William Wragg debates involving the Department of Health and Social Care during the 2019 Parliament

Oral Answers to Questions

William Wragg Excerpts
Tuesday 11th July 2023

(9 months, 1 week ago)

Commons Chamber
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Will Quince Portrait Will Quince
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Having responded to the hon. Lady’s Adjournment debate last Thursday, I hear the calls she has made. I know that she has also written to the Secretary of State, and I will ensure that she gets a full response, with answers to all the questions she raises.

William Wragg Portrait Mr William Wragg (Hazel Grove) (Con)
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My good friend the mental health Minister—the Under-Secretary of State for Health and Social Care, my hon. Friend the Member for Lewes (Maria Caulfield)—will know that I have been busy beavering away, together with the UK Government’s mental health ambassador, Dr Alex George, on the early support mental health hubs project. It will relieve pressure on child and adolescent mental health services and save undue distress and money. The pilot scheme is ready to go. Might I suggest that the shared outcomes fund could be the means to press on with the pilot?

Public Health

William Wragg Excerpts
Tuesday 14th December 2021

(2 years, 4 months ago)

Commons Chamber
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Wes Streeting Portrait Wes Streeting
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I will say to the right hon. Gentleman that it is my understanding from dispatches from the shadow Secretary of State for Northern Ireland, my hon. Friend the Member for Hove (Peter Kyle)—of course, Northern Ireland is ahead of England on this—that he had a perfectly nice time out last night enjoying the best hospitality that the people of Northern Ireland have to offer. I think people are drawing confidence from this. Let me also say that we should draw on the experience of other countries. Look at countries with strict covid passport rules, such as Italy, France and Denmark; all have seen their retail and recreation sectors fare far better than those here in the UK because there has been consistency and confidence.

With passes and lateral flow tests, venues can operate at 100% capacity, punters can be confident that they are safe to attend and enjoy themselves, at this time of year the show goes on, and everyone stays in a job. Without these measures, with rising infections and more hospitalisations, we would risk seeing the Government forced to impose more draconian measures on these sectors, shutting down our cultural sector and collapsing the economy once again. I think we should be confident about this.

Let me address the tension—it is a reasonable question —in the message that people should work from home if they can but that they can go out. I make no apology for trying to safeguard social interactions between people, their families and their friends at Christmas time. I also make no apology whatsoever for supporting our hospitality industry, which has been battered by the pandemic and which enjoys our support—our confident support, our full-throated support, and our support at the table and the bar in the coming days.

William Wragg Portrait Mr William Wragg (Hazel Grove) (Con)
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Can we take it from that that the hon. Gentleman is in favour of extending the certification, or vaccine passport, to all venues?

Wes Streeting Portrait Wes Streeting
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For now, we think the Government have struck the right balance. The measure is limited to nightclubs and larger venues. However, as the Secretary of State knows, we listen to the chief medical officer, we listen to the chief scientific adviser, we listen to the scientific advisory group for emergencies, we listen to the NHS and we make decisions based on evidence. If ever the Government want to come forward with further proposals, we will consider them in a genuinely bipartisan way and we will act in what we believe to be the national interest. I do not think anyone would expect less of us.

Public Health

William Wragg Excerpts
Tuesday 30th November 2021

(2 years, 4 months ago)

Commons Chamber
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Maggie Throup Portrait Maggie Throup
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My right hon. Friend, with his medical background, makes a good point that I will take away and look into further.

I will return to my speech. Accordingly, our scientists are investigating omicron to determine, among other things, how quickly it is likely to spread and what the impact may be on the immunity that many of us have acquired through vaccination.

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Maggie Throup Portrait Maggie Throup
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I have heard the hon. Lady talk about that before and I take the point seriously. It is partly about antibodies and partly about T cells; the science behind it is obviously quite complex. I will take that point away and get back to her.

William Wragg Portrait Mr Wragg
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Will the Minister give way?

Maggie Throup Portrait Maggie Throup
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I will give way once more and then I must make progress.

William Wragg Portrait Mr Wragg
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My hon. Friend is the kindest of Ministers. On the question of the new variant’s severity, I wonder if she has data to hand about whether any of the new cases of omicron in this country that she mentioned have been detected in patients hospitalised with covid.

Maggie Throup Portrait Maggie Throup
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I am not aware of that, and it may not be in the public domain due to confidentiality. I must make some progress.

Meanwhile, the Government have responded quickly to introduce a temporary and targeted package of precautionary measures to combat the risk of transmission. The aim of the package is to buy our scientists time to investigate and gather information on the omicron variant, and to continue to build the protection that vaccination provides.

The package comprises the requirement for people to wear face coverings in shops, shopping centres and transport hubs, and on public transport; the requirement for those returning from abroad to take a PCR test by day two and to quarantine until they receive a negative PCR test; the requirement for people to self-isolate if they are identified as a close contact of a confirmed or suspected case of the omicron variant; the addition of 10 countries to the red list; and the requirement that those arriving from those countries in Africa quarantine in a managed quarantine service for 10 days.

Across England, at 4 o’clock this morning, face coverings became mandatory in all shops and shopping centres, which includes supermarkets, banks and close-contact services such as hairdressers, and on public transport.

World Menopause Month

William Wragg Excerpts
Thursday 21st October 2021

(2 years, 6 months ago)

Commons Chamber
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Carolyn Harris Portrait Carolyn Harris (Swansea East) (Lab)
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I beg to move,

That this House has considered World Menopause Month.

It is rare to stand up in this place and open with the words, “This is not a political issue”, but that is what I am doing today. Women’s health is too important to be used to gain political advantage or score points against each other. Women’s health is so important, and women have suffered for far too long. To stop that we must work together across the House to bring about change. Today is just the start. Today we can talk about the perimenopause and menopause, and we can share our experiences and discuss all the areas that desperately need change. In doing so, we will break the taboo. Breaking the taboo is a huge step forward, but it does not stop there. Talking is great, but action is better.

The menopause is something that every woman will experience at some point in her lifetime. When and how we experience it is unique to each of us. For some, it will be a simple transition with relatively few side-effects. For others, the side-effects will be extreme—physically painful, mentally challenging and, at their peak, completely debilitating.

It is estimated that 13 million women in the UK are either perimenopausal or menopausal. That is almost a fifth of the population. Can we imagine any other condition that affects that many people being so woefully overlooked and misunderstood? This issue is not just about the women experiencing the symptoms; its impact directly affects husbands, partners, children, friends and colleagues. It really is an issue that we need to take seriously.

Next Friday, my private Member’s Bill, the Menopause (Support and Services) Bill, comes to this place for its Second Reading. I have been blown away by the support I have received from Members right across this House and the other place, and from outside—the press, celebrities, the general public and businesses. It seems that finally, after years of whispered comments and clandestine conversations, everyone is ready to talk about the menopause. Women are ready to stand up and share their experiences.

Hot flushes, night sweats, brain fog, weight gain, insomnia, anxiety, vaginal dryness, poor concentration—I could go on; the list is endless. Hormone imbalance does all those things to our bodies. For many, help is available in the form of hormone replacement therapy. It is not for everyone, but for those of us it does suit, including me, it is honestly life changing. After 11 years on antidepressants, I am now on HRT and weaning myself off antidepressants, having realised that I was not having a nervous breakdown but actually going through the menopause. I have been on HRT for only a relatively short time, but I did not realise how much of me I had lost to the menopause until I started taking it.

Despite the fact that HRT makes such a difference to so many of us—it is no exaggeration to say that it can quite literally save women’s lives—it remains the only hormone medication that is not exempt from prescription charges in England. For many, because they need both progesterone and oestrogen, the cost is double. I can guarantee that mums on a tight budget will make sure that their kids have everything they need before finding the £20 to pay for the prescription, which means that that cost is a real barrier for many women up and down the country. But we can change that—and I hope that we will with my Bill. Every MP in England will have constituents who would benefit from that change in legislation. We cannot let them down.

Let us look at what else we can do, once we have broken down the financial barrier, to reduce the impact on women’s lives during the perimenopause and menopause. Let us look at where else women are being failed. Menopause training in medical schools is unacceptably poor, with 41% offering no mandatory menopause training at all. Curriculum content in schools needs to be reviewed so that the next generation of girls and boys are educated and prepared for this stage of their lives.

Support in the workplace is still a lottery, with some employers excelling but others letting their employees down at a really difficult time. The right hon. Member for Romsey and Southampton North (Caroline Nokes), with whom I work closely on this issue, will speak later about workplace support and the excellent work being done by the Women and Equalities Committee, but I want briefly to mention a few companies that are really taking the issue seriously. Yesterday, the all-party parliamentary group on menopause held a session focused on workplace support, and we heard some really good examples of best practice from PricewaterhouseCoopers, Network Rail, Bristol Myers Squibb, Tesco and John Lewis. We also heard from Timpson. James Timpson—the man walks on water! He announced on Monday that Timpson will be allowing staff to claim back their HRT prescription charges on expenses. I cannot praise the man enough. This is a true example of a company that cares about the welfare of its employees and understands that in offering this benefit it will retain its experienced workforce who are invaluable.

The fact that so many organisations are starting to wake up to this is such a positive step forward. It is a joy to be able to stand here today and celebrate that, but we need it to be the norm, not the exception. The UK’s workforce is changing. More than three-quarters of menopausal women are now in employment. We need employers to change, too, so that women feel comfortable speaking to their managers about their symptoms and what adjustments they need. In fact, we need to educate everyone, so that talking about the menopause with medical professionals, among friends and within families, as well as in the workplace, becomes a natural thing for women to do.

Earlier this year, ahead of a Westminster Hall debate that had the topic of menopause support, the Chamber engagement team helped me hugely by creating a survey for anyone impacted by the menopause to share their experiences. I was taken aback by the number of responses we received in just a couple of days, and by how honest and insightful they were. Looking again at those responses and at the hundreds of emails coming into my inbox makes me realise just how many women out there are now ready to reach out and share their experiences. I am honoured that they are choosing to do that, but it saddens me that many of them have never spoken about their symptoms with anyone else.

William Wragg Portrait Mr William Wragg (Hazel Grove) (Con)
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It is impossible to resist any campaign spearheaded by the hon. Lady and this is one I am very proud indeed to be able to support. I look forward to the Second Reading of her private Member’s Bill next week, which I will be here to support. What would she say to the men out there as to how they can be supportive and better understand the menopause, rather than treat it as a taboo subject?

Carolyn Harris Portrait Carolyn Harris
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I would say, “Take the example of the hon. Gentleman, who has become a menopause warrior: be there for the women in your lives and make sure you provide listening ears and thoughtful words on how you can support your loved ones and the women in your workplaces.”

I understand that women have found it difficult to talk, because across society we have been encouraged not to. A funny story, but a very true story, is that I remember my mum ushering me out of a room when her and my aunts were discussing a “rather difficult sensitive issue”. One of my aunts will probably be absolutely horrified that I am talking about this now. They were discussing her menopause. I hasten to add that I was 36 years of age at the time—[Laughter.]—but that just goes to show the taboo around talking about this subject. There will be some people out there who will be absolutely astounded that I used the expression “vaginal dryness” in the Chamber of the House of Commons, but it is a fact of life.

The stories that women are sharing with me are often really distressing: from women who have struggled for years with no support and feel it has ruined their lives, to women who have experienced early menopause due to medication or surgery and feel that they are literally on their own; and from women who have experienced some of the most extreme physical symptoms and those whose mental health has really suffered, struggling in silence because that is what they thought they had to do and did not know what was happening to them.

In the public engagement survey earlier this year, Helen shared her story. She told us:

“My perimenopause symptoms started at 41....by the time I was 42, I had developed palpitations and anxiety attacks. I suddenly couldn’t leave the house or meet people and was scared all the time that something was seriously wrong with my heart. I was a shell of the woman I used to be.”

Then there are those who have taken the next step and visited their GP to ask for help, only to be turned away or sent packing with a prescription for antidepressants. I am not pointing the finger at GPs because I know how hard they work, but there is a woeful lack in their training and understanding of the menopause. Many are not able to join up the dots and women go undiagnosed.

In our survey, Catherine explained how she had experienced that exact problem. She said:

“With my own research I’ve had to work hard to convince my GP that constant increases and changes in antidepressants weren’t working and my difficulties were hormonal. I nearly lost my job and my husband...it’s taken 6 months to finally receive the HRT I need. Within 2 months of taking HRT I have successfully weaned off antidepressants, been able to start exercising and my home, work and personal life is”

completely “transformed”.

It does feel like we are starting to turn a corner. If we can just bring all the pieces of the jigsaw together, we can change the future for ourselves, our daughters, for our daughters’ daughters and for women who follow on behind us forever more. We can stop menopause being something people are afraid to talk about. We can help to ensure that everyone understands the symptoms so that women know what is happening to them and family and friends are able to support them. We can make sure that women get the right diagnosis and the right treatment plan for them to help to alleviate their symptoms, and we can ensure that every workplace is a menopause-friendly workplace so that women can continue to succeed in their careers. It is time for change. It is time for the menopause revolution. Women want it, women need it, and women deserve it.

Covid Vaccine Passports

William Wragg Excerpts
Wednesday 8th September 2021

(2 years, 7 months ago)

Commons Chamber
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Urgent Questions are proposed each morning by backbench MPs, and up to two may be selected each day by the Speaker. Chosen Urgent Questions are announced 30 minutes before Parliament sits each day.

Each Urgent Question requires a Government Minister to give a response on the debate topic.

This information is provided by Parallel Parliament and does not comprise part of the offical record

Nadhim Zahawi Portrait Nadhim Zahawi
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I am grateful for the right hon. Gentleman’s questions and I will attempt to address them. I will begin by saying to the House that no one in this Government, and certainly not this Prime Minister—it is not in his DNA—wants to curtail people’s freedoms or require people to show a piece of paper before they enter a nightclub. The reason we are moving forward on this is that we have looked at what has happened in other countries, where nightclubs were opening and then shutting again, and opening and then shutting again, and we want to avoid that disruption and maintain sectors that can add to people’s enjoyment of life and dance, as was the case for the Chancellor of the Duchy of Lancaster. We want them to be able to do that sustainably.

The reason behind the end of September date, which the right hon. Gentleman asked about, is that by then all 18-year-olds and above will have had the chance to have two doses.

The right hon. Gentleman was quite right when he quoted what I said to him at the Dispatch Box a few days ago: 60% of people who are doubled vaccinated will not be infected and therefore will not spread the infection, but 40% may do. The view of our clinical experts is that the additional relative safety of people having to be doubled vaccinated before they can enter a nightclub does begin to mitigate super-spreader events, which could cause us, in effect, to take a decision to close nightclubs, which we would not want to do.

The right hon. Gentleman asked about the disruption to business; as he will know, this is a tried and tested solution that has been used extensively throughout the Government’s events research programme. It requires venues to check or scan the NHS covid pass, in the same way as nightclub bouncers check ID before entry.

The right hon. Gentleman asked about the equality impact assessment. I assure him that we conducted a full equality impact assessment and consulted widely to understand the potential equality impact of covid status certification. We spoke to ethicists and representatives of disabilities, race and faith groups. The system allows both digital and non-digital proofs, to help to ensure access for all. Constituents who do not have a smartphone, for example, can confirm their vaccine status by calling 119 and getting proof via email or written letter.

As I say, this is not something we do lightly; it is something to allow us to transition this virus from pandemic to endemic status. We are coming towards the winter months, when there will be upward pressure of infections because of the return to school and winter. Large gatherings of people, especially in indoor venues such as nightclubs, could add to that. The mitigation against that, to allow us to transition the virus from pandemic to endemic status, is the booster programme that I hope we will embark upon later this month, after the final recommendations from the Joint Committee on Vaccination and Immunisation.

William Wragg Portrait Mr William Wragg (Hazel Grove) (Con)
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What a load of rubbish. I do not believe that my hon. Friend believes a word he just uttered, because I remember him stating very persuasively my position, which we shared at the time, that this measure would be discriminatory. Yet he is sent to the Dispatch Box to defend the indefensible. We in this House seem prepared to have a needless fight over this issue. It is completely unnecessary. We all agree that people should be encouraged to have the vaccine, and I again encourage everybody to do so, but to go down this route, which is overtly discriminatory, will be utterly damaging to the fabric of society.

Nadhim Zahawi Portrait Nadhim Zahawi
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I am grateful to my hon. Friend, who has made his view clear to me on many occasions. It pains me to have to take a step like this, which we do not take lightly, but the flipside to that is that if we do not and the virus causes super-spreader events in nightclubs and I have to stand at the Dispatch Box and announce to the House that we have to close the sector, that would be much more painful to me.

Covid-19 Update

William Wragg Excerpts
Monday 6th September 2021

(2 years, 7 months ago)

Commons Chamber
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Nadhim Zahawi Portrait Nadhim Zahawi
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Yes, absolutely. We are making it as easy as possible for them to simply walk in and get their jab.

William Wragg Portrait Mr William Wragg (Hazel Grove) (Con)
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Given the overwhelming evidence, both moral and practical, against covid vaccine passports, will my hon. Friend rediscover the courage of his own convictions, as he once described the proposal as “discriminatory”? If the idea behind the scheme is not his own, will he kindly convey a message to our right hon. Friend the Chancellor of the Duchy of Lancaster to desist from his machinations?

Nadhim Zahawi Portrait Nadhim Zahawi
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This is an incredibly difficult area, but let me try to describe the challenge here. To keep industries such as the nightclub industry open and sustainable, especially in the next few months, we have to look very seriously at how we keep them safe and not have super-spreader events. We have seen other countries having to shut down nightclubs the moment they reopen them. The worst thing for the industry is to open and shut, open and shut, which is why we are looking to introduce a covid certificate by the end of September for domestic use in large gatherings indoors, especially where we have seen mass spreader events.

National Health Service

William Wragg Excerpts
Tuesday 13th July 2021

(2 years, 9 months ago)

Commons Chamber
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Helen Whately Portrait Helen Whately
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Thank you very much, Mr Deputy Speaker. I was indeed intending to come to that point. I was commencing my speech by giving some further context, but I can respond to the specific point made by my hon. Friend. The impact assessment is being worked on. I will be clear with hon. Members. One of the challenges is that there is significant uncertainty about the level of behavioural change we may see in the weeks ahead from this and other measures, for instance the requirement for vaccination to travel to some countries, which we anticipate will lead to further vaccination uptake.

Helen Whately Portrait Helen Whately
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If my hon. Friend will let me, I will cover his exact point.

I know that some hon. Members may wish to delay this debate, because they wish to review—

William Wragg Portrait Mr Wragg
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On a point of order, Mr Deputy Speaker. It states in the explanatory notes:

“A full Impact Assessment has been prepared”.

If it has been prepared, it cannot currently be in preparation. So where is it?

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Helen Whately Portrait Helen Whately
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We live in an uncertain world, but we know that covid is a killer for people living in care homes and we know that the winter ahead of us is going to be challenging both because of the ongoing circulation of covid and because of flu. The question we should put to ourselves today is: what are the steps that we can take to make people safer in the months ahead? This time last year—last summer—infection rates were low, but we did not sit back and say, “In that case, it’s going to be okay for the winter.” We in Government, working with local authorities and care homes, made preparations for the winter ahead. Thank goodness we did make those preparations. Although sadly there were many deaths, had we not put in place the personal protective equipment distribution system, had we not had the level of regular testing that went on in care homes throughout the winter, and had we not had the support with infection prevention and control, I fear that last winter would have been much worse. We know that the winter ahead is going to be another challenging one and we must prepare for it.

William Wragg Portrait Mr Wragg
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Will the Minister give way?

Christopher Chope Portrait Sir Christopher Chope
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Will the Minister give way?

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William Wragg Portrait Mr Wragg
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On a point of order, Mr Deputy Speaker. To assist the debate, there is a discrepancy between the explanatory memorandum and the explanatory note on the back of the statutory instrument. The note states:

“A full impact assessment of the costs and benefits of this instrument is available from the Department of Health”.

It gives the Department’s address and indeed the website on which the assessment is supposedly published. So is the explanatory note in the instrument correct or not?

Nigel Evans Portrait Mr Deputy Speaker (Mr Nigel Evans)
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Again, this is not a matter for the Chair, but it is certainly a point for the Minister to address. I think it would be helpful if the Minister could directly address that particular issue, which many Members are now raising.

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Helen Whately Portrait Helen Whately
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Thank you, Mr Deputy Speaker.

The Scientific Advisory Group for Emergencies recommends that 80% of staff and 90% of residents should be vaccinated in any care home, at a minimum, to provide protection against outbreaks of covid. While the majority of care home workers have now been vaccinated, our most recent data has told us that only 65% of older-age care homes in England were meeting that safe minimum level, and the figure fell to 44% in London. That is why the instrument is being put forward today. It means that, by November, subject to parliamentary approval and a subsequent 16-week grace period, anyone entering a Care Quality Commission-registered care home in England must be vaccinated unless an exemption applies. That will apply to all workers employed by the care home, those employed by an agency and volunteers in the care home. Those entering care homes to undertake other work, for example, healthcare workers, tradespeople, hairdressers and CQC inspectors, will all have to follow the regulations.

The introduction of this policy has not been taken lightly. We have consulted extensively, including with a wide range of valued stakeholders, and used their feedback to inform this legislation. We recognise that some people feel that workers should have freedom of choice about vaccination, while others do it as a duty of care to protect the people most at risk. I know from speaking directly to people who receive care and to those who have relatives living in care homes that, although they might not be sure about requiring all care workers to be vaccinated, they are sure that they, individually, want to be cared for by someone who has been fully vaccinated. Many people have little choice about who cares for them.

William Wragg Portrait Mr Wragg
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The Minister mentions feedback, but the draft explanatory memorandum states that

“a majority (57%) of respondents did not support the proposal”.

How, therefore, does the feedback show that there is support for it?

Helen Whately Portrait Helen Whately
- Hansard - - - Excerpts

We have reviewed the huge number of responses to the consultation. Not everybody who responded supported the proposal—as my hon. Friend says, 57% did not—but it was interesting that the picture in care homes was fairly even between those who supported it and those who were concerned.

One thing that we are already seeing is that some care homes are bringing in the policy themselves.

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William Wragg Portrait Mr William Wragg (Hazel Grove) (Con)
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It is a pleasure to follow my hon. Friend the Member for Runnymede and Weybridge (Dr Spencer), and indeed the speaker before him, my hon. Friend the Member for Bosworth (Dr Evans). They are two learned medical practitioners who, with the underlying qualities that seem to attract to those positions, state their arguments in the finest tradition of the empirical method. As ever, I hope I can be forgiven for not being quite as rational as those two speakers.

I hope, too, that the House will indulge me because, frankly, I am in despair. We could perhaps have a painting next to me of Munch’s “The Scream” to get a sense of how I feel about the conduct of Government business in this House. The Government are treating this House with utter contempt: 90 minutes on a statutory instrument to fundamentally change the balance of human rights in this country is nothing short of a disgrace. It is a disgrace, too, that no impact assessment exists. I contend that it does not exist, and if that is proven to be the case I am afraid my hon. Friend the Minister will be in a tricky position if she contends it does when it does not.

The measures before us are in themselves entirely impractical. We have heard already about concerns about the workforce. I have the utmost respect for my hon. Friend the Member for Runnymede and Weybridge, as he knows, but if we were to follow his suggestion, I fear that it would be far too late to repair the damage done to the workforce of carers in this country.

It is an insult to care workers in this country that all they merit is 90 minutes on a motion that nobody here seemed to know anything about last week but which we are discussing this afternoon. Meanwhile, so many of our colleagues, presumably because of the proxy vote system and the fact that they find it generally inconvenient to be a Member of Parliament, will know nothing at all about the measures on which they are voting, and that too should concern us a great deal. I will vote against these measures, if that had not been made clear from my remarks so far.

I believe that 1898 was last time vaccination was mandated in this country, and following that mandate, the rates of vaccination fell. That should tell us all we need to know. We will give succour to lunatics and crackpots who advance ridiculous theories about vaccination if we mandate vaccination. The triumph of the vaccination programme has been the act of kindness that people have felt towards their fellow citizens in doing so, and we will lose that good will if we mandate it.

A lady called me a week or so ago, and she was in tears on the phone. She has a condition that involves blood clots, and she associated the news about one or two of the vaccines with her condition. She is a care worker, and she was distraught. She now equates her illness and the vaccination—and the fact that she cannot get a GP appointment to discuss it, but that is a different matter—with losing her job. Is that what we are prepared to do to our fellow citizens as a Conservative Government? Absolute lunacy! We would expect this in a communist country, which partly explains why so many of our eastern European fellow citizens have the scepticism they do, knowing the nature of the state and how it can be perceived as being malevolent.

This instrument is an abomination. It should be withdrawn, and the Government should stop treating this House with contempt.

Coronavirus

William Wragg Excerpts
Wednesday 16th June 2021

(2 years, 10 months ago)

Commons Chamber
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Chris Green Portrait Chris Green (Bolton West) (Con)
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The Government assert that they do not have a zero covid policy or a zero covid strategy. If I accept that that is the case, it does seem as though it is a 0.1 covid strategy: it is almost zero, but not quite. At the same time, the Government accept that the disease is endemic. This is a very curious position, in which it is endemic, but the Government are still trying to get the disease as close to zero as possible. I would suggest that that requires pretty robust action from the Government for the long term.

The original lockdown was to flatten the curve and protect the national health service. Even though the Nightingale hospitals were soon mothballed and then closed, that was not enough. Lockdown was then intended to enable test, track, trace and isolate to get up to speed, and it must surely be there by now, but again, that was not enough. Then it was to vaccinate the most vulnerable—the over-50s or the most frail in our society. This was when the narrative was that the first dose would provide the vast majority of the protection required—far better than the influenza jab—and the second jab, at that point, was only really to give longevity to the resistance to covid that would be required. The expectation, at that stage, was that this would cut the overwhelming majority of deaths and hospitalisations, and this is the case, but still that was not enough. Then it was to have everyone then given the second dose. That has almost been achieved, but as the Secretary of State announced a short while ago, the roll-out of vaccinations has now extended so that 21-year-olds can sign up to get them. Again, that seems not to be enough.

In Bolton, we have been through a very difficult time—there has been an amazing amount of good work and hard work from so many locally—but with this new Indian variant, or variant of concern, we have coped. The impact on our health service was far less than during the peak in January. The NHS held up, and I believe that it is quite clear now that the link between transmission, hospitalisation and death has been severed. Again, that is not enough to find our lockdown terminus.

The narrative seems to have shifted in recent weeks. It was initially about dealing with the Indian variant and seeing how risky and dangerous it was to the country. I think that the evidence available at the moment shows that we can cope with it, but the position now seems to have shifted from dealing with the Indian variant and trying to understand it to offering the first dose to every adult of 18 and over. As night follows day, that will still not be enough.

Earlier this week, the Health Secretary was to some extent downplaying the value of the first dose and promoting that of the second. Should we now anticipate a shift later in the year to every adult being offered the second dose as well? That would take us well into September and perhaps a little beyond. We can see the rolling of the pitch for child vaccinations and for compulsory vaccination of certain care workers and perhaps others.

William Wragg Portrait Mr William Wragg (Hazel Grove) (Con)
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Could my hon. Friend and Greater Manchester neighbour reflect briefly on his experience in Bolton and the declining case rates?

Chris Green Portrait Chris Green
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I thank my hon. Friend for raising that important point, Transmission in Bolton is clearly on the way down. That demonstrates the actions taken and the effect of the particular variant of concern, which had more impact in Bolton than almost anywhere else in the country. It should give reassurance to the country that we can cope without a further extension of measures that are having such an impact on so many people. For example, the waiting list of 5 million for hospital treatment would be far longer if people had better access to GPs to get those referrals.

The G7 is suggesting a global vaccine programme. Would we have to wait until that has been delivered, because until everyone is safe, no one is safe? When the Prime Minister refers to a terminus, I fear that he does not mean the end, but that he is thinking more of a bus terminus where we end one journey to start another—and that there will be another vehicle to impose another lockdown extension.

Covid-19 Update

William Wragg Excerpts
Monday 7th June 2021

(2 years, 10 months ago)

Commons Chamber
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Matt Hancock Portrait Matt Hancock
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Of course I understand those frustrations—of course I do—and that is why we would all like to be out of this pandemic, but John Maynard Keynes’ famous dictum comes to mind, which is: “When the facts change, I change my mind. What do you do?” A pandemic is a hard thing to manage and communicating uncertainty in the public sphere is difficult. When answering questions about uncertainty, I think the fairest thing that any of us at the Government Dispatch Box can do is answer fully and frankly to the best of our knowledge and understanding, and that does include things where there is evidence on one side and evidence on the other. We had a question from the hon. Member for Brighton, Pavilion (Caroline Lucas) that described only the negative side of what we are seeing in the data, but on the positive side we are seeing the impact of vaccinations that the right hon. Gentleman just mentioned. There are two sides to the story, and that is why some of the judgments are difficult. That is why we will wait until we have the most data possible, with a week to spare, so that people can implement the decisions we make regarding 21 June.

William Wragg Portrait Mr William Wragg (Hazel Grove) (Con)
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I reassure my right hon. Friend that, since last we spoke in this Chamber, I have received my first jab. As the age limit lowers, the more youthful of us in this House benefit—although the years have not been kind. His announcement that the limit is to go down still further, to 25, is excellent news. I thank everyone in the vaccination centres in Hazel Grove, Woodley and Offerton and other places in my constituency for their tremendous work. Will my right hon. Friend go further with his surge of vaccinations? That is how we will end this pandemic. Will he commit to reducing the time between first and second jabs and do all he can to secure greater supply? Give us the jabs and we will finish the job.

Matt Hancock Portrait Matt Hancock
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A propos my previous answer, there is again a balance here. Obviously, we want to go as fast as possible, but, on the other hand, the strength of overall protection people get grows, on the latest clinical advice, up to an eight-week gap. So a longer gap gives them better overall long-term protection. That is why we have reduced the gap from the 12 weeks we had at the start, because we wanted to get as many first jabs done with the early doses we had, to eight weeks; but the clinical recommendation is not to go below eight weeks, because people would end up with weaker overall protection from both jabs. That is the reason for our approach, but ultimately we want to go as fast as we clinically safely can with the programme. For that, we need all the good folk of Hazel Grove who are doing so much to make this happen and to deliver jabs in arms, and I thank them all.

Covid-19: Government Handling and Preparedness

William Wragg Excerpts
Thursday 27th May 2021

(2 years, 10 months ago)

Commons Chamber
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Urgent Questions are proposed each morning by backbench MPs, and up to two may be selected each day by the Speaker. Chosen Urgent Questions are announced 30 minutes before Parliament sits each day.

Each Urgent Question requires a Government Minister to give a response on the debate topic.

This information is provided by Parallel Parliament and does not comprise part of the offical record

Matt Hancock Portrait Matt Hancock
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My right hon. Friend is quite right on both points. Not only have we been transparent and accountable to this House, and straight with this House about the challenges, but we have welcomed the National Audit Office into Government throughout the pandemic, and it has published repeatedly. For instance, it published on personal protective equipment, showing that we successfully avoided a national outage of PPE. It has reported on every aspect of the pandemic, and we have learned the lessons that are in those reports. I recommend to the House the National Audit Office’s latest publication, which summarises all these lessons and learnings. My right hon. Friend is absolutely right that one of those is making sure that we have high-quality workforce planning for the future.

William Wragg Portrait Mr William Wragg (Hazel Grove) (Con)
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Has my right hon. Friend noted the various ironies of yesterday’s Committee? It must be personally difficult for him and others who needlessly defended someone so willing to throw them into the road—presumably a road full of those behind the wheel testing their eyesight. But is not the greater irony the strange epiphany in many who have gone from regarding the Prime Minister’s former adviser as a latter-day King Herod whose words and deeds could not be trusted, to regarding him as a prophet who, fresh from the wilderness, brings with him supposed truths written on tablets of stone? Irony of ironies, all is irony.

Matt Hancock Portrait Matt Hancock
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I think what the constituents we serve are looking for is a Government who are focused four-square on delivering for them, getting us out of this pandemic and building back better. Observations on ironies I will leave to my hon. Friend.