(3 years, 6 months ago)
Commons ChamberThank you for your remarks, Mr Speaker, both at the beginning of this session and to me personally. I am grateful.
It is axiomatic that the higher the rate of infection, the higher the rate of transmission. In this battle between the virus and the vaccine, the virus wins, with those high rates. The only antidote to that is, as we saw in Bolton, surge vaccination. Bolton now has the second highest rate of the Greater Manchester boroughs; we have been overtaken, alas, by Salford. That is why people across Greater Manchester do not understand why we do not have surge vaccination. Yes, it would be good for Greater Manchester, but it would be good for the whole country. Can the Secretary of State explain?
I would love to surge vaccinate the whole country. Supply is the rate-limiting factor; it has been from the start. To surge the whole country would be to go as fast as we can, which is what we are doing already. Yes, we can surge in relatively small areas. In the areas that need extra support, which now constitute about 10% of England, we are increasing testing where we have the spare capacity, especially of the lateral flow kits; we are putting in place the guidance to be more cautious; and we are putting in place the extra support we can give to get the vaccines out, especially to groups who are harder to reach. But we need to bring the whole country forward with the vaccination programme. That is why we are going as fast as we can, and I am delighted that we are able to bring forward the date by which we will have been able to offer all adults a dose from the end of July to 19 July as part of what we are able to announce today.
(3 years, 10 months ago)
Commons ChamberThe Secretary of State may be aware that before I returned to Parliament, I had some involvement with the establishment of the Greater Manchester model of health and social care. Can I offer him two insights from that? First, social care is clearly not yet funded in the way that is needed if we are to have proper integration. Secondly, it was possible to have a Greater Manchester strategic level for the nearly 3 million people of the conurbation, but to have integration and delivery at the district level. On the integrated care systems, will he guarantee that there will be nothing that prevents the very successful model that Greater Manchester is already pioneering?
Yes. The changes in Greater Manchester, in which the hon. Gentleman had an important role, are a good example of where we can drive this sort of integration. I can confirm that nothing I am proposing would get in the way of that. In fact, I hope that the changes in the White Paper will help areas that, like Greater Manchester, are already some way along this journey to go further, and will support them by ensuring there are fewer legislative barriers to the sorts of actions that they want to take. That includes both the measures across the NHS and the integration between health and social care.
(3 years, 10 months ago)
Commons ChamberThe performance of people on Teesside in getting the jab rolled out so fast has been absolutely magnificent—particularly, but not only, in Stockton-on-Tees, and I am not just saying that because it was my hon. Friend who asked me that question. It has been a really impressive performance and I am very happy to look into when we might be able to open a Teesside mass vaccination centre, but what I can say is that across Teesside the roll-out is going well and I am grateful to everybody who is coming forward so enthusiastically to get the jab.
May I join the Secretary of State in congratulating those in my constituency who have worked so hard on rolling out the vaccine? At the moment, in Rochdale, as in other areas, people are given roughly a week’s notice of the quantity and the type of vaccine that they will receive. As a way of working, that is fine for the first round of vaccinations. When we come to the second round, though, can flexibility be built in so that those responsible for delivering the vaccine know which vaccine and how many vaccinations they will get, so that they can ensure that those second vaccines are the ones that are needed?
I absolutely understand the point that the hon. Gentleman makes and I join him in what he says. I understand why people who are delivering the vaccine on the ground want to know those forecasts. The challenge is that the supply schedule is lumpy. We do not want to give certainty inaccurately: we do not want to imply that there is certainty where there is no certainty. There is certainty, though, in the fact that we have a high degree of confidence that the second doses will be available and, of course, will be distributed according to need, with the right vaccine for the right second dose going to the right place—we have a full record of that. The second dosing starts in earnest in a couple of months’ time—obviously, 12 weeks on from 4 January, when we shifted the dosing on to a 12-week schedule. We have the logistics under way to ensure that people get access to the right dose to match the first dose that they had. I am very happy to talk to him further if he has any more questions about the logistics of getting this sorted.
(4 years ago)
Commons ChamberAs you know, Mr Speaker, we look in great detail and at a granular level at the geographies that these restrictions have to cover. Unfortunately, central London’s case rates are rising, and we know that if an area is surrounded by other areas where there are significant increases then those high rates tend to move into that area if it is left out of a set of restrictions. I understand, of course, the impact on the economy, but the very clear public health advice was that London should move together because all areas of London are seeing an increase in rates and we need to stop that.
The Health Secretary seemed to answer rather dogmatically the question of the hon. Member for Central Ayrshire (Dr Whitford) about lateral flow tests. May I say to him that it does seem reasonable that, as a diagnostic for people to self-isolate, the test has validity, but with its very high number of false negatives, is he seriously recommending that this is the first line of defence for people going into our care homes? If he is, it is a very dangerous proposition on his part.
It is important that we use the right tests in the right circumstances but with the right other conditions. So for instance, there is clear visitor guidance of which testing is one part, but personal protective equipment is another critical part. The nuanced question of the hon. Gentleman is entirely reasonable, but the thing that I find frustrating is the idea that we should discourage people from coming forward for asymptomatic testing when the task is to find as many people as possible who have the virus to get them to isolate. Yes, we should ensure that visiting care homes is done as safely as possible—there are health upsides to visiting as well as the challenges posed by the virus—but in terms of asymptomatic testing, I encourage people, where tests are available, to come forward, because that is how we find where this virus is and help to isolate it.
(4 years, 2 months ago)
Commons ChamberOf course, across London there is a huge amount of travelling to work. Although of course in different boroughs the rates are different—my hon. Friend is absolutely right about that—and in his patch they are lower than the London average, nevertheless, unfortunately, they are rising sharply. We considered a borough by borough approach, but because of the integrated nature of London and because, unfortunately, cases are rising fast across London, we decided that the best approach is for the whole of London to go into level 2 together.
I have to ask the Secretary of State, as another Member of Parliament who, in his words, is “up there”: does he understand that people in Greater Manchester fear that an indefinite period in tier 3 would mean the pauperisation of our people and the destruction, at least in the short and medium term, of our economic capacity, with no certainty—unless he really does get test, track and trace not just improving but working well—that we would come out of it any better than we went in?
By “up there” I meant on the screens at the top of the Chamber rather than anywhere geographically. What I would say to the hon. Gentleman is that the best way to avoid the outcome that he seeks to avoid is for everybody to pull together across party lines, across communities, to get the public health message out that we need to work together to deliver for the people of Greater Manchester and all other areas of the country.
(4 years, 3 months ago)
Commons ChamberAs a Conservative, I believe in as much freedom as possible consistent with not harming others. One of the sad things about this virus is that because of asymptomatic transmission, if people put themselves at risk of catching coronavirus and get ill, they are not only putting themselves at risk but putting others at risk as well. That is the Conservative principle behind protecting the health of the nation in the face of this pandemic.
The Secretary of State will accept that a near-one-week turnaround for tests for people working in our care homes is not looking after our elderly. Can he be precise: when will we get the 24-hour turnaround that we must have if we are to keep the elderly safe in those homes?
We have protected the number of tests in care homes. The challenge is that when the system is running hot and the number of tests going through is very close to capacity, that can have an impact on turnaround times. We saw that in the past couple of weeks. Thankfully, those turnaround times are coming down again, as well as our managing to protect the over 100,000 tests a day that go to social care. While some people may call for other areas to be prioritised—for instance, the testing of children—the most important thing is that we protect those who are most vulnerable to this virus, and the most vulnerable live in our care homes.
(4 years, 3 months ago)
Commons ChamberAs well as our work to fight coronavirus, we are continuing our historic levels of investment in the NHS. Good progress is being made in the projects for 40 new hospitals. The number of NHS nurses in England has increased by more than 13,000 compared with this time last year, and the number of doctors is up by over 9,000. This landmark investment is bearing fruit.
Thank you very much for that welcome, Mr Speaker. I am one of those who most certainly owes an awful lot to the care and dedication of NHS staff. May I ask the Secretary of State a very simple question? One waiting list that is going up is the amount of time that overseas doctors offered jobs in the UK have to wait for a visa. Will he have a quiet word with Home Office Ministers to ensure that we have a joined-up Government and that these doctors, who are part of the solution, can get their visas?
May I join you, Mr Speaker, in welcoming the hon. Member back to the screens—and hopefully, one day soon, back to the House in person? The question that he raises is an important one. I am working with the Home Office to introduce the NHS visa, which will mean not only that the numbers are uncapped, but that the administration around visas is much reduced. It is not just about Home Office administration; it is also about reducing the burden of bureaucracy from the General Medical Council and others. The GMC is working incredibly hard to reduce the bureaucratic requirement while still ensuring that any doctors who come to practise in this country are fully qualified and can speak English to a high enough standard, as the people of Rochdale and the whole country would expect.