Public Health Debate

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Department: Cabinet Office

Public Health

Tanmanjeet Singh Dhesi Excerpts
Tuesday 1st December 2020

(3 years, 4 months ago)

Commons Chamber
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Boris Johnson Portrait The Prime Minister
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Yes, indeed. This is a point that many of my hon. and right hon. Friends have made to me and to the Government with great force and eloquence over the past few days. We want to be as granular as possible as we go forward to reflect the reality and the human geography of the epidemic, and we shall be so. What I can say is that, from tomorrow, across the whole country, not just gyms, leisure centres and swimming pools will be open, but churches, synagogues, mosques and temples will reopen for communal worship, organised outdoor sport will resume and, in every tier, people will be able to meet others in parks and in public gardens, subject to the rule of six. Every one of those things has been, by necessity, restricted until today. Every one of them will be allowed again tomorrow. Of course, I accept that this is not a return to normality—I wish it were so—but it is a bit closer to normality than the present restrictions. What we cannot do is to lift all the restrictions at once or to move too quickly in such a way that the virus would begin to spread rapidly again. That would be the surest way of endangering our NHS and forcing us into a new year lockdown with all the costs that that would impose.

Tanmanjeet Singh Dhesi Portrait Mr Tanmanjeet Singh Dhesi (Slough) (Lab)
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I thank the Prime Minister for giving way. After the inconsistencies and controversies of the previous tiering system, what was required this time round was more fairness, clarity and transparency. We were promised a regional approach. However, what the powers that be have done is to place little old Slough in tier 3, despite the fact that we have been segregated from the wider region and that there are areas in neighbouring London and Essex with higher covid transmission rates. Why does the Prime Minister hate Slough? What have we done to annoy him so much?

Boris Johnson Portrait The Prime Minister
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I love Slough, but I understand what the hon. Gentleman is saying. I appreciate people’s feelings of injustice, and people do feel it. There is no question but that people feel that they have been unfairly attracted by proximity into a higher tier than they deserve. People also feel that the tiering is not working for them. I want to repeat the answer that I gave to my hon. Friend the Member for Workington (Mark Jenkinson), which is that, as we go forward—I mean this very sincerely —the Government will look at how we can reflect as closely as possible the reality of what is happening on the ground for local people, looking at the incidence of the disease, looking at the human geography and spread of the pandemic, and, indeed, looking at the progress that areas are making in getting the virus down. We will try to be as sensitive as possible to local effort and to local achievement in bringing the pandemic under control.

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Keir Starmer Portrait Keir Starmer (Holborn and St Pancras) (Lab)
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May I start by welcoming the fall in infection numbers, with the drop in the number of people being admitted to hospital, and crucially that the national R rate is now below 1, and below 1 in many parts of the country? That is very welcome news across the House. Before this lockdown, the infection rate was doubling every two weeks, the R number was above 1 in every part of England and rising, and the number of people in hospital was going up sharply across the country. In other words, the virus had been allowed to get out of control.

If anyone doubts that a lockdown was necessary, I would point out that since 2 November, when this lockdown started, 10,711 people have tragically died within 28 days of testing positive for covid-19. In the past week alone, that is an average of 460 deaths per day. Those are appalling numbers, and every one is a tragedy. So we can argue about why this lockdown did not happen earlier, when the infection rate was lower, as we argued for on this side of the House, but whatever view was taken of the timing, it is clear that the lockdown was necessary and has helped to reduce infections.

May I also welcome the progress on vaccines? I have nothing but admiration for our scientists and the amazing progress that has been made. This is a great moment for our scientists. I went to Oxford University the week before last, to see the vaccine group there and to see the remarkable work that it was doing, just before it announced its results. A vaccine may now be in sight, and we must do everything we can to encourage take-up and make sure that it is rolled out quickly, fairly and safely.

However, the questions before this House today are these: how can we save as many lives and livelihoods as possible until we reach the light at the end of that tunnel, and are the measures that the Prime Minister has announced today going to control the virus and provide the right support to the communities worst affected by these restrictions? Labour has supported the Government in two national lockdowns. I recognise the need for continuing restrictions and I do recognise that the tiers have been toughened, as it was obvious to everyone that the previous tiers were a one-way street to tier 3, but I am far from convinced by what the Prime Minister has said today. In particular, the economic package is nowhere near sufficient to support the communities most affected, and they have been suffering for many months.

Tanmanjeet Singh Dhesi Portrait Mr Dhesi
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Will my right hon. and learned Friend give way?

Keir Starmer Portrait Keir Starmer
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I will just make some progress, and I will come back to my hon. Friend.

I also fear that without the right health measures in place—in particular, a working trace and isolate system—there are real risks that this plan is incapable of controlling the virus this winter. I want to set that out in a bit more detail, but before I do so I will give way.

Tanmanjeet Singh Dhesi Portrait Mr Dhesi
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I thank the Leader of the Opposition. Does my right hon. and learned Friend agree that the support for businesses, especially in tier 3, that are struggling—in the hospitality and in the arts sectors specifically—is just not enough, because many of them are on the brink of collapse?

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Tanmanjeet Singh Dhesi Portrait Mr Tanmanjeet Singh Dhesi (Slough) (Lab)
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I welcome the opportunity to speak in this important debate, which will have a huge impact on my Slough constituents and all those across the country who face the prospect of entering tier 3 tomorrow. Since restrictions began in March, we have all made huge sacrifices to curb the spread of the deadly virus, which, as I know from personal experience, can be devastating. We have all accepted that we have a role to play to protect those who are more vulnerable to the virus. We have all seen the impact that it has had on communities up and down the country, especially on people who are elderly, from more disadvantaged backgrounds, or from black, Asian and minority ethnic communities.

As we leave our second national lockdown this year, we must recognise that we are where we are because the previous three-tier system did not work. Nobody wants a repeat of that. We must ensure that the new system protects lives and supports businesses, and that no area is left behind. Sadly, the proposed system does not achieve that.

Despite the excellent work of our local Slough Borough Council, public health teams and volunteers, Slough’s current high weekly infection rate has placed it in a very high alert tier. It is right that, with high coronavirus numbers, stricter measures should be implemented to protect lives. However, when I checked nearby areas, I was absolutely astonished that Slough was a dot of red in a sea of orange tier 2s.

Despite committing to a regional approach, Slough has been made a special case, segregated from the rest of Berkshire and the wider region. That appears to be based on an arbitrary political decision and an anomaly nationwide. Areas in Essex, London and Surrey all have local authorities with comparable, if not higher, infection rates to my Slough constituency, yet similar action has not been taken.

For the tiered system to work, it must be consistently applied and based on scientific evidence, yet at a time when we need fairness, clarity and transparency, all we have is confusion and mixed messaging. That is particularly detrimental for businesses that, under normal circumstances, would be heading into the busiest period of the year. They are now faced with no clear plan or adequate support from the Government.

I have been contacted by hundreds of Slough constituents concerned about the impact that tier 3 restrictions will have on their livelihoods without increased support. Businesses are in the dark; there are eligibility issues with the self-isolation support payment; and the support is inadequate and does not reflect business need or length of time spent in each tier.

The Government have had months to prepare for and fix the many issues that Labour Members have been consistently highlighting. In October, prior to the month-long lockdown, I called on the Prime Minister to fix our test, track and trace system, and to hand responsibility from Serco to local public health teams that know their area. Yet the Government are not listening and continue to fail us.

The budget is now at a staggering £22 billion—more than the annual budget for the police and fire services combined. We need much more funding and resources for our local public health teams. With each day of Government incompetence, lives and livelihoods are being put at risk. Despite the doubts about the new proposals, I sincerely hope that with them, and with the excellent news of a vaccine on the horizon, things will vastly improve, or I fear that we are heading into further lockdowns in future.