Covid-19: Vaccinations
Toby Perkins Excerpts(4 years ago)
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Nadhim Zahawi
Absolutely. We must ensure that his residents are within 10 miles of a vaccination site at the end of this month and as early as possible to get vaccinating. He is a great champion of his constituents, and I am happy to look at any specifics he may have, take those offline and come back to him.
Mr Toby Perkins (Chesterfield) (Lab) [V]
The vaccination centre in Chesterfield—the largest town in Derbyshire—is opening only on Wednesday. It is clear from recent conversations with Derby and Derbyshire clinical commissioning group that we are not on target to have all vulnerable groups done by 15 February, and there is no centre at all in Staveley. What will happen between now and 15 February to get us from the current position to achieving the target the Minister has set, which we all so desperately want him to achieve? Will he also ensure that there is a centre in Staveley?
Nadhim Zahawi
It is great to see the hon. Member looking fit and well; I wish him all the very best. He is right to say that we must ensure that every part of the country meets that target, offering those four cohorts the opportunity of a vaccine. We are looking to ensure that we publish more granular data—regional data—so that we can see which areas are not keeping up the pace and therefore direct resources to them, so that by mid-February they have made that offer.
Covid-19 Update
Toby Perkins Excerpts(4 years, 1 month ago)
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Matt Hancock
Yes, we are working exactly on how to demonstrate that in a numerical rather than a narrative form, not least for the reasons that my hon. Friend sets out. We have seen a very sharp rise in cases across Bedfordshire, especially in the more rural areas, including North East Bedfordshire, so it is so important that people across Bedfordshire take that personal responsibility and follow the new tier 3 rules. I hope that we can get the rate to come down as fast as it has gone up.
Mr Toby Perkins (Chesterfield) (Lab) [V]
People across Chesterfield will be very disappointed that, with all the work that they have done and with Chesterfield having lower transmission rates than some of the areas in tier 2, they remain in tier 3. They will be especially disappointed by the Health Secretary’s suggestion that the communities that have worked hardest and been the most disciplined are the ones that are in tier 2. We know that that is not the case. Does he not realise that, if the Government could offer a support package that supported our hospitality sector, and if they were not, at the very last minute, announcing changes to our schools just two days before they break up, there would be more credibility to the sense that it is personal responsibility that is the problem here, rather than the ineptitude of this Government?
Covid-19 Update
Toby Perkins Excerpts(4 years, 1 month ago)
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Matt Hancock
I am tempted to try to give an answer to that question, but it is very much a matter for the MHRA. I am very grateful to my hon. Friend for the good wishes that he sends. In the Department these days, we no longer say at the end of a week, “I hope you have a good weekend.” We say, “I hope you have a weekend.” Likewise, I share his hope that we have a happy Christmas, but frankly I hope I get a Christmas.
Mr Toby Perkins (Chesterfield) (Lab)
Pubs in tier 2 areas are very heavily regulated environments, and in tier 3 they are completely closed. Nothing like the same restrictions are in place on public transport, in retail shops, in care homes and in other areas where we have seen much more of a spread than in pubs. Will the Health Secretary consider not just shifting areas from tier 2 to 3 when tier 2 clearly is not working, but rethinking his whole approach so that the pub sector is given the support it needs? It is actually a much more regulated, much safer environment than many of the areas that the Government have not regulated.
Matt Hancock
Many of the facilities that the hon. Gentleman talks about, such as care homes, are doing unbelievable work to remain covid secure. I understand the impact on hospitality. I love the hospitality businesses of our country—I love going to pubs—but unfortunately we need to tackle this virus, which means that some very difficult decisions are necessary.
Coronavirus Vaccine
Toby Perkins Excerpts(4 years, 1 month ago)
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Matt Hancock
Yes, I am very glad that we changed the law to allow the MHRA to make this authorisation on UK terms. This House voted unanimously to do that—well, we did not even have a vote as it went through without one. I am really glad that we were able to do that. I want to thank my right hon. Friend for his support and encouragement throughout this period. It has been a very, very long year as Health Secretary and I really appreciate his support.
Mr Toby Perkins (Chesterfield) (Lab)
The Health Secretary spoke about learning lessons and continuing to improve the system. My partner’s daughter is currently self-isolating because someone in her class at school has got coronavirus. She comes home and lives with her sister who is still expected to go to school. Surely a world-class testing system would be testing everyone in the bubble of those who had been sent home so that immediate family could be identified as having the virus or not, and could take appropriate action. Is there any more that can be done to improve this so that people such as my partner and many other parents at Holymoorside school will be able to take the necessary steps?
Matt Hancock
Yes, we are piloting exactly that idea in, I think, eight schools right now and I hope to be able to roll it out once we have learned from those pilots.
Covid-19 Update
Toby Perkins Excerpts(4 years, 3 months ago)
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Matt Hancock
Yes, absolutely. Support proportionate to the support made available to Lancashire is on the table. We are willing to meet anybody from Greater Manchester to help make this happen, and it is best done as a team effort. The offer was there on the table. I, like my hon. Friend, regret that it was not taken forward. However, I hope that council leaders in Wigan, colleagues from across the House and, if he wants, the Mayor will come back to the table and work together for the people of Greater Manchester.
Mr Toby Perkins (Chesterfield) (Lab)
The Health Secretary’s attempt to divide and rule the Mayor and the Members of Parliament in Manchester is absolutely transparent. It is shameful that some of those Conservative colleagues, who have been working collectively, should collapse like they appear to be doing today. Does it not say everything about this Government that they should believe £7,000 a day is an adequate amount to pay consultants to work on his failing track and trace programme, but £8 per head is more than enough for people in Manchester and right across the north and the midlands to go into this tier 3 after the tier 2 programme has not worked?
Matt Hancock
On the contrary, we are working hard across party lines and trying to rise above that sort of political attack to work for the benefit and the public interests of everybody in this country.
Local Contact Tracing
Toby Perkins Excerpts(4 years, 3 months ago)
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Mr Toby Perkins (Chesterfield) (Lab)
I spent an early part of my career in the sales industry, selling in the IT sector. I just wish that at some point I had come across a customer with as much money as this Government, and one so easily impressed and willing to give money to suppliers and then to defend them when they let them down. I never came across a customer nearly as naive as this Government.
Occasionally, a story seems to demonstrate a much wider point. So it was today with the scoop revealed by Ed Conway of Sky News that the Government are paying £7,360 per day to the management consultants at Boston Consulting Group, who are in charge of test and trace. That is the equivalent of a £1.5 million salary to preside over this shambolic system that is letting down all the people in my constituency and so many others. We will not find dedicated public servants being paid £7,500 a day or £1.5 million a year, but we will find a basic competence, a knowledge of their area and a desire to ensure that systems work before they are implemented. That is what we need right now in our system.
It is telling that, in a debate of this importance, with every Back-Bench Member of Parliament invited to contribute, just three Conservative MPs wanted to put their name on the list and say, “I will go in and speak up for the Government, because I think they are doing a good job.” That is because people in their constituencies know what is happening, and Conservative Members do not want it to be on their record that they were the ones speaking up for the Government, so they leave it to us to come here and expose the reality. That is what is happening. There are 365 Tory MPs—where are they? They are off in their offices hiding, while people in my constituency are being let down. [Interruption.] I accept that three have turned up, and I thank them for that, but I am talking about the rest of them.
We all remember when Leicester first went into lockdown and everyone said, “Oh my God! The rate in Leicester is appalling—those poor people.” The infection rate was less than 100 per 100,000 then.
Mr Perkins
Yes, I do, and I had an experience of that recently.
Leicester had a rate of 100 per 100,000 when it went into lockdown. In Chesterfield, we have a rate of 143 per 100,000, and we are still in tier 1. The scale of how bad this must be before the Government are shocked is changing all the time.
I was recently in self-isolation because a friend told me that he had been diagnosed with coronavirus four days before Test and Trace got in touch with me. The date that Test and Trace had was nine days after I came out of self-isolation. The whole system is not working, and when you experience it yourself, you can see why this failure is happening.
Covid-19 Update and Hospitality Curfew
Toby Perkins Excerpts(4 years, 4 months ago)
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Mr Toby Perkins (Chesterfield) (Lab) [V]
I accept what the Secretary of State has said about the science, but he must realise that there were many publicans who were really struggling to get by before this, and the new things that have been put in have just made their businesses untenable. Does he accept that getting support for the measures that he has put in place has to come with a financial package that supports our publicans to remain open after covid?
Oral Answers to Questions
Toby Perkins Excerpts(4 years, 5 months ago)
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Aaron Bell (Newcastle-under-Lyme) (Con)
Mr Toby Perkins (Chesterfield) (Lab)
The Secretary of State for Health and Social Care (Matt Hancock)
We have developed capacity to over 200,000 antigen tests per day across the testing programme. We are planning for the next phase of testing and are committed to rapid and accessible testing at scale for everyone who needs one. Localisation of testing in accessible places is absolutely critical.
Matt Hancock
I am very grateful to my hon. Friend for the work he has put in over the summer to make sure that the challenges we have seen in Newcastle-under-Lyme are dealt with as well as possible. Of course, when we put in extra testing and extra mobile testing units, making sure that that is tied in with the online booking system is critical. I am very happy to work with him to resolve the specific issues in Newcastle.
Mr Perkins
Alongside the need to increase capacity, there is a real need to make sure that what is already there is working properly. In Chesterfield, I have had many people contact me over the summer to say they have been waiting four or five days to get a test result back. I have also had people who have applied online and been told to go for testing 20 or 30 miles away, when there is a testing centre in Chesterfield. With Chris Hopson of the NHS Providers organisation saying that the current system is not even
“fit for purpose, much less world class”,
will the Secretary of State tell us what he can do to ensure that the system is ready when we approach the potential increase in cases in the autumn and winter?
Matt Hancock
Of course, we are constantly working to improve the system, but as the statistics that I read out at the start of this Question Time show, we have made very significant progress over the summer. NHS test and trace is just over three months old, and is now reaching 84% of contacts when contacts are given. On testing expansion, of course when a testing site is full, people will be directed to a nearby but not immediately close testing centre. That does sometimes happen when there is an increase in demand for testing, but we try to respond by putting in more testing where it is needed and in the highest-risk areas, of which, thankfully, Chesterfield is not one.
Oral Answers to Questions
Toby Perkins Excerpts(4 years, 10 months ago)
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Helen Whately
I am well aware of concerns about the surcharge. Many overseas nurses coming to work in the NHS do not have to pay the surcharge, as it is covered by their employer.
Mr Toby Perkins (Chesterfield) (Lab)
The phrase “brightest and best”, when it appears in immigration talk, is obviously subjective and deliberately vague. What the private sector and local authorities want to know is: under the new Government system, will they be able to get people to come in who want to provide care—people we are desperate for?
Helen Whately
For the NHS, we have the NHS visa and a clear route to come to work in the health sector. For social care, there is a job to be done by employers, to make sure that working in social care is an attractive job that is well paid. I also recognise that there is a role for Government and for all of us in Parliament, to come together and support changes to how we fund social care. We need to fix the social care system for the future.
Matt Hancock
My hon. Friend is quite right to raise this—it is true that that the NHS has had to rise to address the scandal over mesh. There is a lot of work still to be done.
Mr Toby Perkins (Chesterfield) (Lab)
Matt Hancock
No, the hon. Gentleman is wrong to raise this issue in this way. It was addressed in the House yesterday actually—the Prime Minister was explaining that that is not Government policy.
Health Inequalities
Toby Perkins Excerpts(4 years, 10 months ago)
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Jonathan Ashworth (Leicester South) (Lab/Co-op)
I beg to move,
That this House notes the publication of Health Equity in England: The Marmot Review 10 Years On; is concerned by its findings that since 2010 improvements to life expectancy have stalled for the first time in more than 100 years and declined for the poorest women in society, that the health gap between wealthy and deprived areas has grown, and that the amount of time people spend in poor health has increased across England; agrees with the review that these avoidable health inequalities have been exacerbated by cuts to public spending and can be reduced with the right policies; and calls on the Government to end austerity, invest in public health, implement the recommendations of the review, publish public health allocations for this April as a matter of urgency, and bring forward a world-leading health inequalities strategy to take action on the social determinants of health.
A former Health Secretary, Frank Dobson, whom we sadly lost towards the end of last year, said:
“Inequality in health is the worst inequality of all. There is no more serious inequality than knowing that you’ll die sooner because you’re badly off.”
He was absolutely right. Poverty and deprivation mean that people become ill quicker and die sooner. The current Health Secretary—I understand why he cannot be here for this debate; I do not criticise him for that, given what is going on, and we welcome the Under-Secretary of State, the hon. Member for Bury St Edmunds (Jo Churchill), to the Chamber—said, when we last debated health inequalities, that
“extending healthy life expectancies is a central goal of the Government, and we will move heaven and earth to make it happen.”—[Official Report, 14 May 2019; Vol. 660, c. 153.]
Well, last week the respected academic, Sir Michael Marmot, gave us his assessment of the Government’s attempts to move heaven and earth to narrow those inequalities and extend healthy life expectancy.
Mr Toby Perkins (Chesterfield) (Lab)
I absolutely congratulate my hon. Friend on bringing this crucial issue to the Chamber. The health inequalities that we have seen in our communities are bad enough, and the additional inequalities regarding access to GP appointments are even worse, but we are also seeing cuts in local government funding hitting the most deprived areas and adding to those inequalities we are already aware of.
Jonathan Ashworth
My hon. Friend makes that point very well. Not only are there inequalities in health outcomes, but inequalities are opening up in access to health services.
I said that I understood why the Secretary of State cannot be here, but he has now joined his colleagues on the Front Bench. I will state, just for the record so that he can be reassured, that I did not criticise him for not being here—I said that I entirely understood why he could not be here. But he is always welcome to listen to my pearls of wisdom, of course.
Michael Marmot’s analysis was shocking, and his conclusions devastating. Let me remind the House of what Professor Marmot found: for the first time in more than 100 years, life expectancy has essentially flattened overall since 2010, and has actually declined for women in the poorest areas of England. In last week’s Opposition day debate, the Health Secretary told Opposition Members that we must debate these issues based on the facts. In fairness, he said that there were life expectancy differences between, for example, Blackpool and Buckingham. [Interruption.] Indeed—gulfs. The Secretary of State made that point. If I may say so, however, I do not believe that he was as clear as he could have been in presenting the full picture for the benefit of Members. When we look at the figures, we see that for more than 100 years, life expectancy has been increasing by about one year every four years. More recently, from 2001 to 2010, the increase was 0.3 years for each calendar year for men and 0.23 years for women. Between 2011 and 2018, the average rate of increase was 0.07 years for males and 0.04 years for women. By any standards, that is a truly dramatic lowering in the rate of improvement in life expectancy between 2011 and 2018.
Jo Churchill
The hon. Gentleman makes a good point, but it typifies the problems we deal with, because air pollution is the responsibility of the Department for Environment, Food and Rural Affairs, the Department for Transport and the Department of Health and Social Care. They all have a role to play, and we must ensure we take account of that—it is important that we think about all these different challenges. Helping people to live longer healthier lives while narrowing the gap between the richest and the poorest needs action, a point made by the hon. Member for Coventry South (Zarah Sultana).
Jo Churchill
If the hon. Gentleman will just bear with me and let me make a little more progress, I will come back to him.
Going forward, I am clear that we must integrate good health into decisions on housing, transport, education, welfare and the economy, because we know that preventing ill health, both physical and mental, is about more than just access to our health services.
Jo Churchill
I will come on to that point in a few minutes, if my right hon. Friend will bear with me.
Mr Perkins
The Minister is right that this is a very complicated issue and that health inequalities have existed for a considerable amount of time. On the research she refers to, will she tell us whether local government cuts, which have been greater in the poorest areas, with a significant reduction in health education and prevention work, were mentioned as factors for why this continues to be such a major problem?
Jo Churchill
The problems we are dealing with are complex across the piece, which is why we have held the public health budget at the same level this year so that we can start to deliver on them. It is important that local people have local ownership over the issues and challenges in their area, because one size will not fit all.