Covid-19 Vaccination Roll-out

Debate between Tonia Antoniazzi and Justin Madders

Monday 11th January 2021 Westminster Hall

[Justin Madders]

The hon. Gentleman predicts the journey I am about to embark on. I will talk about that very legitimate point, which hon. Members have raised. AstraZeneca promised 30 million doses by September, but that went down to 4 million by the end of the year and, clearly, much less has been delivered on the ground. All the best plans possible will not matter if the supply is not there. Various Members have raised this issue, so when he responds, I hope the Minister will set out the exact position in terms of supply. How many doses have been received to date from each manufacturer? How many are expected each week? What are the weekly projections for delivery?

I will give the Minister a local example. My vaccination centre in Ellesmere Port is due to open sometime this week, but nobody knows exactly when because nobody knows when the first delivery will arrive. One thing this country is not short of is logistics experts. The Vaccine Taskforce is supposed to have been addressing this for months, so those on the frontline should not have been put in the position of not knowing when the vaccine is going to arrive. No vaccine should be left on the shelves, in warehouses or stuck at a factory gate waiting to be delivered. Greater transparency would be much appreciated. As my hon. Friend the Member for Leeds North West said, we could do with a performance dashboard covering not just the total figures published each week, but the proportionate numbers in each category of the priority list, including NHS staff—at clinical commissioning group level as well as nationally—so that everyone can see what progress is being made. There are references to that in the document that was produced today.

Turning to the subject matter of the petition, we know from what SAGE has said that schools are making a significant contribution to the R rate and that, with infections running out of control, the closure of schools—except for vulnerable children and the children of key workers—was, sadly, inevitable. As we have said, however, there are multiple reasons why reopening them has to be a priority, not least the importance of getting children back into the classroom. Although we could not go against the JCVI priority list—indeed, it is likely that a change now would be counterproductive—we believe that, as with the change to the period between the first and second doses, serious consideration needs to be given to the order in which the vaccine should be distributed after the initial phase. Indeed, I think Sir Simon Stevens has said as much today.

Of course, it is worth pointing out that the most clinically vulnerable adults who work in education will receive the vaccine shortly anyway, and we believe that the priority should be to increase the number of people who have received the first dose, so that debates over prioritisation become obsolete. However, if that is not possible, we believe that it is more than reasonable to look not only at the risk posed by particular workplaces but at the wider societal benefits of vaccinating particular groups of workers.

I hope that we have sufficient supplies and delivery networks so that we do not end up in a position where particular groups of workers are pitted against one another, but clearly there is a strong case for priority to be given to those working in education settings. At this point, may I thank everyone who works in education for their contribution? I know how hard many of them worked over the Christmas period to prepare for the mass testing regimes, and we could all hear their exasperation when they were asked to revert to remote working at 24 hours’ notice. I am afraid that some of that exasperation actually turned to anger when the Education Secretary delivered his warning that Ofsted could become involved if online learning was not up to scratch. If ever there was a sentence that summed up how he is not listening to the education world, that was it.

When I talk about education, I mean education in the widest sense. As various Members have said today, that includes all those who come into close contact with others as part of their job in an educational setting. For example, if we look at those in special educational needs settings, we see that they are often in much closer contact with others than most people. It is not just teachers whom we must consider but classroom assistants, cleaners, cooks and probably just about everyone who works in a school. We are not only talking about schools; as my hon. Friend the Member for Leeds North West said, nurseries and other childcare settings should be looked at. However, for reasons that are not entirely clear, they remain open at this time. I think we can all see how, in those settings, it can be very difficult to avoid close contact with others.

[Tonia Antoniazzi]

Just to reiterate, everyone in an educational setting should be prioritised for vaccination. Also, what about student teachers? Does my hon. Friend agree that they need to be prioritised too?

[Justin Madders]

Yes. I think we have to look at the actual work that they do and the risk on the ground, but clearly student teachers would be part of that process.

There are strong arguments for those in other essential services to be given additional priority. There has been much talk of the police and their role in enforcing covid rules; if 20,000 police officers had not been cut in the past decade, the police might not be in such a difficult place to do that. We should remember that when the police go about their duties, they engage with the public and so, by definition, they put themselves at risk of infection.

Similar arguments could be made for those involved in the vaccination process—not just NHS staff but those who are volunteering. In relation to that, can the Minister update us on how many retired NHS staff have now passed all the requirements in this regard, so that they can assist in the vaccination process? We have all heard the stories about the fire safety training modules that have to be taken; although such requirements are worthy in their own right, it cannot be mission-critical at the moment for those tests to be undertaken. I can put it no better than the retired consultant who contacted me and said:

“This is actually more than I was required to do when I was a full-time NHS consultant. It is grossly excessive, unnecessary and burdensome.”

On the vaccination of NHS staff, we know the unprecedented pressures they are facing at the moment; the latest estimate is that there are some 46,000 NHS staff off sick with covid, and that is before we even consider those who are required to self-isolate. The need for a full complement of NHS staff to be available to work cannot be clearer, so we want to see all NHS staff receiving their first dose of the vaccine as soon as possible. There is also a concern about whether those people who are not directly employed by the NHS and instead may be self-employed are being picked up by the system.

In conclusion, we know that at the moment the vaccine programme rightly prioritises the most vulnerable and is designed to protect life. However, as that group of people receives that protection, it is right that we consider where priorities lie next. The nation’s key workers have literally kept the country going in the last 12 months—those in education and in transport, council workers, and many, many others who have gone to work day in and day out, knowing that they risk contracting a deadly virus. They do not deserve to be thanked with a pay freeze. At the very least, they deserve serious consideration for prioritisation in the next phase of the roll-out. Proper recognition of their contribution and of the wider societal benefits of their work demand no less.

Recognition of Fibromyalgia as a Disability

Debate between Tonia Antoniazzi and Justin Madders

Tuesday 15th January 2019 Westminster Hall

[Justin Madders]

That is exactly the experience that we have had and so many other hon. Members’ constituents have had. Speaking about how she felt before she got her diagnosis, my wife said:

“Sometimes, just having a bath would wear me out. I spent most weekends in bed or on the sofa…I just had no energy to move. I couldn’t do stuff with my children or even cook dinner. And I couldn’t understand why I felt like this. I knew other people got tired, but they still managed to live their lives. And so I thought I must just be lazy or completely lacking in any self-control…So when I was finally given my diagnosis, I was pleased that it wasn’t just me making it all up. It was not all in my head or character flaws leading to laziness and ill-discipline. I was and am actually ill. This is something beyond my control. And although it might be unfortunate, at least I now knew what it was.”

I was relieved as well. I knew that something was wrong, but I did not know what. On reflection, I think we both realised that she probably had the condition for years and all the time it was getting worse. We knew something was wrong, but we felt that nobody was listening.

[Tonia Antoniazzi (Gower) (Lab)]

The most shocking thing about fibromyalgia is that it mostly affects women—seven women to one man. My constituent came to visit me on Sunday at a surgery and she has just emailed me now to say that after that five-minute meeting it has taken her until today to recover. Does my hon. Friend agree that we cannot continue to ignore this?

[Justin Madders]

That is certainly something I recognise. My wife tries to live by pacing herself. That is the only way she can manage her condition. She knows it is a lot worse in winter than in summer and it will flare up if she over-exerts herself. She can save energy for specific occasions, for example a conference, work or an evening out, but no matter how much she plans, it can catch her out. She will be too exhausted or in too much pain to meet a deadline or go to a meeting. She ends up giving her apologies and feels that she is unreliable. She has practically given up trying to plan social things in advance. It is incredibly frustrating.

Unless more research can be done into this condition and more awareness raised among the medical profession and employers, fibromyalgia suffers will continue to be disadvantaged by more than just their symptoms. For us, this is not just about how fibromyalgia is classified under the Equality Act 2010, but, in common with many recurring and fluctuating conditions, about how people with these conditions are treated and supported. There needs to be much more research into the condition alongside consistent treatment pathways, with better training for medical professionals to recognise and then treat the symptoms.

Services should be in place to support fibromyalgia sufferers to enable them to live their lives as fully as possible. It has taken my wife two years, at her insistence, to be referred to a pain management clinic. A year on, she is still waiting to be seen. All the time she is suffering and her condition is deteriorating. I hate what this condition has done to my wife and our family. It is so frustrating not being able to help her make the pain go away, not being able to help her find a way for her to live her life as she should. It is so frustrating that there appears to be no hope on the horizon that things will get any better soon.