Strep A Treatments: Supply
Wes Streeting Excerpts(2 years ago)
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Wes Streeting (Ilford North) (Lab)
May I wish you, Mr Speaker, and all staff of the House a merry Christmas? I also thank the hon. Member for St Albans (Daisy Cooper) for securing this urgent question. I put on record my deepest condolences to the families of the children who have tragically passed away with strep A. The news that cases are surging has been deeply worrying for parents of children showing symptoms, and it comes at a time when the NHS is facing unprecedented pressure.
We first heard about shortages of antibiotics to treat strep A almost two weeks ago, but when my right hon. Friend the Leader of the Opposition raised the issue with the Prime Minister, he said:
“There are no current shortages of drugs available”.—[Official Report, 7 December 2022; Vol. 724, c. 333.]
At the same time, parents were going from pharmacy to pharmacy to find the antibiotics their children had been prescribed, and they simply were not available. Why did the Prime Minister not know that there was a problem, when it was plain to see for parents of young people across the country? Had the Government been aware of the problem sooner, surely they could have acted to secure supplies earlier? The Minister said that there has been no shortage, just a supply chain issue. For a parent turning up to a pharmacy and finding that it does not have the antibiotics, it does not make much difference whether this is called a shortage or a supply chain issue, as the antibiotics are not there. The Government must get a grip on this situation and be honest with the public about the reality on the ground.
In addition to the export ban, will the Minister tell the House exactly what the Government are doing to shore up supply of drugs needed to treat strep A? During the past couple of weeks, as desperate parents have been looking for antibiotics, prices have disgracefully shot up. Will the Minister assure the House that the Government will come down like a ton of bricks on any company found to be exploiting this situation by jacking up prices for medication?
This is about access to not just medicine, but GPs and A&E. Parents concerned about symptoms are advised to seek prompt medical advice, yet about one in seven patients cannot get a GP appointment when they need one, a record 2 million patients are made to wait a month before they see a GP and A&E departments are overwhelmed. So will the Minister assure parents of children with symptoms of strep A that they will be able to see a GP when they need to? Finally, given that there are strikes planned in the NHS this week, may I ask the Minister whether the Secretary of State plans to update the House tomorrow and explain the Government’s disgraceful inaction on that issue too?
Maria Caulfield
Let me reassure Members that, as I said in my opening remarks, there is no shortage of antibiotics to deal with strep A. There have been pressures on supplies; there have been five to six times the amount of prescriptions that are normally issued at this time of year. Let me give the House an idea of the sorts of figures we are talking about. This season, we have seen 74 deaths across all age groups in England, with 16 of them, unfortunately, having been deaths of children under 18—the vast majority have been among the over-65s. In the 2017-18 peak, we had 355 deaths of all ages, with 27 of those being deaths of children under 18. That just gives us an idea of the scale of the difference compared with the peak of 2017-18. We have put significant measures in place to expedite that supply. Manufacturers are ramping up production lines. Deliveries to pharmacies have been happening every day, but often when the supplies arrive there they go very quickly. That is why we have issued the SSPs already, so that pharmacies can allow the different medication to be dispensed, and the alternative antibiotics are there as well. May I also put on record my thanks to GPs and A&E staff, who have seen record numbers of people, particularly children, with concerns about strep A? We did lower the threshold to prescribe antibiotics and they have gone above and beyond in seeing as many children as they can, as quickly as possible.
Oral Answers to Questions
Wes Streeting Excerpts(5 years, 5 months ago)
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The Minister for School Standards (Nick Gibb)
I am delighted to confirm that we are committed to the development of a BSL GCSE. Daniel Jillings and his mother Ann have been formidable campaigners on this issue. Daniel in particular, despite his young age, has been very influential indeed with his campaign. We are pushing this work forward as soon as we can, while also ensuring that it can be completed to the highest standard. My hon. Friend will be aware that the development of a new GCSE is a complex and lengthy process, but, as I say, we are committed to it as a new GCSE.
Wes Streeting (Ilford North) (Lab)
Penny Mordaunt
First, I thank the hon. Gentleman for his kind words. It will not be my last Women and Equalities questions; I just may be sitting in a different place. I agree, absolutely, that guidance is incredibly important. The work that the Department for Education has been doing has been making good progress on that. I think we need to have absolute clarity on these issues, and I am confident that the Department for Education is doing that.
European Union (Withdrawal) Act
Wes Streeting Excerpts(5 years, 11 months ago)
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Dr Fox
I will give way again in a little while.
World trade is at a pivotal moment. We are at the intersection of a series of major global trends—trends so seismic that they have transformed or will transform economies and societies across the world. Services are now a larger part of the world economy than ever before, and they are more easily traded across borders thanks to the internet and digital telecommunications. We live in an emerging knowledge transfer-based trading system, where an engineering report, a 3D printer design, or new advances in machine learning can be just as valuable as the contents of a cargo container.
The transfer of services and expertise in things such as product design and software engineering are becoming ever more important. A revolution in e-commerce is now under way. It is already a major component of world trade—from some of the world’s largest corporations, such as Alibaba and Amazon, to the thousands of small companies that have never before been able to trade internationally. Major new opportunities are arising in the rapidly developing commercial and consumer markets of south-east Asia, Africa and Latin America, and it is essential that Britain leverages its unique strengths to realise them.
Wes Streeting (Ilford North) (Lab)
When people in Ilford North and throughout the country voted to leave, they did so for many reasons, but always with the promise and expectation of something better. So when this House votes tomorrow, there is only one question that we should ask of ourselves and the Government: will this deal leave us better off than the deal that we enjoy today?
It is abundantly clear that the promises made by the leave campaign cannot be kept. That campaign was never honest about the choices, compromises and trade-offs involved in leaving the most sophisticated political and economic alliance that the world has ever seen. The hubris of that campaign was astonishing, with claims of only upsides, not downsides; that we would hold all the cards and could choose the path we wanted; and that this would be the easiest trade deal in human history. Well, political gravity came to bite just as quickly as leading leavers left the Cabinet, faster than rats fleeing a sinking ship.
The Prime Minister claims that this is the best deal on offer. She tells us it is a better deal than any other third country enjoys with the European Union. She may be right, but what she cannot say is that this deal will make us better off than we would otherwise be as a member of the European Union. Every single analysis suggests that we will be worse off than we are today. This is not what people voted for, which is why a constituency as divided on Brexit as mine is overwhelmingly united against the Prime Minister’s deal.
It is time to stop pretending that there is a better deal to be had at this eleventh hour, and it is time for the Prime Minister to stop threatening Parliament and the people with the catastrophic consequences of no deal and to stop squandering billions of pounds on a prospect that she admits would bring catastrophe and ruin to this country, even as our public services are creaking and crumbling as a result of the cuts inflicted by her and her predecessors. It is reckless, irresponsible and beneath the office of Prime Minister.
It is also time for my own party to face up to some hard choices. There is no better Brexit. There is no jobs-first Brexit. There is not a Labour Brexit. Whichever way our party turns, we risk upsetting some of our voters. I do not envy the position in which the Leader of the Opposition and the shadow Cabinet find themselves, but with our Parliament and our country still divided, the Labour party has a responsibility to lead, not simply follow, events. So let us speak now with clarity and conviction: our internationalist party has never believed that our country would be stronger, safer or better off outside the European Union. The bitterness and division that we have seen in recent weeks, months and years is only a taste of things to come as we face the prospect of years, if not decades, of wrangling about the future relationship that we may or may not have with the European Union. People throughout the country are demanding bigger answers on the housing crisis, on the national health service, on the future of our education system and on the future shape of the economy—an economy in which everyone genuinely has a stake, not just the privileged few.
The no deal demanded by the most hard-line leavers does not have the support of this House, and it would leave the poorest paying the heaviest price. It would be a painful Brexit. Although I respect those arguing at this late stage for a closer relationship through the single market or the customs union, that would be Brexit in name only, and it would not heal the divisions, either. It would be a most pointless Brexit.
I say particularly to Conservative Members who are cowed by constituency association chairmen what Winston Churchill said:
“What is the use of Parliament if it is not the place where true statements can be brought before the people?”
We were lied to. The promises that were made cannot be kept and will not be kept. It is time to put this issue back to the people. Let them decide between our future outside the European Union, now that they know what that looks like, and a people’s vote to remain. I know which one I would choose, and I know which one I want my party to back.
Mr Hammond
Without wishing to digress too far, the simple point is this. Under an EEA model, the whole of the UK financial services sector and all its sub-sectors would be subject to European Union regulation in perpetuity, without any ability to opt out. Under the model that we have agreed with the European Union under this deal, we will be able to seek equivalence where it is right for us to do so and not to seek equivalence where it is clearly not in our interest to do so, for example in the insurance sector.
A group of my hon. Friends—my hon. Friends the Members for North West Leicestershire (Andrew Bridgen), for Bournemouth West (Conor Burns), for North East Somerset (Mr Rees-Mogg) and for Fareham (Suella Braverman)—made the case for what I will call an ideological Brexit: leaving with no deal and without any fear of the consequences. I profoundly disagree with them, but I respect their arguments. They are sincerely made and genuinely held.
A further group of my hon. and right hon. Friends—my right hon. Friends the Members for Chingford and Woodford Green (Mr Duncan Smith) and for Uxbridge and South Ruislip (Boris Johnson) and my hon. Friends the Members for York Outer (Julian Sturdy), for South Dorset (Richard Drax) and for Amber Valley (Nigel Mills)—made the case for getting a better deal and, implicitly, if that was not achievable, leaving without a deal. I have to say that getting a better deal is not a realistic outcome at this stage in the process. I will return to that theme in just a moment.
Finally, the argument was made by my hon. Friends the Members for Orpington (Joseph Johnson), for Bracknell (Dr Lee) and for Totnes (Dr Wollaston) and by the hon. Members for Ilford North (Wes Streeting), for Walthamstow (Stella Creasy), for Hammersmith (Andy Slaughter), for Stroud (Dr Drew) and for Westminster North (Ms Buck) for a second referendum. Most of those Members were clear that, in arguing for a second referendum, what they are hoping to achieve is a reversal of the Brexit decision.
With just 73 days left before we leave the European Union, we have to recognise the basic architecture of the process we are engaged in, the constraints within which we are operating and the nature of the decision we are faced with. We in this Parliament have essentially three routes open to us over the next few weeks: a negotiated deal where both the divorce arrangements and the future relationship, as well as how we manage the process in an orderly way, are agreed with the EU, with an implementation period guaranteeing a smooth transition; an exit with no deal and no transition, where key elements of the divorce such as the financial settlement will ultimately be determined by the courts, where protections for citizens will be unilateral, with an abrupt end to single market access and other privileges of membership for both businesses and citizens, and where there will be no agreed framework for managing the process of resolving disputes, with all the attendant risks of disruption that that will bring; or the third option, a revocation of the article 50 notice and no Brexit at all.
Wes Streeting
I am grateful to the Chancellor for giving way. Throughout this process he has been far and away the coolest head around the Cabinet table, constantly advocating for the economic interests of the deal over some of the hotheads, many of whom left the Government. So why on earth, at this late stage, is he still countenancing the prospect of no deal? How can he justify spending billions of pounds on preparing for a no deal that he does not want, that the Prime Minister does not want, that this House does not want, that the country does not want and that businesses do not want? It is fuelling uncertainty, it is adding to anxiety and it is costing the taxpayer. It is reckless and irresponsible. Why on earth is a serious person such as the Chancellor still persisting with this absolute fantasy? It is a disgrace. Rule it out!
Mr Hammond
Mr Speaker, we are engaged in a debate here and, whether the hon. Member likes it or not, a number of my colleagues have advocated the merit of a no-deal exit. I have made it very clear that I do not agree with them, but I respect their position because it is a sincerely held position, consistently expressed. While I do not agree with them, I will vigorously defend their right to express their point of view.
Those are the three possible outcomes from where we are now.