital investment, with a new hospital in Winchester over the next decade, will give the time to ensure that that investment brings the whole health system together in Winchester and really delivers for the people. With him as the local representative, I have absolutely no doubt that that is what will happen.

Tessa Jowell Brain Cancer Mission

Debate between Steve Brine and Matt Hancock

Monday 13th May 2019 Commons Chamber

[Matt Hancock]

The cross-party tone of this discussion demonstrates what we can achieve when we work together. This is not just about Baroness Jowell, who did so much and was so brave in how she made her case—in the last few months in particular, but before that as well. It is about the many others who have worked together, including the many who were inspired by her words to work harder on brain cancer.

In truth, the amount of research money going into brain cancer—and therefore the number of clinical trials, which the hon. Member for Leicester South (Jonathan Ashworth) mentioned—was too low. There were so few clinical trials because research overall was too low. That is partly because brain cancer is a very difficult disease to treat. Just because it is difficult, however, does not mean we should not try, so we have increased the amount of research money, and I am determined to see an increase in the number of clinical trials and to make sure that the data from them is properly used and openly disseminated.

The hon. Gentleman asked about the cancer workforce. As I mentioned, of course we will need more people to treat cancer. That is partly what the £33.9 billion extra is all about.

The hon. Gentleman is also right to say that we need more early diagnosis. The truth is that, while the NHS is very good at treating cancer once it has been spotted—indeed, it is one of the best in the world—our cancer survival rates in this country need to improve through early diagnosis. That means giving more support to community services, strengthening primary care and ensuring that we have the diagnostic tools that he mentioned. We have more MRI scanners and more Linux machines for treatment purposes, but of course there is always more that we can do.

[Steve Brine (Winchester) (Con)]

During my time as the cancer Minister, I had the pleasure of meeting Tessa. You will recall, Mr Speaker, a very special debate that we had in the Chamber last April, when Tessa was back in the House of Commons, sitting in the Under-Gallery with her lovely family and listening to the debate.

Obviously I welcome the roll-out of 5-aminolevulinic acid—5-ALA—which allows surgeons to tackle some of the most difficult cases while ensuring that the healthy cells remain untouched. Does the Secretary of State agree that the exciting new frontier in cancer treatment is not only allowing people to survive it—more people are doing that for longer than ever before—but enabling them to live really well after treatment? It is no good surviving cancer if it is a rubbish time afterwards. Is that not the real promise of this?

[Matt Hancock]

My hon. Friend is a former colleague and dependable Minister, and I regret not having mentioned the work that he did in my opening remarks. The hon. Member for Leicester South said that he and my predecessor as Secretary of State had worked together on this issue, but the person who did the hard yards was my hon. Friend, and I pay tribute to him.

My hon. Friend is completely right: it is not just about surviving cancer, but about living well both with and after it. We must make sure that we learn that lesson and put the needs of patients at the heart of the process—not only their medical needs, but their non-medical and social needs. One of the humorous and amusing things that Tessa would talk about was the importance of the shape of the wig and the colour of the headscarf to a person who is going through chemotherapy, and that should be at the heart of treatment.