Access to GP Services and NHS Dentistry

Debate between Wes Streeting and Sajid Javid

Tuesday 21st June 2022 Commons Chamber

[The Secretary of State for Health and Social Care (Sajid Javid)]

That is rubbish!

[Wes Streeting]

It is rubbish, but it is his record.

Why is it that so many people are accessing NHS services because of a failure to invest in social care, where staff can be recruited and deployed a lot faster? On the dentistry contract, the last Labour Government acknowledged that the 2006 contract was not good enough, which is why we put the reform of that contract in our 2010 manifesto. The difference is that we will not wait 12 years to deliver the promise after the election of the next Labour Government. Those are just some of the practical steps that we would take immediately and that the Government could take immediately.

Let me tell the House about some of the fundamental issues we would fix. First, mental health services in this country are in such a state that GPs are seeing more and more of their own cases present with mental ill-health. A Labour Government would recognise that there has been a surge in mental ill-health following the pandemic and we would not leave it to overwhelmed GPs to see them. That is why we have committed to recruiting 8,500 new mental health professionals, including specialist support in every school and mental health hubs in every community. We would pay for that by ending the charitable status of private schools and closing the tax loopholes enjoyed by private equity fund managers—and do not tell me the Health Secretary does not know where they are; he was using them before he became a Member of Parliament.

That policy—[Interruption.] Conservative Members are funny. They ask for our policies but they do not like it when we provide the answers, because we have them and they do not. That policy, which would put mental health hubs in every community and support in every school and speed up access to treatment for everyone in our country, would help to reduce pressure on GPs and to deliver better mental health treatment in every community and faster access to a GP for everyone else who needs to see them. It also tells you something about the choices we would make and the priorities we would have as a Labour Government: better public services enjoyed by the many, paid for by closing tax perks for the few.

I know that there is lots of cynicism about politics. We have a Prime Minister who wants people to believe that we are all the same, that things cannot change and that his shambles of a Government are the best that Britain can do. All I would say to the people of Britain is this: judge them on their record and judge Labour on ours. They have been in power now for 12 years. They delivered the highest NHS waiting lists in history, before the pandemic. They delivered record staffing shortages in the NHS with 100,000 vacancies, before the pandemic. They delivered cancer care that worsened in every year since they came to office, before the pandemic. Now they tell us that patients will be paying more and waiting longer.

The last Labour Government were in power for 13 years, and we delivered the highest patient satisfaction in the history of the NHS, the lowest waiting times on record and more doctors, nurses and new hospitals. There were no threats of strikes in the NHS when we were in government because staff could see the difference we were making and so could the patients. We did not get everything right—nobody is perfect—but Labour’s record on the NHS is one that this Government could not even begin to touch. The longer we give the Conservatives in power, the longer patients will wait. Well, people are sick, and they are tired of waiting. This Government’s time is up.

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[Sajid Javid]

As I said—I am glad that the hon. Gentleman was listening—there have been record levels of funding in the NHS, and, as we set out in our spending plans, that will continue. But that is no thanks to the hon. Member for Ilford North and his colleagues, who all voted against that record funding. They wanted to deny those resources to their constituents. He should reflect on the impact of that had their wish gone through the House.

On the changes that we are making, we are going further, from improving telephone services to letting others such as nurses and pharmacists complete fit notes. Appointment numbers are already exceeding pre-pandemic levels—for example, in April, GPs and their teams were delivering 1.26 million appointments per working day. That is a phenomenal achievement, which the hon. Gentleman should be commending, not castigating.

The hon. Gentleman raised Wakefield and primary care. He was using dodgy numbers, so he was corrected by my hon. Friend the Member for South West Bedfordshire. He also gave out further dodgy information by somehow claiming that the King Street walk-in centre was under threat. I do not know if you have seen this in the by-elections, Mr Deputy Speaker, but the Labour party has a history of just making things up and creating fake news to scare local people. That is the respect that they show for local people. The walk-in centre has never been under threat. The local clinical commissioning group has confirmed that it has never been under threat. If he had any decency, he would stand up and withdraw his remarks. I give him that chance.

[Wes Streeting]

I would have thought that the Secretary of State would have learned by now that it is silly to give way to me when he makes these facile points. It is absolutely the case that the walk-in centre’s future was in jeopardy. It is absolutely the case that Simon Lightwood campaigned to save it. If that is what Simon Lightwood can achieve as a candidate, imagine what he will do as Wakefield’s next Labour MP.

Oral Answers to Questions

Debate between Wes Streeting and Sajid Javid

Tuesday 14th June 2022 Commons Chamber

[Wes Streeting (Ilford North) (Lab)]

I associate myself with the Secretary of State’s remarks as we remember the anniversary of the Grenfell Tower tragedy and support the families in their ongoing quest for justice. I also associate Opposition Members with your remarks, Mr Speaker, on the 40th anniversary of the end of the Falklands war.

Last night’s shocking BBC “Panorama” investigation into Operose Health revealed the extent of the crisis in GP surgeries, with patient referrals and test results left unread for up to six months, and with patients being seen by less qualified staff standing in for GPs without supervision. This is exactly what happens when private profit is placed above patient health and safety. Why is the Secretary of State asleep at the wheel instead of launching an investigation into this scandal?

[Sajid Javid]

As I said earlier, the hon. Gentleman should reflect on the rule changes made by a previous Labour Government that allowed the management of many GP practices to change hands. When such serious allegations are made, it is right that local commissioners investigate them properly and independently. When it comes to GP access and capacity, I hope he will welcome that we are making a record investment, with over £0.5 billion of support during the pandemic, and recruiting GPs at a record rate.

[Wes Streeting]

The British people are sick and tired of hearing Conservative Ministers, after 12 years in government, passing the buck to everyone else and failing to take responsibility.

Let us look at another scandal that has happened on the Secretary of State’s watch. It has now been weeks since he was warned about the negligence, the cover-up and the bribing of whistleblowers to stay silent about the scandals at the North East Ambulance Service. Since then, he has done precisely nothing to investigate the scandal. When will he address patient safety, get a grip and stop passing the buck? Or is this another case of the Government being, in the words of the Culture Secretary, found “wanting and inadequate”?

[Sajid Javid]

I told Members last week that I will review whether we can have an independent review of the North East Ambulance Service, and the NHS has agreed to an independent review. The hon. Gentleman stands up week after week and tries to claim he is on the side of patients and NHS workers, but we know he is actually on the side of those who are on strike—that is where his loyalties lie. Will he reflect on how many nurses will not be able to get to work and how many appointments will be unattended because of the transport strike? I know he wants to be the second coming of Tony Blair, but he is no more than a pound shop Ed Miliband.

Health and Social Care Leadership Review

Debate between Wes Streeting and Sajid Javid

Wednesday 8th June 2022 Commons Chamber

[Wes Streeting (Ilford North) (Lab)]

The Secretary of State has picked quite the week to talk about standards in leadership.

I give a huge thanks to NHS staff and leaders for the work they are doing against the most extraordinarily difficult backdrop. I also thank General Sir Gordon Messenger and Dame Linda Pollard for carrying out the review. Its seven recommendations are sensible, and I am pleased the Secretary of State has already committed to implementing them.

As this is a rare example of decisiveness from the Health Secretary, can he tell us when he intends to publish his implementation plan? All too often, the senior leadership of the NHS still does not represent the diversity of the population it serves. Instead of throwing red meat to his Back Benchers, for reasons that will probably be obvious to everyone, I would like to hear how, in particular, he intends to ensure that equality, diversity and inclusion will be improved, so that the best leaders are incentivised into the most challenging roles and are able to provide inclusive healthcare for the breadth of diversity in our great country. Can he explain why the review has not covered leadership in primary care or social care in any detail? Surely this is a missed opportunity. Let us face it: although he is trying to dress this up as the biggest shake-up in history, I am not sure that giving staff an induction on joining the NHS is a revolutionary development, and it hardly meets the scale of the challenge.

The NHS faces the biggest crisis in its history. NHS staff are in a system under pressure like never before, and there are simply not enough of them. There are currently 106,000 vacancies across the NHS, and staff are leaving in droves. In some specialties, such as midwifery, they are leaving faster than we can recruit them. I do not know how the Health Secretary expects NHS managers to demonstrate good leadership and deliver the best outcomes for patients when there are no staff to lead. For an organisation the size of the NHS, one of the biggest employers in the world, not to have a plan for its workforce is unbelievably negligent. What is the NHS meant to do until he eventually delivers his long-term workforce strategy, which he has been promising for some time? How are managers meant to lead effectively when instead of thinking about patient care as their primary driver, they have become buildings and facilities managers, because the ceilings are falling in? The only place where more than 40 new hospitals really exist is in the Prime Minister’s imagination.

The Health Secretary said that we should accept only the highest standards in NHS management, so let me ask him not about the generalities, but about the specifics. Last month, it was reported that North East Ambulance Service bosses oversaw cover-ups of negligence, leaving about 90 families not knowing how their loved ones died. He said yesterday that he is still considering whether to launch a review. Is he seriously considering protecting managers who cover up bad practice, instead of standing up for grieving families? Staff in that service were reportedly paid to sign gagging clauses, and I understand that attempts to get them to sign such clauses are still under way. In a written question, I asked how many non-disclosure agreements had been signed in the NHS since the Government said that they would be banned in 2014. He does not know and he is refusing to investigate the use of gaging clauses in the NHS. So how can he claim to be shaking up NHS culture and dealing with bullying when he has no interest in what is going on under his nose?

Of course the NHS needs good leaders, but when it comes to examples of poor leadership in the NHS, the Health Secretary did not need the Messenger review; he just needed to look in the mirror. This is the man who described the NHS as Blockbuster Video

“in the age of Netflix”,

as if it was the greatest revelation since Moses received the 10 commandments. Who has been in government for the past 12 years? On his watch, on this Government’s watch, we have the highest waiting times in the NHS’s history; the lowest patient satisfaction since 1997; longer waiting times for cancer in every year since 2010; heart attack and stroke victims left waiting for about an hour, on average, for ambulances; and patients at risk of serious injury because the hospital is crumbling around them. He kicked off his own Health Week expecting applause for the fact that, despite his best efforts, there are still 9,000 people waiting for more than two years for treatment. He knows, I know, NHS staff know and the public know that with this Government, NHS staff are lions led by donkeys, wanting and inadequate.

[Sajid Javid]

I am not surprised by the typical response from the hon. Gentleman: not really engaging with the real issues and showing once again that he is more interested in theatrics than in the real issues facing our NHS. He started his comments by trying to make some kind of joke about the leadership news this week, but we all know that he is only interested in one leadership review in a political party in this House, and it is not the Conservative party’s.

Let us look at the issues that the hon. Gentleman raised. He rightly talked about the importance of the workforce overall and how we need more doctors and nurses. He should know that we have more doctors and nurses than ever before and that we are recruiting at a faster rate than ever before, with 10,000 more nurses and over 4,000 more doctors in the past year, and more in training than ever before. However, he will know that dealing with the challenges of getting more workers and building those hospitals, all of which are on track, requires proper funding, yet he and his party voted against the funding that the NHS needed to achieve that.

The hon. Gentleman is right to talk about when things go wrong in the NHS. Of course they need to be properly investigated, as they were in Telford and Shropshire, when we learned about the terrible things that had been going on under successive Governments in that trust. When there is a need for other investigations to take place, including independent ones, such as the one I have just asked for in Nottingham, that will be done. But the hon. Gentleman should understand that the best thing, which is far better than doing a review when things go wrong, is not having things go wrong in the first place. That is why he should have welcomed this report.

Oral Answers to Questions

Debate between Wes Streeting and Sajid Javid

Tuesday 19th April 2022 Commons Chamber

[Wes Streeting (Ilford North) (Lab)]

Thank you, Mr Speaker. You have clearly had a happy Easter.

The fact is that the Government’s failure to fix the social care crisis is causing huge pressures on the NHS. As of last week, more than 20,000 patients were fit to leave hospital but could not be discharged because the care was not available, which means that 22,000 patients each month are waiting more than 12 hours in A&E and that heart attack and stroke victims have to wait more than an hour for an ambulance. We are used to hearing about winter crises, but is it not the case that, after more than a decade of underinvestment in the NHS, a failure to fix social care and the absence of a plan even to address the staffing challenge in the NHS and social care, we have not just a winter crisis but a permanent crisis in the NHS?<

[Sajid Javid]

That is not the case at all. The hon. Gentleman knows, although he pretends not to, that the NHS and social care are facing unprecedented pressure because of the pandemic. He will know that as a result of the pandemic, both in NHS settings and in adult social care there has been a necessity for infection and protection controls. He will know that, sadly, staff absences are higher than they have been in normal times. But the NHS is stepping forward, with its colleagues in adult social care, to provide whatever support it can bring, especially with the record funding the Government are providing, both to the NHS and to adult social care.

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[Wes Streeting (Ilford North) (Lab)]

Why does the Health Secretary think he has any licence to lecture the British people on their moral duty to pay taxes when he spent so many years avoiding his own?

[Sajid Javid]

rose—

Oral Answers to Questions

Debate between Wes Streeting and Sajid Javid

Tuesday 1st March 2022 Commons Chamber

[Sajid Javid]

We will keep under review the testing offer that we will provide over the coming weeks and months. We continue to consider whether any changes are necessary, but as we learn to live with covid we will target our free asymptomatic testing offer on vulnerable people. That includes, of course, those who are immunocompromised. Such individuals will also be eligible for antiviral treatments through a free priority PCR test service.

[Wes Streeting (Ilford North) (Lab)]

I associate myself and everyone on the Opposition Benches with the Secretary of State’s remarks and warmly welcome the support that the Government are providing to the people of Ukraine and the Ukrainian army. We all stand with the people of Ukraine in their fight for freedom and democracy.

Turning to matters closer to home, the Secretary of State asked the Chancellor for £5 billion to cover essential covid costs—ongoing covid costs—and he came away with nothing, so where will the cuts now fall in the NHS budget?

[Sajid Javid]

We must all learn to live with covid. The Government have been very clear about that, and we set out a very detailed plan. As infections fall, cases fall and rates of hospitalisation for covid fall, which means we can now have this type of plan. It is a properly funded plan that focuses on vaccines, treatments and targeted testing, and that builds in resilience should there be future variants of concern. It is right that this plan is funded by the Department because it is our No. 1 health priority.

[Wes Streeting]

Hang on a minute. So one minute the Secretary of State is asking for £5 billion from the Treasury, and the next minute he has found the money within the Department. Either he was trying to pull a fast one on the Treasury, because he had the money he needed, or he has not got the money he wanted and therefore the cuts are going to fall within existing budgets. Members do not need to take my word for it; it was reported in The Times that the Health Secretary threatened that, if he did not get the funding, it would mean delaying investment in social care, fewer elective surgeries and cuts to the hospital building programme. Having, I think, not tried to pull a fast one on the Chancellor, is he now pulling a fast one on patients, and is it not really the patients who are going to pay the price for his failed negotiations?

[Sajid Javid]

First, the hon. Gentleman should not believe everything he reads in the press. We would think he knew that by now. As I said, when it comes to funding our plan for living with covid, it is right that it continues to be the No. 1 priority of my Department to keep this virus at bay and that it is funded by the Department. When it comes to funding, this is the hon. Gentleman who, with all his colleagues, voted against extra funding when he was given the opportunity.

Elective Treatment

Debate between Wes Streeting and Sajid Javid

Tuesday 8th February 2022 Commons Chamber

[Wes Streeting (Ilford North) (Lab)]

I thank the Secretary of State for advance sight of his statement, but it falls seriously short of the scale of the challenge facing the NHS and the misery that is affecting millions of people stuck on record high NHS waiting lists. We have been waiting some time for his plan to tackle NHS waiting times. We were told that it would arrive before Christmas; we were told that it would arrive yesterday; and it is not clear from his statement today that the delay was worth the wait. There is no plan to tackle the workforce crisis, no plan to deal with delayed discharges, and no hope of eliminating waits of more than a year before the general election in 2024. I wonder whether the Conservatives will be putting that on their election leaflets. The only big new idea seems to be a website that tells people that they are waiting for a long time, as if they did not already know.

Perhaps the Secretary of State can tell us whether the plan itself contains two other measures that have been floated in the press: the cancellation of patients’ follow-up appointments, whether they need them or not, and an offer enabling people to seize the opportunity to travel hundreds of miles around the country, if they can find a hospital in England that does not already have a waiting list crisis of its own. What we did hear was a series of reannouncements, including some perfectly sensible proposals for community diagnostic and surgical hubs. We welcome those, but the Secretary of State cannot pretend that they meet the scale of the challenge.

The Secretary of State reaffirmed the Prime Minister’s commitments on cancer, announced only yesterday. He announced a new target that no one should wait more than two months for cancer diagnosis, but there is already a target for the vast majority of cancer patients to be treated within two months of referral. Can he tell us which target he is aiming to meet? Is it the target that has not been hit since 2015, or the target announced yesterday, which seems to lower standards for patients because the Government consistently fail to meet them? The Prime Minister has also announced that three out of four patients should receive a cancer diagnosis within 28 days, but that is an existing target which was introduced in April and has never been met, and nothing that the Secretary of State has announced today gives me any confidence that it will be met in the future. Given that half a million patients with suspected cancer are not being seen in time, it seems that the Secretary of State declared a war on cancer after more than a decade of disarming the NHS, and is now sending the NHS into battle empty-handed.

Indeed, it is hard to believe that this is the announcement that the Secretary of State wanted to make. One Government official briefed Robert Peston that the plan was being blocked by the Chancellor, who is, “reluctant to rescue the Prime Minister”. Putting to one side the appalling spectacle of the Tory leadership crisis impacting on life and death decision making in Government, it seems from the statement that the Chancellor has won the day. What other explanation can there be for a plan to recover the NHS and bring down waiting lists that does not contain a workforce plan? The single biggest challenge facing the NHS is the workforce challenge. There are 93,000 staffing vacancies in the NHS today. The NHS is understaffed, overworked and, if the Secretary of State is not careful, he will lose more people than he is able to recruit. This is not a new development, and it should not be news to him.

In April, the NHS called for a national workforce plan. Polling from the Health Foundation found that the public want more staff with fewer workload pressures. The Secretary of State himself told the Health and Social Care Committee in November that his plan would include a strategy for the workforce crisis. We know the NHS wants a workforce plan and the public want a workforce plan. He promised a workforce plan, so where is it? There is not even a budget for Health Education England let alone a serious plan to recruit and retain the workforce that we need. Instead, he is proposing new NHS reservists. Who are they? Where are they coming from? How many does he imagine there will be? How does he imagine that they will make a dent in the 93,000 vacancies? It seems more “Dad’s Army” than SAS.

Then there is the issue of wider NHS and social care pressures that impact directly on waiting lists and waiting times: the pressures on GP practices that see people ringing the surgery at the crack of dawn in the hope of getting through before the appointments have gone; the pressures on social care that lead to delayed discharges from hospital, as we saw in more than 400,000 cases in November alone; and the missed opportunities and the wasted money that comes from a failure to invest in community services that lead to people turning up at A&E at greater cost to patient health and at greater cost to the taxpayer.

This plan falls well short of the challenge facing our country. Six million people are waiting for care. Cancer care is in crisis, with half a million patients with suspected cancer not seen in time. Heart and stroke victims are waiting more than two hours for an ambulance when every minute matters. It is clear from what the Secretary of State said today, from what his colleague, the Minister for Health, the hon. Member for Charnwood (Edward Argar), said yesterday, and no doubt what will be heard repeated in the Tory scripts in the days and weeks to come, that the Conservatives are hoping to blame the state of NHS waiting lists on the pandemic—the “covid waiting lists”, they called them. But this is not a covid backlog; it is a Tory backlog. After a decade of Tory mismanagement, the NHS had: record waiting lists of 4.5 million before the pandemic; staff shortages of 100,000 before the pandemic; 17,000 fewer beds before the pandemic; and 112,000 vacancies in social care before the pandemic.

In conclusion, it is not just that the Government did not fix the roof while the sun was shining, they dismantled the roof and removed the floorboards. With the ceiling of their ambition that the Secretary of State outlined today being to go back to where we were before the pandemic, it is now clear that the longer that we give the Conservatives in office, the longer patients will wait.

[Sajid Javid]

I am surprised with the argument and the tone of the hon. Gentleman. It is 2022, not 2024. We have all come to expect the scaremongering that we have just heard from the Labour Benches at election time—that has happened in every election campaign since the war—but what I did not expect is this scaremongering from the hon. Gentleman on the plans to recover in the wake of a deadly pandemic.

I am astonished and disappointed that the hon. Gentleman is willing to stand there and claim that there is no covid backlog. [Interruption.] That is what he just said. He just said that there is no covid backlog. He is well aware that this country has just gone through its biggest health challenge in history. He is also well aware that there has been a national mission across the NHS to deal with that challenge and to recover from it. I paid tribute to the hon. Gentleman just last week in this House—perhaps I was just a bit too early—when he rightly supported the nation’s vaccination programme, because he understood just how important it was. Perhaps some of his Back Benchers have now got to him, so instead of standing up for the British people, he is just thinking about his own leadership prospects in his party—perhaps that is what is actually going on.

Today, instead of doing the right thing and backing the NHS—backing the hundreds of thousands of doctors, nurses and everyone working heroically across the NHS—the hon. Gentleman decided to play party politics. A moment ago, he heard me talk about the 10 million people who the NHS estimates have stayed away from the NHS and who need reassurance from both sides of the House about what the NHS is doing. He should reconsider his approach and work together in the national interest.

Vaccination: Condition of Deployment

Debate between Wes Streeting and Sajid Javid

Monday 31st January 2022 Commons Chamber

[Wes Streeting (Ilford North) (Lab)]

I thank the Secretary of State for advance sight of his statement, and also for his regular contact and briefings on this issue at both ministerial and official level. He is right to say that Labour worked with the Government to ensure maximum take-up of the vaccine across health and social care, and we do not regret that decision. Indeed, we welcome the decision that he has come to today.

Let me be clear from the start: vaccines are safe, effective, and the best defence that we have against the virus. Whether compulsory or not, it remains the professional duty of all NHS and care workers to get themselves vaccinated, just as it is the duty of all of us to protect ourselves, our loved ones, and our society from the greater spread of infections and hospitalisations, and from the need for harsh restrictions that impact on our lives, livelihoods and liberties. The debate over this policy is about whether the state should mandate the vaccine for health and care staff, or whether it should take a voluntary approach. It is not a discussion about the need to get vaccinated, the arguments for which are overwhelmingly one-sided. With five million people in the UK still to have their first jab, we cannot afford to take our foot off the pedal in getting the message out.

Labour Members supported the initial policy in early December. Since then we have seen a significant increase in vaccinations among NHS staff, with tens of thousands more staff now protected. I say an enormous thank you to the NHS trusts that worked tirelessly to persuade hesitant staff of the need to get vaccinated, and to those colleagues who have given up considerable time to have supportive conversations with their peers. I thank the health unions and royal colleges which, despite their misgivings about the mandatory nature of the policy, nonetheless did everything they could to encourage their members to get vaccinated.

Clearly, things have now moved on, in terms of both our overall levels of infections, and in our understanding of this latest variant. It has also become clear that to follow through with this policy could see tens of thousands of staff forced to leave their roles, at a time when our health service is already understaffed and overstretched—indeed, that has been a particular anxiety on these Benches and right across the House. However, efforts must continue to persuade those staff who are still hesitant.

What lessons have the Secretary of State and his Department learned from the Welsh Government, where 95% of staff were double jabbed by November without any mandate? What can we learn from the Welsh Government’s approach to persuasion, and how can we emulate their success? In light of today’s decision, it is all the more important that health and care workers are empowered to do the right thing and isolate when they need to, without the fear of being unable to feed their families. One in five care homes do not pay staff their full wages to isolate. If we are to learn to live well with covid, that must change. Labour’s plan for living well with covid includes making all workers eligible for proper levels of sick pay. Why have the Government still not sorted this? I appreciate that those are also Treasury issues, but that approach is penny-wise and pound-foolish when it comes to protecting public health.

The Labour party supported this measure in December, put the national interest before party politics, and made sure it had the votes needed to pass through the House. We understand the difficulties faced by the Government in coming to today’s decision, and we will continue to be as constructive and helpful as we can be in a national crisis, just as Labour has been throughout the past two years. I welcome very much what the Secretary of State said this afternoon about welcoming Labour support for this policy, and indeed about our wider support for the vaccination roll-out, but let me end on a point of criticism, which is not in any way levelled at the Secretary of State. Given the way that the Labour party has handled its approach to the pandemic response, and the constructive way that we sought to work with the Government, it is not unreasonable to expect the Prime Minister, and others in his party, to stop pretending that that has not been the case. Perhaps he might stop seeking to turn the pandemic—the greatest threat we have faced to our nation for more than 70 years—into a party political mud fight. Surely we can do better than that, and I would like to think that the Secretary of State and I have been leading by example.

[Sajid Javid]

Once again, I thank the hon. Gentleman for his approach to this policy area and to vaccinations in general. He is absolutely right in the comments he has made on that and the importance of working across the House and working together on such an important issue in the national interest, as he has done. I very much welcome that approach. Not all countries take such an approach to such an important issue, and they have sadly paid a price for that. I believe that one of the reasons we have such high vaccine uptake in this country is the cross-party approach that has been taken, and I thank him once again for that.

The hon. Gentleman is also right to point to the safety and effectiveness of the vaccines, as independently set out by our world-class regulator, the Medicines and Healthcare products Regulatory Agency, and other reputable regulators across the world. No one should doubt the safety and effectiveness of the vaccines. It is because of the success of this country’s vaccination programme that we are able to open up again in the way that we have and to start returning to normal life.

Very importantly for the people we are talking about today—the fantastic people working in the NHS and across social care—one of the key reasons we have been able to keep down the pressure on the NHS in particular is that so many people have come forward and got vaccinated. That is why it remains troubling that some people, in particular in the NHS, still refuse to get vaccinated, even when they know it is safe and effective, and do not do the responsible thing and act in a professional way.

We will keep going to work with those people in a positive way to try to persuade them about the benefits of vaccination and to provide them with the information they need. We will continue with the work of one-to-one meetings with clinicians if necessary and encouraging them to make that positive choice, but it will be about encouragement and helping them to come to the right decision. We will learn and look at what other parts of the UK have done in making sure that we have the very best practice and have learned from each other.

Finally, on the point that the hon. Gentleman raised about sick pay, I understand what he is saying. I just point to the fact that we have kept rules in place to allow sick pay to be claimed from day one, and a hardship fund is in place to give extra support where needed.

Oral Answers to Questions

Debate between Wes Streeting and Sajid Javid

Tuesday 18th January 2022 Commons Chamber

[Sajid Javid]

My hon. Friend raises an issue that is very close to my heart, and the hon. Member for Rhondda (Chris Bryant) rightly raised it a moment ago, too. The pandemic has exposed huge health disparities in this country. It is clear to me that we need to go much further on cancer, not only to catch up on cancer referrals, diagnosis and treatment and radical innovation, but to improve the persistently poor outcomes that patients in this country have long experienced compared to those in other countries. It is time we launched a war on cancer. I am working on a new vision to radically improve the outcome for cancer patients across the United Kingdom, and I will have more to say on that in due course.

[Wes Streeting (Ilford North) (Lab)]

Keeping the Secretary of State on the subject of cancer, half of all patients with suspected breast cancer are not seen within the recommended two weeks. In two months, the number of patients who were not able to see a specialist in the target period has gone from 5,000 to 23,000—a far steeper increase than for all other forms of cancer—so I ask the Secretary of State: has breast cancer care been deprioritised?

[Sajid Javid]

Of course it has not been deprioritised. No cancer has been deprioritised. As the House has heard again today, we have seen an impact on healthcare across the country because of this terrible pandemic, including, sadly, on cancer care. Whether we are talking about breast cancer or other forms of cancer, they all remain a priority, including during the omicron wave; the NHS has made it absolutely clear that cancer remains a priority. As I said—I hope the hon. Gentleman agrees—we need to do more on cancer. I know that he cares deeply about this; he is right to have raised it twice in the past hour, and I hope that he will work with the Government on it.

[Wes Streeting]

I am going to raise it a third time, because it is very clear that breast cancer care is worse than care for other forms of cancer. The Secretary of State needs to account for that and tell us what he will do about it. On cancer more broadly, it is not good enough to return to the situation pre-pandemic, because as much as he wants to blame covid pressures for delays in cancer treatment, we went into the pandemic with waiting lists at 4.5 million, and with staff shortages of 100,000 in the NHS and of 112,000 in social care, which impacted on broader NHS performance. Where is the plan to fix the workforce challenge in the NHS? That is the biggest single challenge that will impact on his mission—the mission we all share—to improve cancer outcomes for everyone in the country.

[Sajid Javid]

The hon. Gentleman will know that survival rates from cancer were increasing before the pandemic, but as I think the whole House understands, the pandemic has had an impact on all other types of healthcare, including cancer. This is a challenge throughout the United Kingdom. He talks about waits for breast cancer treatment; those are longer in Wales, so this is an issue throughout the UK. It is right that we continue to focus on the workforce. We have 44,000 more health workers than we did in October 2020, and we will continue to build on that.

Covid-19 Update

Debate between Wes Streeting and Sajid Javid

Thursday 13th January 2022 Commons Chamber

[Wes Streeting (Ilford North) (Lab)]

I thank the Secretary of State for advance sight of his statement. I also pay tribute to Professor Sir Jonathan Van-Tam, who has provided outstanding public service throughout the pandemic. It was not the government resignation we were looking for, but the timing brought to mind the now infamous and deleted tweet from the UK Civil Service:

“Can you imagine having to work with these truth twisters?”

JVT already has a knighthood, but working with the Prime Minister he must have the patience of a saint. On behalf of the whole Labour party, we thank him for his service and wish him well for the future. He is truly a national treasure.

We welcome the announcement the Secretary of State has made on the reduction of the covid isolation period to five days, on condition that two negative tests are produced. So let us hope that he sorts out testing. Before Christmas, he told us that there were no issues with supply, but over Christmas NHS staff and other key workers were unable to access tests because the Government had not noticed that the deliverers had shut up shop for Christmas. Workforce shortages are one of the biggest challenges facing the NHS and the wider economy during the current wave of the omicron variant. This measure will help people get back to work faster and safely, which is great news for the Prime Minister, who, through a terribly unfortunate coincidence of timing, is isolating today, unable to face the cameras or the public. How good of the Secretary of State to help the Prime Minister back to work in time to face the music again at Prime Minister’s questions next week—the Leader of the Opposition looks forward to seeing him.

But what took the Secretary of State so long? Is it really because the Government had misread the policy of the Biden Administration? How many days does the Secretary of State think the NHS has lost and the economy has lost because they could not read the policy being used in the US? The Secretary of State has been briefing that it is UKHSA’s fault—how brave of him to blame officials. But the CDC—Centres for Disease Control and Prevention—advice to the Biden Administration is open access and available on its website. Did he not read it? Doesn’t anyone in this Government take responsibility any more—or is “blame the staff” now the essence of the ministerial code?

We are not out of the woods with covid-19 yet. We hope that the omicron variant has passed its peak in London, but we know it is yet to peak across vast swathes of England and that NHS services are under enormous pressure. Today, we learned that NHS waiting lists were at an historic 6 million before the omicron wave arrived. Twenty-four hours in A&E is not just a television programme; it is the grim experience of patients in too many cases. Week after week, we see more evidence of unacceptable delays for patients.

Now we know that the Government are lowering standards and normalising longer waits in the NHS: 12 hours to be seen in A&E, two years for referral to treatment and an hour just to be transferred from an ambulance into hospital—assuming someone can get an ambulance and has not been told to phone a friend or call a cab if they are suffering from a stroke or suspected heart attack, as has happened in at least one trust in the north-east of England. Does the Secretary of State really believe those waits are acceptable, or is it just the case with this Government that when they break the rules, they change the rules?

The Secretary of State will want to blame pandemic pressures alone, but we went into the pandemic with NHS waiting lists already at a record high of 4.5 million, staff shortages at 100,000 and social care vacancies at 112,000. Patients are paying a heavy price with delays, and the country has paid a greater price with lockdowns, because a decade of Tory policies left the NHS without the capacity and resilience to withstand the annual pressures of winter, let alone the unique pressures of a global pandemic. Where is the workforce strategy for the recovery? Where is the elective care recovery plan? Where is the sign that this Government have any understanding of the responsibility they bear for the crisis, let alone a plan to fix it for the future?

Finally, can I ask what on earth the Secretary of State thought he was doing yesterday when he leapt to the Prime Minister’s defence? His first duty is to public health. He also has a duty to the health and social care workforce. If doctors and nurses had brought their own booze to work, they would have been fired. The Prime Minister has undermined trust and confidence at a critical moment in the pandemic. Who is he to ask others to do the right thing when he does not practise what he preaches?

In conclusion, the Secretary of State has a duty to inoculate the Government’s pandemic response from a toxic, radioactive Prime Minister. The public have concluded that the Prime Minister is unfit for office. The Secretary of State needs to be careful in his defence that they do not draw the same conclusion about him.

[Sajid Javid]

First, I notice that the hon. Gentleman did not mention the huge increase in booster vaccinations in this country since he last stood at the Dispatch Box facing me. He just heard me say it, so he knows we are the most boosted country in Europe and the most boosted of any large country. He knows how much that has helped, yet there was not one word of thanks from him to the NHS, the volunteers, the military and everyone who helped to do that. There was not one word of thanks from the hon. Gentleman. It will be noted by the British public. I did notice, though—[Interruption.] Would the hon. Gentleman like to return to the Dispatch Box? I will sit down.

[Wes Streeting]

I am not sure that is in order, but what I said from a sedentary position is that the Prime Minister is not fit to lick the boots of NHS staff in this country.

Covid-19 Update

Debate between Wes Streeting and Sajid Javid

Monday 13th December 2021 Commons Chamber

[Wes Streeting (Ilford North) (Lab)]

I thank the Secretary of State for advance sight of his statement.

Today we learned of the first death in the UK as a result of the omicron virus, so on behalf of the whole House I send our condolences to the friends and family of that person who has lost their life. Their death puts this statement and the task at hand in context. It is a stark reminder that the pandemic is not over, that the new variant is a clear and serious risk to our public health, and of the urgency of getting Britain boosted and protecting us against this threat.

The Labour party will always act in the best interests of our NHS, our public health, and our nation. Having repeatedly called for the booster programme to be ramped up, we will give our full support to this effort. Labour Members will make every effort to get the message out that vaccines are the best tool we have at our disposal to protect ourselves, those closest to us, and our NHS. The target of getting 1 million people a day their booster vaccine is unprecedented and may even prove impossible, but we applaud the ambition. If anyone can do it, the NHS can, and the whole country will be willing them on and will not knock them for trying.

What people will not accept is the Government moving the goalposts. The Prime Minister is now famous for over-promising and under-delivering. In his televised address last night, he said that people

“will have the chance to get their booster before the new year.”

But, as we heard from the Secretary of State, the aim is instead to “offer” the booster to every adult by the end of the month, meaning that the delivery will wait until January or even February. Are the Government rowing back on the target set yesterday? If so, why has it changed overnight? What hope do we have of achieving the necessary level of booster jabs if the public and those delivering the vaccines are told one thing one day and another the next day? The Prime Minister has got to learn to be straight with people, because he is undermining public trust and confidence in the Government and in public health measures at a critical time. What discussions has the Secretary of State had with local authorities, GPs, pharmacies and other delivery partners who will be crucial to that effort?

Then there is the shambles of testing. I thought the Secretary of State might be living on a different planet when he described the availability of testing, because the Government’s website states today that home testing kits are unavailable, pharmacies across the country are out of stock and, even here in Parliament, no home testing kits are available from Portcullis House. No doubt, that is due to a surge in demand ahead of the new testing requirements this week, but surely that should have been foreseen. This is a serious problem. Those coming into contact with positive omicron cases will not be able to follow the rules and get themselves tested daily, those who require tests to undertake home visits risk being left short, and many others need them for work. How does the Secretary of State plan to ensure that enough tests are in stock and available for everyone who needs them, when they need them? When will the problem be resolved? It does not appear that he was even aware of it.

Absent from the Prime Minister’s address last night was any plan to speed up the vaccine roll-out for 12 to 15-year-olds. On current trends, some teenagers will not receive their vaccine until February, five months after the Government’s initial target of October half-term. Children have already faced significant disruption to their education, so will the Secretary of State update the House on the vaccine roll-out for 12 to 15-year-olds? Will they receive their vaccines by the end of the Christmas holidays, as Labour has called for?

Of course, patients will be concerned by the news that appointments will be delayed to accommodate the booster roll-out. There is no doubt that the booster programme is the right priority. If we do not get ahead of omicron, the pressure on the NHS will be unbearable and the disruption to people’s appointments in the new year will be severe. But, let us be honest: the challenge is made so much greater as a direct result of the Government’s mismanagement of the NHS for 11 years. We went into the pandemic with record waiting lists and with six-figure staff shortages in the health service and the care sector. Where is the NHS workforce plan? Where is the plan for the recovery of elective care? Why can the Government not understand that their continued failure to fix social care is piling even more pressure on the NHS at the worst possible time? On social care visits, I ask the Secretary of State to think again about limits on care home visits. That feels like the wrong decision at the wrong time.

Mr Speaker, I will conclude, if I may, with some words directed to the public. We on the Labour Benches realise that the Prime Minister has tested patience by asking people to follow the rules when No. 10 did not. The Prime Minister’s actions in recent weeks have under-mined trust at a critical moment. I say to people feeling let down or lied to that I trust the chief medical officer, I trust the chief scientific adviser and I trust the NHS. The Prime Minister might not lead by example, but the rest of us can, and we—the Labour party—trust you, the British people, to do the right thing to protect yourselves, to protect the ones you love and to protect the NHS.

[Sajid Javid]

First, may I say that I heard your request, Mr Speaker? I am happy to take that up with you directly, if that is okay. I thank the hon. Gentleman for his support of the need to accelerate the booster programme. I join him, as I am sure the whole House does, in expressing condolences for the individual who was the first in this country to die with the new variant.

I turn to the hon. Gentleman’s questions. First, he asked about testing capacity. I would like to share more information with the House. There is no shortage of tests held by UKHSA—tens of millions of tests are in stock and millions are arriving each week. The limiting factor, because of the hugely increased demand—I am sure hon. Members understand why demand has suddenly surged—is the ability to deliver tests. The current arrangements with Royal Mail alone are not enough, but new arrangements have been reached with Amazon and other delivery methods. There will still be many hundreds of thousands—record numbers—delivered each day, but also the number of access points is being increased, including many more through pharmacies, and we are rapidly looking at other access points. The hon. Gentleman is right to raise this, but I hope he and others understand that there has been a huge surge and increase, and this is not just about the number of tests available but getting them through and delivered; both are equally important.

The hon. Gentleman raised the issue of the booster programme timing. He is right that just a couple of weeks ago the plan was to give everyone a booster before the end of January. That was after the change in advice from the Joint Committee on Vaccination and Immunisation that the dosing gap should be reduced to three months and that it should now include everyone over 18. For the reasons I have explained and that the Prime Minister shared in his national broadcast yesterday, we want to bring that forward. That involves working hard with the NHS, which has done phenomenal work already to reach four in 10 adults with boosters and in the vaccination programme in general.

This is asking a huge amount of our colleagues in the NHS, and it is our joint view that we can try to offer adults a chance to get boosted by the end of this month. That does not mean every single person can necessarily get that booster; it requires them to come forward and take up the offer as well as everything going right in this huge expansion plan. But again, I hope the hon. Gentleman can respect that the NHS is doing everything it can, with the full support of every Department of Government, and is throwing everything at this to offer as many opportunities as it can and the maximum possible capacity for delivering on that commitment.

The hon. Gentleman also talked about the challenges facing the NHS. I remind him and the House that this year the Government have put an extra £34 billion into the NHS and social care, £5.4 billion of that in the second half of this year, and over the next three years there is a commitment to at least £8 billion extra going into the largest catch-up fund the NHS has ever seen. In the last year almost 10,000 nurses and almost 3,000 doctors have joined the NHS; the NHS is increasing workforce and capacity, is looking at new ways to do electives, and is putting a huge amount of effort into its electives programme and its non-covid work as well.

Finally, I do understand what the hon. Gentleman said on adult social care and the limit on visitors, and it is important to get the balance right. We all know the problems and the sad deaths not long ago in care homes with this pandemic, and it is right to take balanced measures to protect people in care homes. We are working with, and listening to, those who run care homes and trying to take a balanced approach that allows visits to take place but also protects vulnerable people.

Covid-19 Update

Debate between Wes Streeting and Sajid Javid

Wednesday 8th December 2021 Commons Chamber

[Wes Streeting (Ilford North) (Lab)]

I begin by thanking the Secretary of State for the telephone call that he made to me this afternoon, which I greatly appreciated. On the Opposition side of the House, we have always put public health before party politics at every point throughout this pandemic, so I want to be clear with the House and the country that Labour will support these measures in the national interest. Let me reassure the Secretary of State that he does not need to compromise with the interests behind him; he has the votes he needs to do what is right by the public, and that is all the reassurance that the country needs.

Let me also agree with the Secretary of State: we do not do this lightly. Restrictions impact on people’s lives, livelihoods and liberties, and we do not take those for granted. We want everyone to be able to enjoy Christmas safely this year, given the trauma of last winter, but the omicron variant is a clear threat and we need swift action to limit its spread.

Let me take the actions outlined in turn. In our opinion, the Government should never have scrapped the guidance on mask wearing, so we support the strengthened guidance. Will the Secretary of State explain whether that extends to hospitality settings? Obviously, he was not able to give me advance sight of his statement, and I totally appreciate why, but if it does not, he ought to elaborate on why that choice was made.

We have always said that people should have the flexibility to work from home, so we also welcome the updated guidance on that. On the introduction of vaccine passports, I am glad that the Government have listened and responded to our proposal that people will also be provided with the option of presenting a negative test. That is exactly the right thing to do. Will the Secretary of State provide reassurance that vaccine passports will not be required to access essential services?

Clearly, in the light of what the Secretary of State has outlined, demand for testing will increase, so will he provide us with the reassurance that we need that the capacity for testing will be there and that tests will be provided for free to ensure that there is proper take-up among the public?

Of course, our greatest tool against the pandemic remains vaccination, so I ask the Secretary of State how he plans to speed up the booster roll-out, which is not hitting the target of half a million vaccines a day and is not currently on track to get everyone boosted by the end of January.

Public health relies on people’s willingness to comply with the rules, which in turn relies on confidence in the people making the rules. The damage the Prime Minister has done to public compliance and public trust in the rules that have governed our lives during the pandemic is incalculable. He has undermined public trust and distracted from key public health messaging at a critical time.

If we needed any proof of that, it was the absence of the Secretary of State from the morning media round today, which he was due to undertake to tell people why taking up the booster was so important. He was not able to do that, not through any fault of his own, but through the actions of the Prime Minister and those closest around him.

The past 24 hours have not been the only example or the only incident that has damaged public trust. The first turning point was the notorious trip to Barnard Castle. We saw the actions of the former Health Secretary in his office, the former Education Secretary holding his own private party while schools were struggling to get through the end of term and headteachers were on their knees coping with what confronted them, and the Prime Minister himself attempting to get out of having to isolate. Now, of course, we have the footage of the Prime Minister’s own staff laughing on camera and joking about breaking the rules at the No. 10 Christmas party.

It is hard to overstate how much damage that has done and how angry people feel—the businesses that were forced to close; the family weddings that were postponed; the chances to say goodbye at funerals missed; the educators, the key workers, people in the NHS and social care who ran into danger as other people were laughing in their office parties. That is what makes the laughter so stomach-turning; it feels as if they are laughing at us. The question we all need to ask this evening, especially in light of the statement made earlier this afternoon by Allegra Stratton, who has done the right thing, shown she has understood the anger and taken responsibility for what she did, is why it is so difficult for this Prime Minister to own up, take responsibility and admit he was wrong.

I will say two more brief things. The Health Secretary was heckled by his own side this evening, but he is not the risk to public health and this is not a laughing matter. Right hon. and hon. Members on the Government Benches need to think and to search their own consciences about whether, at this moment of serious crisis, we have the serious leadership our country needs. If not, they know what to do.

I conclude by saying what the Health Secretary was unable to tell the public this morning: “Get your booster jab as soon as you are able and, if you haven’t already, get your first and second jabs. It is safe, it is effective and it is the best tool we have to protect against the virus.” That is what we are all here to do, and that is why we support this Health Secretary in the national interest.

[Sajid Javid]

I thank the hon. Gentleman for his constructive approach in the national interest. He asks a number of questions. The face mask requirement includes a number of public indoor settings, but excludes hospitality settings. On the NHS covid pass, I can confirm that certification will not include access to any emergency setting. Tests will remain freely available, whether that is PCR tests for anyone who has any covid-19 symptoms, or very easy access to lateral flow tests, with even more of those available than before to help with some of the measures set out today and to allow people to exercise even more caution in the light of omicron. If perhaps people are visiting loved ones who might be particularly vulnerable, I certainly suggest they take up the opportunity to take a free lateral flow test.

On boosters, it is worth recalling that we already have the most successful booster programme in Europe, with more than 20 million booster shots given throughout the UK to some 35% of the population over the age of 12 and a commitment to offer booster shots to every adult by the end of January. That programme continues. As for what we are doing about it, as well as increasing access to vaccines through new vaccine centres and hubs, mobile vaccine units and in other ways, we will continue to extend eligibility, as we did today. Today’s move, reducing the gap between the second vaccine and the booster vaccine from six months to three months, has opened up eligibility to millions more people over the age of 40.

As for the hon. Gentleman’s questions about what may or may not have happened at Downing Street, I think that the Prime Minister addressed that issue quite clearly today from the Dispatch Box; and as for his final message about boosters, I wholeheartedly agree.

Covid-19 Update

Debate between Wes Streeting and Sajid Javid

Monday 6th December 2021 Commons Chamber

[Wes Streeting (Ilford North) (Lab)]

I thank the Secretary of State both for his kind, warm words of welcome and for advance sight of his statement. I am looking forward to our exchanges.

Last week I paid tribute to my right hon. Friend the Member for Leicester South (Jonathan Ashworth), and I do so again today. I also pay tribute to my hon. Friends the Members for Ellesmere Port and Neston (Justin Madders) and for Nottingham North (Alex Norris), who did a magnificent job in the shadow Health team.

My right hon. Friend the Member for Leicester South took a constructive approach to the Government’s response to the pandemic, and I intend to continue in the same vein. Covid-19 is still with us and, with new variants presenting significant challenges to our lives, livelihoods and liberties, the goal must be to ensure we can live with the virus through effective vaccines, treatments and common-sense public health measures. In that spirit, I welcome the Secretary of State’s announcements and join him in his call for everyone who is eligible to come forward to get the booster jab, as my right hon. and learned Friend the Leader of the Opposition did just this morning.

Vaccination remains the greatest tool we have in our fight against the pandemic. For the Government to achieve their overall target, they need to reach 500,000 booster vaccines a day. Labour called on the Government to set that target; I believe they have, and we support it. We desperately want the booster campaign to be successful, so can the Secretary of State today update us on when he expects to hit that target of half a million booster jabs a day? I also ask when boosters will be rolled out to under-40s, and I should probably declare my interest in that question as I do so.

On the wider vaccine roll-out, hon. Members across the House will have been frustrated and concerned at reports this weekend that too many hospital beds and resources are having to be diverted to those who have chosen not to receive the vaccine. With pressures on the NHS this winter expected to reach unprecedented levels even before the emergence of omicron, what is the Secretary of State’s plan to persuade the one in five people who are eligible but not yet fully vaccinated to get the jab?

The arguments in favour of receiving the vaccine are overwhelmingly strong. It is a safe and effective tool in our defence. What research has the Secretary of State undertaken into the reasons for vaccine hesitancy, and what steps is he taking to put in place effective reassurance measures to encourage take-up, particularly among those groups that are less likely to have taken up the vaccine and are disproportionately suffering with the virus?

Can the Secretary of State update the House on the reasons for the slow progress in vaccinating 12 to 15-year-olds? The initial target of offering all 12 to 15-year-olds the vaccine by October half term has been missed, with current trends suggesting some teenagers will not receive the vaccine until February. What is his plan to speed that up? We want everyone to be able to enjoy Christmas this year, but to make that happen the Government need to bring forward those common-sense measures that can limit the spread of the new variant while having a minimal impact on our lives, jobs and businesses, especially in the busy pre-Christmas trading period.

I was pleased to see the Secretary of State and his right hon. Friend the Home Secretary accept Labour’s call for the reintroduction of pre-departure tests for those travelling to the UK but, given the likelihood of new variants, will the Government now introduce as a standard response to new variants overseas stronger border controls, testing and contact tracing, so that they are not again accused of locking the door after the horse has bolted? Can the Secretary of State explain why the window for pre-departure tests is 48 hours and not less? Can he act with his colleagues in Government to address the racket of soaring testing costs and poor provision of hotel quarantine accommodation?

A year ago, the Scientific Advisory Group for Emergencies recommended ventilation support for schools. The Government’s pilot of air purifiers in schools is not due to publish its full report until October next year. Meanwhile, a primary school in Paisley has today shut for a week following a suspected omicron outbreak. In the past two weeks, the number of students missing school has increased by 62%, meaning disruption to their learning and an impact on parents as they have to stay home with their children. Children have seen their education disrupted enough, so will the Secretary of State now roll out the ventilation support needed to protect our schools?

We have one of the lowest levels of sick pay in Europe. Workers in low-paid and insecure employment who contract covid are still being put in the impossible position of choosing between going to work and feeding their family on the one hand, and staying at home and protecting our public health on the other. Will the Government finally look again at increasing and expanding sick pay?

Finally—I am sorry to have to end on this note—I am sure the Secretary of State will agree that the effectiveness of the Government’s response to the pandemic and public compliance with the rules will depend on public confidence in those setting the rules. Residents in Ilford are this week being prosecuted for holding an indoor gathering of two or more people on 18 December 2020, and rightly so. Is it not time that the Government come clean about the event in Downing Street on that same day, admit they broke the rules and apologise? Or does the Secretary of State believe, as the Prime Minister appears to, that it is one rule for them and another rule for everyone else?

[Sajid Javid]

I thank the hon. Gentleman for his support for the measures that I talked of in my statement. I am pleased to hear that the Leader of the Opposition, the right hon. and learned Member for Holborn and St Pancras (Keir Starmer), had his booster jab today, as did, I think, the chief executive of the NHS, along with many thousands of other people.

I thank the hon. Gentleman for his general support for the booster programme and the importance of vaccines and for the call he has made for more people to come forward. The booster programme is steaming ahead at blistering pace: 2.6 million people across the UK were boosted last week and some 3.6 million are already booked in to get their booster—that is probably the highest number we have seen for boosters. I am confident that we are on track to meet our commitment to offer all adults across the UK a booster jab by the end of January. We are already far ahead of any other country in Europe and most certainly still will be when we achieve that by the end of January.

The hon. Gentleman was right to point to the importance of vaccination more generally, especially in respect of those people who have not yet even taken up the offer of a first vaccine jab. We estimate that around 5 million people across the UK have yet to take up the offer of a jab. Our general vaccination rate across the population—more than 88% of those over the age of 12 have had at least one jab—is one of the highest in Europe, but we need to do even more to get to that missing 12%. A huge amount of work has gone into that effort, especially in respect of communications and dealing with misleading information on vaccines, as well as improving access. In the past week, perhaps because of the concerns about the omicron variant, we have seen more and more people coming forward for vaccinations for the first time. That is of course to be welcomed, and we will continue to build on that.

The hon. Gentleman asked about responses to any potential future variants. It is reasonable to think that there will be future variants, but we will reserve judgment on them until we come across such issues. In any case, there will always be a balanced and proportional response based on what we know at the time. I do not think it would make sense to set out that response in advance.

The hon. Gentleman asked about the cost of testing, whether using PCR or lateral flow tests. We have rightly removed more than 100 providers from the Government website in recent weeks, and some 20 were removed this weekend for showing misleading prices. We will continue to take a tough and hard line on that, because of course no one should be misled and the pricing and availability should be absolutely clear.

The hon. Gentleman asked about ventilation in schools. My right hon. Friend the Secretary of State for Education gave further information last week on that and the improvements being made.

On sick pay, it is important that we have rightly kept in place access from day one rather than returning to the situation before the pandemic.

In terms of rules, of course they should apply to everyone, regardless of who they are.

Budget Resolutions

Debate between Wes Streeting and Sajid Javid

Wednesday 11th March 2020 Commons Chamber

[Sajid Javid]

I was pleased to hear the Chancellor say that this Budget is within the fiscal rules, but as my right hon. Friend the Member for Maidenhead (Mrs May) said, we do not yet know the impact of these emergency measures. We also do not know the impact of the term funding scheme announced today by the Bank of England. A lot of the fall in debt over the next few years is because of the term funding scheme coming to an end, but that might now change, so it is worth keeping that in mind.

The British economy is in a strong position to weather the current storm, but we must not forget that my right hon. Friend the Chancellor is only able to deploy the firepower that he has today because of the choices that consecutive Conservative Chancellors have made—choices to control spending, to control borrowing and to control debt. That is why the fiscal rules that we set out in our manifesto are important. Sticking to those rules in normal times is what separates us from Opposition parties. They help us to keep our economy strong and to keep taxes low, and they preserve our flexibility for when we need it most. It is not always possible to forecast when the next threat will emerge, nor what form it will take, but it is possible to prepare, and I know that the Chancellor and I are grateful that our predecessors had the foresight to do so.

[Wes Streeting (Ilford North) (Lab)]

Will the right hon. Gentleman give way?

[Sajid Javid]

I will not give way.

The British people have responded to the coronavirus crisis with stoicism and selflessness, as well as a distinct sense of humour—especially when it comes to toilet rolls. The British people are following the lead that has been set by right hon. Friends the Prime Minister and the Chancellor who, in the most challenging of circumstances, have resolved to act prudently on the basis of evidence and to act in the national interest. I have every faith that in the coming months they will do the right thing and that, whatever happens, as a country we will emerge stronger on the other side.

Spending Round 2019

Debate between Wes Streeting and Sajid Javid

Wednesday 4th September 2019 Commons Chamber

[Sajid Javid]

My right hon. Friend speaks with great experience and is right to highlight issues relating to children’s services. I can assure her that in the numbers that I have given today she will see, beyond the excellent investment in schools, investment across the board that will benefit children, especially vulnerable children, through social services in particular. She also made a good and valid point about human capital and the need to view it in a different way, and that is something that I am very interested in pursuing in the Treasury.

[Wes Streeting (Ilford North) (Lab)]

If Dominic Cummings had not sacked his special adviser, he might have come up with a better speech.

I note that the Chancellor did not mention the growth figures, which is not surprising given that our economy is shrinking and every major sector of it—services, manufacturing, construction—is struggling. Is it not the case that, whether we are talking about the future of those industries or the spending plans that the Chancellor has set out today, every single promise is at risk from the no-deal recession that his Government are pursuing with their reckless no-deal policy?

[Sajid Javid]

The hon. Gentleman claimed that I had not mentioned growth figures. There are no new growth figures today because there is no OBR forecast, but I did refer to growth: in fact, I drew attention to the IMF forecast that we would grow faster this year than France, Italy and Japan.

The hon. Gentleman also talked of the risk to the economy. The risk to the economy is the uncertainty of not leaving the EU, and we must leave by 31 October. If he wants to end that uncertainty, he knows what he must do tonight.

Knife Crime

Debate between Wes Streeting and Sajid Javid

Monday 4th March 2019 Commons Chamber

[Sajid Javid]

I would like to answer the hon. Lady’s question directly. The reason is probably that serious violence in England had been falling quite significantly for some time, but as I said at the start of this urgent question, we have sadly seen a significant rise in the last two or three years especially. That has rightly led my predecessors and me to work with others and look at what more can be done. It is right to look at evidence across the nation. She talked about the very important example in Scotland, which is being looked at.

[Wes Streeting (Ilford North) (Lab)]

I want to express my thanks to the emergency services for their rapid response to a stabbing in my constituency last week. There is a huge amount of fear and concern in the community, and people understand that this is not a problem with one solution. Does the Home Secretary understand, as my constituents do, that whether it is the legs taken out of community policing by police cuts, slower referrals because of cuts to children’s services, the conditions that children are living in in temporary and overcrowded accommodation or the fact that youth services have been gutted, there are many facets to tackling knife crime, and they all have one thing in common: the policies of this Government for the last nine years have made it harder, not easier, to tackle this crisis?

[Sajid Javid]

First, I join the hon. Gentleman in commending the emergency services for the work they have done in his constituency and elsewhere. He highlights the importance of recognising the need for a cross-Government response; it is not just about the Home Office, although we have the most important role to play. For other Departments to play that role, they need to make it a priority, which is why a statutory public health approach is very important. We also need to ensure that Departments have enough resources and that those are prioritised.

Windrush Scheme

Debate between Wes Streeting and Sajid Javid

Tuesday 5th February 2019 Commons Chamber

[Sajid Javid]

We work closely with the Department for Work and Pensions, and the hon. Lady gives an example of why that is absolutely necessary. If she wants to give me further details of her constituent’s case, we will look into it as a matter of priority.

[Wes Streeting (Ilford North) (Lab)]

Given what the Home Secretary has heard, does he really believe that my right hon. Friend the Member for Tottenham (Mr Lammy) was inappropriate in his tone? Does he really think that someone is going to take him to court for exercising appropriate discretion, or does he in fact believe that it is right to deport first and ask questions later?

[Sajid Javid]

When it comes to the deportation of foreign national offenders, a lot of questions are asked first, including on the right of appeal, and we carry out deportations only if they are absolutely correct under the law. Ultimately, it is worth remembering that they are there to protect members of the public.

Police Grant Report

Debate between Wes Streeting and Sajid Javid

Tuesday 5th February 2019 Commons Chamber

[Sajid Javid]

Again, the hon. Gentleman, like so many other Opposition Members, has raised the issue of resources. That is why I am sure he will welcome the biggest cash increase collectively since 2010. He talks about the West Midlands force, as the hon. Member for Birmingham, Erdington (Jack Dromey) did. That force is receiving an increase of more than £34 million. I gently point out that the force has £85 million in reserves, which is one of the highest levels of reserves in the country, so the hon. Member for Birmingham, Northfield (Richard Burden) should have a chat with his PCC to ask whether he can do a better job.

[Wes Streeting (Ilford North) (Lab)]

It may have slipped the Home Secretary’s mind, but he did not actually answer a very important question. Is he seriously suggesting that there is no link between falling police numbers and rising crime?

[Sajid Javid]

I have been clear that in recent years we have seen an increase in certain types of crime, but it would be lazy of any of us to attribute that to just one factor. I recognise that resources are an important issue, which is why we are giving this record settlement today.

Future Immigration

Debate between Wes Streeting and Sajid Javid

Wednesday 19th December 2018 Commons Chamber

[Sajid Javid]

I am sure that the Immigration Minister and I would both like to visit, although not necessarily at the same time, so we are happy to receive that invitation. My hon. Friend makes an important point that relates to many parts of the UK, but particularly to Scotland—many other colleagues from Scotland have raised it—and it is important to look at that. I think that the system we have set out today will have the flexibility to meet those needs, but I am happy to discuss those with him further.

[Wes Streeting (Ilford North) (Lab)]

Immigration, whether from Europe or from right around the world, has made an enormously positive difference to my community and to our country, making us rich in every way imaginable. However, given that the Prime Minister and the Cabinet are evident proof that being highly paid and highly skilled are not the same thing, why do the Government persist with this nonsense of a £30,000 cap to define what constitutes highly skilled? Plenty of people in this country are paid far less than the Home Secretary, and far less than £30,000, and it would be an absolute tragedy to pull up the drawbridge for them, not just denying them opportunity, but denying our country the skills and prosperity we need.

[Sajid Javid]

The hon. Gentleman is clearly lobbying for a pay rise for all members of the Cabinet—I will leave that to him, but it is not something the Cabinet is asking for. It is important that the threshold for the highly skilled visa route set out in the White Paper is based on evidence and works for each part of the country. The MAC has suggested—I emphasise that this is based on its own independent research—that the threshold should be £30,000, but further work and extensive engagement with businesses, devolved authorities, Members of Parliament and others is required to determine what that should actually be.

Oral Answers to Questions

Debate between Wes Streeting and Sajid Javid

Monday 29th October 2018 Commons Chamber

[Wes Streeting (Ilford North) (Lab)]

12. What steps his Department is taking to tackle violent crime.

[The Secretary of State for the Home Department (Sajid Javid)]

We will be launching a £200 million youth endowment fund to intervene with children at risk of serious violence; we will be consulting on a new duty to support the multi-agency approach to tackling violence; and we will be undertaking a review of drug misuse.

[Wes Streeting]

The recent murder of a 23-year-old man in my constituency has once again brought violent crime to the forefront of concerns in my community. My constituents understand that whether in Labour-led cities such as London or in Tory shires, cuts to police numbers are having a serious impact, which is leading to increases in violent crime across the country. When will the Home Secretary accept that and put the money back into the police that our communities need?

[Sajid Javid]

The hon. Gentleman is absolutely right to raise this. He will know that the Government have a cross-government serious violence strategy, but we do need to do more. That was why I recently announced these further steps, especially the new £200 million fund, which will help prevent violence.

Local Government Funding

Debate between Wes Streeting and Sajid Javid

Wednesday 28th March 2018 Commons Chamber

[Sajid Javid]

The hon. Lady says that it is not for her to apologise, but she stands there supporting the party that brought this country to its knees economically. It was responsible for the largest, deepest recession that this country has seen for 100 years—a recession, by the way, that led to an increase in unemployment of half a million people. Go and tell them that it is a joke.

The Labour party fails to recognise the gravity of the situation that it created in this country and the legacy that it left behind. It is no exaggeration to say that thanks to Labour, our country was on the brink of bankruptcy. Had it been allowed to continue in office, had we continued down that road, all public services, including local government, would have been decimated.

[Wes Streeting]

I am grateful to the Secretary of State for giving way. This is obviously a rehearsal for the local election campaign.

As he knows, people on these Benches have held a mirror up to our party over the issue of anti-Semitism. The Secretary of State does not need any lectures about Islamophobia, not least given his recent experiences. However, I ask him to hold a mirror up to his party, given the disgraceful campaign in London two years ago and because of the dog-whistle politics already being seen in the London election campaign. Islamophobic material has even been shared by Conservative Members of Parliament. We all have to root out prejudice in our politics, and that includes the uncomfortable experience of holding a mirror up to our own parties and our own values.

[Sajid Javid]

I am not sure what that has to do with the debate, Madam Deputy Speaker, but I am happy to answer the hon. Gentleman’s question, if that is okay with you—he made the point in good faith. He is right about the importance of making sure that we all in the House, regardless of whether we are Back Benchers, Front Benchers or leaders of political parties, respect each other at all times, whether during election campaigns or not. I very much agree with him on that. I heard him speak very passionately just a couple of days ago in Parliament Square, when he rightly emphasised the point. I very much agreed with him then, too.

Budget Resolutions

Debate between Wes Streeting and Sajid Javid

Thursday 23rd November 2017 Commons Chamber

[Sajid Javid]

I think the hon. Gentleman should speak to the leader of his own party, who stood at the Dispatch Box yesterday claiming that it was his policy from his manifesto. The hon. Gentleman needs to go and do some homework.

When Labour came to power in 1997, the average home cost three and a half times the average wage. By the time it slunk out of office in 2010, it was nearly seven times the average wage. As for the neediest in society, Labour cut the number of social homes for rent by more than 420,000 units. That is its track record.

[Wes Streeting (Ilford North) (Lab)]

The Secretary of State says that we need 300,000 new homes a year to address the housing crisis, so presumably he has just committed to making sure that that many homes are built. Until he addresses the supply side of the housing crisis, he must stop fuelling demand-side pressures, which is what he has done. As the Office for Budget Responsibility has said, the elimination of stamp duty will fuel demand at a time when he is not meeting the supply pressures.

[Sajid Javid]

Where the hon. Gentleman is right is on the need for further planning reform. That is why the Budget follows on from the housing White Paper earlier this year with further reforms, some of which I will come to in a moment. Where he is completely wrong, like the hon. Member for Eltham (Clive Efford), is on stamp duty. He should have a conversation with young people buying their first house, who can save up to £5,000.

Oral Answers to Questions

Debate between Wes Streeting and Sajid Javid

Monday 17th July 2017 Commons Chamber

[Wes Streeting (Ilford North) (Lab)]

When I was growing up, I had the security of the roof of a council flat over my head. I wonder what the Secretary of State would say to the 11-year-old boy in my constituency who pulled me aside after a classroom visit just last week because he, his mother and his two siblings are living in one room in a hostel, as they have been for more than a year. What message does the Secretary of State have for such children in my constituency who no longer have the security of a decent place to live?

[Sajid Javid]

My message is that successive Governments have not built enough homes of all types, and, if we are going to do that, we should all unite around the housing White Paper.

Oral Answers to Questions

Debate between Wes Streeting and Sajid Javid

Monday 16th January 2017 Commons Chamber

[Wes Streeting (Ilford North) (Lab)]

I should declare that I am an elected member of the council of the London Borough of Redbridge. Local authorities such as mine face a double whammy of pressures from an ageing population and a high birth rate, which lead to funding pressures on our local authority. Does the Secretary of State accept that even if local authorities like mine divert resources from other council services into adult social care and charge the maximum social care precept available, they will still face a shortfall in funding for vital services for older people? What is he going to do about that?

[Sajid Javid]

The measures we announced in December will help the hon. Gentleman’s local authority; they will help every local authority in the land to deliver more adult social care services. Nevertheless, as I have said, as well as more money, we need reform. Some councils need to learn from others.

Oral Answers to Questions

Debate between Wes Streeting and Sajid Javid

Tuesday 15th December 2015 Commons Chamber

[Sajid Javid]

My hon. Friend is right. That is true of England. We have seen a record increase to 382,000 people in the past year, and the number of students from disadvantaged backgrounds has gone up from 9.5% to 18.2% in the past five years. In Scotland we have seen a fall in the number of students because Scotland does not have a funding system that allows all who want to go to university to do so.

[Wes Streeting (Ilford North) (Lab)]

Given the report in The Independent on Sunday that Ministers in the Cabinet Office are desperately trying to find ways to increase the cap on tuition fees without proper debate and a vote in this House, can the Secretary of State confirm that any attempt to increase the cap on tuition fees will come back to this House for a full debate and vote? Can he also confirm that Government proposals in the autumn statement to extend tuition fees to nurses, midwives and students of allied health subjects will be subject to a proper debate and a vote in this House?

[Sajid Javid]

If the Government do decide to change the caps on tuition fees, there will, of course, be a debate in this House.

Trade Union Bill

Debate between Wes Streeting and Sajid Javid

Monday 14th September 2015 Commons Chamber

[Sajid Javid]

My right hon. Friend is absolutely right. At the heart of this Bill is partnership—partnership between trade unions and employers and other stakeholders. A great example of that can be seen at Toyota in Britain. It has not had one day of industrial action in 20 years, and that is because of the partnership that it rightly has with its trade union.

[Wes Streeting (Ilford North) (Lab)]

The Secretary of State is giving the House the impression that London commuters would somehow be protected by his threshold. Is he aware that the recent industrial action on the tube would have passed those thresholds? He talks about partnership. Is it not the case that it is not the strikes and the ballots that are the problems, but the intransigent Mayor of London who is sitting behind him?

[Sajid Javid]

I am coming on to thresholds, but the hon. Gentleman’s point proves that this is not some kind of ban on industrial action. Strike action can rightly still take place where there is clear support from the membership of the union.

Let me move on to thresholds. The whole point of strikes is to cause disruption, but the impact of industrial action on ordinary people—often the very working people whom unions were created to support—is such that it should ever be used only as a last resort. It should be taken only after the explicit backing of a majority of members. That is why this Bill sets a minimum turnout of 50% for industrial action ballots. If 1,000 union members are being asked to participate in a strike, at least 500 of them must vote for the ballot to be valid.