(2 years, 11 months ago)
Commons ChamberMy right hon. Friend is right to raise the importance of capacity in the NHS. She will know that the reason for the fall in capacity in the first place was to control the spread of the virus and ensure that those in hospital, who are naturally vulnerable in any case, are protected. Hospitals currently have what are referred to as green channels and red channels to try to segregate those who have the virus from those who do not. I assure her that the NHS keeps that under review and would like to get rid of the segregation as soon as possible. When it does, that will increase capacity.
What are the Secretary of State’s plans for communications with immunocompromised people who do not yet know how effective the vaccine is for them? As my right hon. Friend the Member for Leicester South (Jonathan Ashworth) said, the group accounts for 13.1% of deaths within the fully vaccinated population despite making up less than 1% of the general population. Does he agree that we should be advising them not to return to unsafe workplaces until we know more?
The hon. Lady is right to raise this important issue. Throughout the pandemic we have offered advice for those who are immunocompromised and given guidance through clinicians working with the NHS, and that is constantly updated as the nature of the covid threat is constantly changing. As I said a moment ago, we got clear advice that for certain people who are immunocompromised but can take the vaccine—I think it affects about 500,000 people—the antibody response from two doses was not enough and there should be a third dose as part of a primary course. We accepted that advice and acted on it immediately. We will continue to keep that under review and do whatever we can.
(3 years, 1 month ago)
Commons ChamberMinisters should be aware of the fears of immuno-compromised people. Unlike the Health Secretary, I know that the Minister is aware of the OCTAVE study. Does he know when it will be published? Can we have some plans for antibody testing? Immuno-compromised people need to be allowed to make informed decisions. Has a ministerial directive been issued to the JCVI to investigate that? If people are seen to have low protection, what extra support are the Government looking to deliver for them?
I am grateful for the hon. Member’s questions. She knows—she and I discussed this on Friday morning—that there is OCTAVE and OCTAVE DUO as well. I know that OCTAVE is to report imminently, and I will share that data with colleagues on our group even when the House is in recess. I will make sure that happens as soon as we receive that data. We want to make sure that people are protected. There was some very encouraging data from Public Health England on the immuno-compromised, with 74% production for some, not all, after two doses, but the hon. Member is quite right to point this out. We will look to vaccinate and protect them with a third dose—a booster dose—as the top of group 1 in phase 1 in September.
(3 years, 1 month ago)
Commons ChamberYes, I agree wholeheartedly with my hon. Friend. During this pandemic we have seen that, by working together on all types of public health issues, but especially the vaccine and its delivery, we are stronger together. We should draw some long-term lessons from that about how we can use it not only to protect against future pandemics—sadly, there will be some—but in respect of other public health issues that we face collectively to find a way to do a better job together.
I have written to the Secretary of State to urge him to do everything that he can to protect immunocompromised people as restrictions are eased. We urgently need the results of the OCTAVE study into the efficacy of covid-19 vaccines on this population; when will we get them? In the meantime, will the Government provide antibody tests for immunocompromised people, allowing them to make informed decisions? Better communication and proper support will go a long way towards alleviating the escalating levels of concern.
On the study to which the hon. Lady referred, I will look into that and write to her, if she will allow me. Immunocompromised people and what we can do to help them has come up a number of times during this statement. I direct the hon. Lady to the comments I have already made and highlight the fact that we will publish some guidance today.
(3 years, 2 months ago)
Commons ChamberUrgent Questions are proposed each morning by backbench MPs, and up to two may be selected each day by the Speaker. Chosen Urgent Questions are announced 30 minutes before Parliament sits each day.
Each Urgent Question requires a Government Minister to give a response on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
Yes, I absolutely can. We know that cost is a real problem, but there is also a real variation in quality of care. In fact, we are already taking steps on that. That is one reason why the health and social care Bill introduces an assurance or oversight system of the provision of care commissioned by local authorities. Yes, the breadth of the issues that my hon. Friend refers to is being considered in our reform proposals.
The 2018 Equality and Human Rights Commission report, “Housing and disabled people: Britain’s hidden crisis”, found that disabled people in the UK were not getting the support they needed to live independently. Three years on, we still have not seen any sign of the national strategy for disabled people which was promised this spring. Does the Minister agree that that is long overdue, and can she tell the House what her Government are currently doing to support people to go into independent living?
One thing I am very aware of is that often the debate about social care reform is a lot about care for older people, but that we should also make sure we are thinking at least as much about care for those of working age with disabilities. I and the Government certainly do think about that. We are working on the national disabled strategy, which I have contributed to. It will be coming forward shortly.
(3 years, 3 months ago)
Commons ChamberUrgent Questions are proposed each morning by backbench MPs, and up to two may be selected each day by the Speaker. Chosen Urgent Questions are announced 30 minutes before Parliament sits each day.
Each Urgent Question requires a Government Minister to give a response on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
I answered a question on this issue earlier. Obviously if someone contracts covid, they have to isolate and quarantine, but in terms of their contacts, we are looking at regular testing to see whether there is an alternative. I am afraid that my hon. Friend will have to wait a little longer before step four, and we will say more on this on 14 June.
It is a pleasure to be back in the Chamber, but for many like me who are immunocompromised, returning in person to the workplace is concerning, as we do not yet know how effective the vaccines are for us. Will the Minister consider allowing immunocompromised people to have access to antibody testing, thereby giving us some idea of the vaccines’ efficacy and some knowledge of our level of protection from the virus?
(3 years, 6 months ago)
Commons ChamberWe 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.
To date, Government communication with the 2.2 million people who have been shielding on and off for almost a year has been poor. On their behalf, I ask the Secretary of State a very simple question: will it be safe to stop shielding after they have received their second dose of the vaccine?
I am afraid I do not agree with the hon. Lady one bit. We write regularly to those who are shielding and we write to them individually, so I am not going to make a blanket announcement in the Chamber. We will communicate carefully and individually with people who are on the shielded patient list. It is too sensitive to play politics with.
(3 years, 7 months ago)
Commons ChamberToday, I would like to focus on one particular group who have felt forgotten throughout this pandemic: disabled people. In reading the updated regulations, I can see that no assessment of the impact of lockdown on disabled people has taken place. That must change. Disabled people must be central to our decision making, not an afterthought.
Communication has been poor. Shielding letters have been arriving far too late, leaving many unsure of what guidance they should be following. At Monday’s press conference, shielding was reintroduced, yet the Government website does not have any updated guidance for shielders. The guidance that is there is not in an accessible format. People urgently need this evidence to ensure that they can continue to be paid. The Government’s press conferences, which are communicating extremely important public information, are still taking place without a British Sign Language interpreter. It is unbelievable that this has not been sorted.
At the start of this crisis, disabled people raised with me their concerns about accessing food, medicines, PPE and social care. Many have faced increased costs, yet we still have not seen any uplift to legacy benefits. Ministers originally said that this would take up to eight weeks to sort. Ten months later, no progress has been made. Will this increase ever materialise? The Women and Equalities Committee report “Unequal impact? Coronavirus, disability and access to services” calls for an independent inquiry into the causes of adverse outcomes for disabled people. ONS statistics show that two thirds of those who have died from coronavirus in England and Wales have been disabled. We also need the Scottish Government to collate this data, to enable us to fully understand the impact of the pandemic on disabled people. Sadly, the funding for disabled people’s organisations has been cut.
Being guided by disabled people’s experience is essential. I want to thank everyone who has contacted me about today’s debate; I am only sorry that time restraints mean that I cannot raise everyone’s points. I will end by asking one simple question. As the Government’s Disability Unit looks to recruit 14 disability and access ambassadors, how many of those will be experts by experience? How many will be disabled people? I hope the answer is all of them, but I fear not. The Government must ensure that disabled people’s voices are at the heart of decision making, and that is more crucial than ever during a pandemic.
(3 years, 7 months ago)
Commons ChamberI 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.
I have asked the Secretary of State on several occasions for a timetable for the roll-out of the vaccination programme. Now that, thankfully, the AstraZeneca vaccine has been approved, can he provide some certainty and a timetable that prioritises unpaid carers, given that many of them care for extremely vulnerable people? He has been asked for that several times today, and people really need hope to carry on in these difficult times.
I totally understand why people want the answer to that question, because of the hope that the vaccine gives us. What I can tell the hon. Lady is that the speed of the roll-out will be determined by the speed of manufacture. While we have 530,000 doses ready to go from Monday, we also need to make sure that we receive more approved doses. We are working closely with AstraZeneca on that, as we have with Pfizer. That is what will determine the speed of the roll-out. The NHS has a plan, and it is ready to go.
(3 years, 8 months ago)
Commons ChamberA test and dine scheme is being piloted. It is something we are looking at to try to support the hospitality industry while keeping the virus under control. I will report back to my hon. Friend with the results of that pilot and see if we can get it going in Keighley.
The roll-out of the vaccine is welcome news, but there is still a long way to go. Public messaging has been poor throughout the crisis, and that is particularly true for disabled and clinically extremely vulnerable people, who have frequently received guidance after new restrictions have started. We have all seen the vaccine prioritisation list, and the Health Secretary has been asked this several times, but, honestly, if he agreed to publish an estimated timetable for the roll-out, that would be extremely welcome and allow people to have some faith in the future and be able to plan accordingly.
I wish I could do that, but I cannot do so faithfully. What I can do is say is that the majority of people will be vaccinated in the new year and we are working to ensure that the roll-out happens as swiftly as is safely possible. I understand the yearning, but I cannot put a date on it.
(3 years, 9 months ago)
Commons ChamberThe Secretary of State’s update is very welcome news for the shielding community, and I hope they will be among the first to receive the vaccine. At my meeting with the deputy chief medical officer last week, she informed me that 15,000 children are still being asked to shield this time around. What does the Secretary of State say to the parents and carers of those children, given that he has just confirmed that they will not receive the vaccine?
Of course, we will continue to work on a clinically-led basis with everybody across the country who needs support. The vaccines were not trialled on children, and it would absolutely be a clinical decision as to how to take this matter forward. I am very glad that the hon. Lady has had the opportunity to talk to the deputy chief medical officer, Jenny Harries, who leads on shielding policy. It is a very important and very sensitive subject.