Covid-19 Update

Vicky Foxcroft Excerpts

Thursday 15th October 2020 Commons Chamber

[Matt Hancock]

My hon. Friend sets out why, with case rates like that, we are focusing our attention on the parts of the country with the most serious problem. Throughout this, we try to ensure that we take action that is necessary but proportionate, in order to slow and suppress this disease.

[Vicky Foxcroft (Lewisham, Deptford) (Lab) [V]]

Communication for shielding people has been poor in the past. Now as we sadly return to further restrictions, communication remains poor, with news being fed to the press before updating the country in a clear way. That really is not good enough. The Government have had seven months to get it right. When letters are sent to shielding people, will the Secretary of State ensure that they are in accessible formats, especially since many potentially are disabled people? Will he let them know what extra support they will be entitled to?

[Matt Hancock]

This is a very sensitive issue and it is very important for those who are shielded. I invite the hon. Lady to the briefing with the deputy chief medical officer so that she can ask any questions that she has.

Covid-19

Vicky Foxcroft Excerpts

Tuesday 1st September 2020 Commons Chamber

[Matt Hancock]

The challenge is that this disease passes on without people knowing. I have seen the challenge of older people trying to stay away from and stay safe from the continuing spread. In the United States of America, we saw that, at first, the increase in rates was among younger people and then it spread and the hospitalisation rate went up and then the number of deaths went up. Unfortunately, we are seeing a similar pattern on parts of the continent. I understand where my right hon. Friend is coming from. The goal is to have as little intervention, as targeted intervention, as possible, subject to keeping the virus under control. That is what we are trying to do. Essentially, we want to protect the ability of schools to go back and to make sure that we get the economy going as much as possible. These localised interventions, whether through test and trace to the individuals who have tested positive or to a local area where there is an outbreak, is the approach that we propose.

[Vicky Foxcroft (Lewisham, Deptford) (Lab) [V]]

Office for National Statistics data show that 75% of disabled people are extremely worried about life post lockdown and a further 46% report that this is having a serious impact on their mental health. Will the Minister tell me what the Government are doing to support them, and will he commit to ensuring that disabled people, who have felt like an afterthought throughout this crisis, are at the heart of any recovery plan, as called for by Scope and many other charities?

[Matt Hancock]

Yes, absolutely. Our approach is to ensure that the support that is given, including with the vaccine if and when that comes, goes to those who are clinically most at risk. That is the answer to ensuring that disabled people get the support that they need. People who are disabled for different reasons have different needs. We must be cognisant of that and not try to treat all disabled people with different disabilities the same. Instead, we should support people according to their needs and that is at the heart of the approach that I take.

Coronavirus Response

Vicky Foxcroft Excerpts

Monday 20th July 2020 Commons Chamber

[Matt Hancock]

I will immediately look into the proposal; I would be surprised if my scientists were not already across the trial. If there is a positive signal from that trial, we will make sure that we will absolutely bring it forward.

[Vicky Foxcroft (Lewisham, Deptford) (Lab) [V]]

Today, I wrote to the Chancellor and the Secretary of State for Business, Energy and Industrial Strategy on the need for more support for those high-risk people who are currently shielding. Does the Secretary of State for Health and Social Care agree that it is essential that those currently shielding have faith in Government advice? If so, will he commit to publishing a full risk assessment for each category on the shielding list before 1 August? Now is the time to use the full capacity of Government communication to reassure people; will the Secretary of State do that?

[Matt Hancock]

I very much agree with the hon. Lady’s sentiments; the challenge is that the number of different groups within shielding is essentially as big as the number of people who are shielding. We have taken the approach that individuals will get individual clinical advice on what is right for them. That is the best way forward.

Coronavirus and Care Homes

Vicky Foxcroft Excerpts

Tuesday 19th May 2020 Commons Chamber

[Matt Hancock]

I think the best thing they can do is raise it with their very effective local MP, who can bring it to my attention, and that is exactly what they have done. I will get right on to it, straight after this session in the House of Commons. We have the testing capability. Of course, making sure you get exactly the right test to exactly the right place and the right care home at the right time is itself a huge logistical challenge, but I will look into this immediately.

[Vicky Foxcroft (Lewisham, Deptford) (Lab) [V]]

CQC data revealed a 175% increase in deaths of people with autism and learning difficulties last month, yet the new care home testing portal is only available to homes whose residents are aged 65 and over. What is the Minister doing to ensure that all care homes are able to access tests? Will the Government conduct a review of why there has been such a sharp increase in deaths among these groups?

[Matt Hancock]

I addressed this point in my opening response to the urgent question. We will roll out testing to care homes of all ages. This is an area that I take very seriously indeed. We are looking into the statistics that have been mentioned in the public domain. Some of the statistics are not quite as they first seem. We will make sure that we publish accurate and full statistics, because transparency is absolutely vital in this area.

Covid-19 Update

Vicky Foxcroft Excerpts

Tuesday 5th May 2020 Commons Chamber

[Matt Hancock]

My hon. Friend is right to ask that important question. Getting the distribution of PPE to the frontline is critical. It has been a huge operation; the head of the Army has called it the largest logistical operation that this country has seen in 40 years. It is challenging because there is a global shortage of supply. We are working to get that supply as effective as possible. It is undoubtedly improving, but there is an awful lot of work still to do.

Having the national shortage call centre—the phone line that anybody can call if a shortage is coming up—is an important part of the response. So, too, are the automated online deliveries for the smaller settings. But we continue day and night to try to do everything we can to improve the flow of PPE to the frontline.

[Vicky Foxcroft (Lewisham, Deptford) (Lab) [V]]

Disabled people are worried about who is expected to provide PPE for personal carers. Many are finding it difficult to procure appropriate equipment—and when they can, they are finding that prices are inflated. What are the Government doing to ensure that disabled people are not left without adequate equipment, or out of pocket, when attempting to protect themselves and their carers?

[Matt Hancock]

The hon. Lady is right that making sure that our whole social care system gets access to PPE is important. There is often a focus on PPE in hospitals and care homes, but on home visits, as she rightly raises, access to PPE is also vital.

There has been a global increase in the prices of PPE. The prices that the Government pay for PPE have increased a number of times over the course of this crisis. That is a feature of the global shortage of supply as the demand for PPE across the world has shot up. We are seeing that the world over. What I hope to do is bring on stream more and more domestic manufacturers of PPE, both to ensure that we get the quantity and to see whether we can stop the price rises happening.

Oral Answers to Questions

Vicky Foxcroft Excerpts

Tuesday 10th March 2020 Commons Chamber

[Mick Whitley (Birkenhead) (Lab)]

1. When he plans to publish the local authority public health grant allocations.

[Vicky Foxcroft (Lewisham, Deptford) (Lab)]

8. When he plans to publish the local authority public health grant allocations.

[The Secretary of State for Health and Social Care (Matt Hancock)]

The 2019 spending round announced real-terms growth in the public health grant for next year, so local authorities can continue to invest in prevention. Every local authority will see a real-terms increase in their grant allocations, which I expect to publish imminently.

[Matt Hancock]

No, and that is why I have just announced that every local authority will see a real-terms increase in their grant allocation so that that does not have to happen.

[Vicky Foxcroft]

Between 2017 and 2020, the Government have cut nearly £4 million from Lewisham Council’s public health grant, and the public health team is facing many challenges, not least from coronavirus. What does the Secretary of State mean by “imminently”? Councils need certainty. Given the pressure that local teams are under, will he look to restore funding to 2010 levels, in line with population growth and inflation?

[Matt Hancock]

As I say, every local authority will see real-terms increases in their allocation, and by imminently I mean in the next couple of days.

Coronavirus

Vicky Foxcroft Excerpts

Tuesday 3rd March 2020 Commons Chamber

[Matt Hancock]

Yes, we are paying particular attention to vulnerable people—the elderly and those with other health conditions that may make them either more susceptible or more at risk should they get this virus—and there will be additional advice in due course, guided by science, as all of us should be in tackling this disease.

[Vicky Foxcroft (Lewisham, Deptford) (Lab)]

The Secretary of State has been asked about this several times, and I am slightly worried that he just does not get it. Some working people do not get sick pay. We really need to know what his plans are for them.

[Matt Hancock]

As I have said, I have provided answers to that question a number of times, including that we are keeping this under review, and that the sick pay system is robust. I look forward to answering more questions in the same way. I cannot give a different answer to the one I have given to the same question when it has been repeatedly asked.

Oral Answers to Questions

Vicky Foxcroft Excerpts

Tuesday 26th March 2019 Commons Chamber

[Stephen Hammond]

The Department of course takes such things seriously. My hon. Friend the Minister of State for Care met Baroness Harding last week to discuss how to ensure that there are nurses and carers to help people with learning disabilities. The money that has been promised to make that possible comes in the new financial year, which starts next week.

[Vicky Foxcroft (Lewisham, Deptford) (Lab)]

14. What progress his Department has made on the implementation of a public health approach to tackling violence.

[The Secretary of State for Health and Social Care (Matt Hancock)]

We are pursuing a multi-agency approach to prevent and tackle serious violence. Healthcare is of course one of the important and relevant agencies that need to work together right across government to reduce knife crime.

[Vicky Foxcroft]

The Government are committed to a public health approach, but we heard the Secretary of State dismiss it just a few weeks ago. What assurances can he give that he is now fully signed up to the approach? What evidence is his Department collating? How is the Department working with the Home Office to ensure that we have a long-term strategy for keeping our young people safe?

[Matt Hancock]

I am a huge fan of the public health approach to tackling knife crime. In fact, I was in Croydon yesterday to talk to charities and to students at Croydon College about the role the NHS can play in tackling the scourge of knife crime. I am a big fan of this agenda, and I look forward to working with the hon. Lady and colleagues from across the House.

NHS Outsourcing and Privatisation

Vicky Foxcroft Excerpts

Wednesday 23rd May 2018 Commons Chamber

[Jonathan Ashworth]

I greatly respect the hon. Lady, and I greatly enjoyed her Red Box blog on mental health provision last week. I know she thinks carefully about these matters, but this is not about ideology. It is about what works. Let us take the example of the East Kent contract for integrated NHS 111 and GP out-of-hours services, which began in January 2017. After only seven months of Primecare running it, the service was placed in special measures after it was rated inadequate. That is happening in her own backyard. This is not working, and that is the point we are making.

The history of PFI is that when we came into government, a third of hospitals were more than 50 years old. That is why we carried on with the John Major PFI scheme, which was the creation of that Government. Current Cabinet Ministers such as the shadow Health Secretary at the time, now the Secretary of State for International Trade, stood at the Dispatch Box and congratulated the Labour Government on taking up the private finance initiative developed under the previous Government. He said he would not object to the use of PFI

“exclusively to fund private capital projects”—[Official Report, 8 January 2003; Vol. 397, c. 181.]

In this House, the current Chancellor of the Duchy of Lancaster gave a “warm welcome” to a PFI in his own constituency. The Brexit Secretary said in this House:

“The PFI has many virtues—after all, it was a Conservative policy in the first instance.”—[Official Report, 10 March 1999; Vol. 327, c. 429.]

The Business Secretary said:

“PFI was initiated by the previous Conservative Government”—[Official Report, 12 February 2013; Vol. 558, c. 787.]

The Scottish Secretary has said that PFI is a “successful basis for funding”. The Welsh Secretary said:

“I am a fan of PFI in general.”—[Official Report, 4 November 2010; Vol. 517, c. 1124.]

We will take no lessons from the Tories when it comes to PFI.

We have not only seen facilities management contracts having to be brought back in-house in Leicestershire and Nottingham; we have also seen them deliver a poor quality of service across Lewisham and Greenwich. Those contracts at Lewisham Hospital should come back in-house. I know that the Labour candidate in Lewisham East will be campaigning to bring them back in-house, and I hope the Tory candidate will do the same.

[Vicky Foxcroft (Lewisham, Deptford) (Lab)]

Will my hon. Friend give way?

[Jonathan Ashworth]

I will give way to my hon. Friend from Lewisham, and then I will make progress.

[Vicky Foxcroft]

I thank my hon. Friend. He is right: the candidate in Lewisham East will absolutely be campaigning on that, because it is out of order and outrageous that many of the people working under that contract are not receiving pay for one week because Interserve is not paying them.

[Jonathan Ashworth]

Absolutely. I wish the Labour candidate in Lewisham East well and will be campaigning with them. We will be sending a firm message to the Tories that privatisation of the NHS will end. The NHS is not for sale.

Austerity: Life Expectancy

Vicky Foxcroft Excerpts

Wednesday 18th April 2018 Westminster Hall

[Robert Courts (Witney) (Con)]

It is a pleasure to serve under your chairmanship this afternoon, Mr Paisley. I shall keep my comments brief because many other Members wish to speak. I also take the opportunity to congratulate the hon. Member for Sheffield, Heeley (Louise Haigh) on securing a debate on this important matter.

When people think of the rolling hills of west Oxfordshire, I appreciate that poverty is not one of the things that immediately springs to mind, but that is to ignore some of the very real issues present in my constituency. There are real factors and pockets of deprivation, and rural poverty in particular is a real concern, so the issue is very live for those of us in the green shires, as well as for those in urban environments. I would like the House to bear that in mind.

The hon. Lady made some important points today, but I suggest that it is simplistic to look at a straightforward line between necessary control of public spending and an impact on life expectancy. As we have heard, a whole range of factors affect life expectancy and mortality—quality of life, mental health, obesity, housing, air quality—and simply to draw that straightforward causation line is to make things far too simple, when in fact we are dealing with a complex issue.

[Vicky Foxcroft (Lewisham, Deptford) (Lab)]

The hon. Gentleman talked about it being simplistic to talk about the cuts, austerity and so forth, but let us talk, for example, about the cost of a pupil going to a pupil referral unit being 10 times more expensive, or the cost of someone in prison being £35,000 per year. If we invested such money earlier in education, mental health support or support for our young people, we would save money. Indeed, he is the one coming out with the simplistic argument.

[Robert Courts]

The hon. Lady will not be surprised to hear that I do not agree with her. She made a number of points, but I am simply suggesting that the issue is complex. Saying simply that necessary control of public spending leads to an increase in mortality, as is being suggested, is too simplistic.

Let us look at the example of Scotland—this is a simple and important point—where free adult social care is offered and more is spent on healthcare per head than in England. However, life expectancy there is still lower than in England. That simply underlines my point, which I make in response to the hon. Member for Sheffield, Heeley, that it is too simplistic to say that that link between spending and outcomes is as straightforward as she would make out. That cannot be the case, or the situation in Scotland would not be as it is.

For that matter, let us look at the outcomes across Europe. The Public Health England figures are quite striking, particularly in graph form. They show that not only do we have a slight dip in life expectancy figures over the course of the past year or so, but so too do Italy, Spain and, strikingly, France—a dip almost identical to what we have seen in the UK, despite the fact that I understand the French spend the highest amount in Europe on healthcare. We are clearly dealing with a much more complicated situation, and lifestyle factors are crucial. Those are not restricted to the UK.

I am glad that the hon. Member for Sheffield, Heeley has accepted that life expectancy cannot be expected to increase forever. That is of course common sense and a point that she readily accepts, but the point bears repeating and remembering. For a number of reasons we have had extraordinary success in increasing healthcare over the past few years, but we are now faced with the results of that—an ageing and increasing population, therefore with increased complexity of morbidity factors.

I therefore applaud the approach being taken by the Government. We are not only investing as much as possible within the constraints of sensible Government spending, but ensuring that we address the lifestyle factors that can affect life expectancy in the round. However, as I continue to speak, I can see you looking at me with concern, Mr Paisley, so I will confine myself to those remarks.