(5Â years, 3Â months ago)
Commons ChamberWe are in this position because of the delta variant, the spread of which the Government could have slowed by putting India on the red list earlier instead of waiting while the Prime Minister faffed around over his trade trip. By late March, Canada was warning of high levels of covid cases arriving from India. By early April, similar warnings were coming out of Hong Kong. By 7 April, hundreds of people were arriving here from India with covid, and half of them had new variants. Yet even when the Minister finally announced India was on the red list, he inexplicably waited another four days while many more people with the delta variant returned. So can he tell me why he is still refusing to publish the analysis and advice provided on India by the Joint Biosecurity Centre that the Select Committee has asked for? Please will he publish it now?
We published the data for the number of imported cases of B1617 and other variants at the time the decision was taken. That data was the data—including up to 7 April—on which we took the decision, which was announced on 19 April, but it does take that time to see the sequencing, because it operationally takes time. Since we have published that data, I have heard endless calls from those on the Opposition Benches, including from the right hon. Lady, that I should have acted on data that we could not see and that had not been gathered, and that is only a way to make a point if you do not care about the truth of what actually happened.
(5Â years, 3Â months ago)
Commons ChamberThat is a good question, but the main capacity that we built was the Nightingales, a very successful project. The Nightingale project was one of the finest examples of rapid action in the NHS that has been seen. Thank goodness we had the Nightingale hospitals, because the people treated in them got treatment that was otherwise likely not to have been available. It meant that we could keep that promise all the way through—that nobody was denied treatment for covid. People got the treatment they needed because we managed to build that capacity so quickly.
I hope that the Health Secretary will understand the frustration that there will be right across the country if the 21 June date ends up being delayed by the Government because their own border policies failed to prevent the Delta variant from spreading, because they were too slow in putting India on the red list and because of gaps in the amber list policies. Given the confusion that there still is about the way in which the Government are taking decisions on individual countries on the border, is it not time that he accepted the recommendation that the Select Committee on Home Affairs made last August that he publish not just the data, but the analysis and advice from the Joint Biosecurity Centre? The analysis and advice from SAGE is published, so why is the Joint Biosecurity Centre’s advice being kept secret?
The right hon. Lady and I have had this exchange before. I respect her enormously, but she continues to imply that we should have taken decisions based on data that we did not yet have. That is simply not a reasonable position for the Chair of any Select Committee to take.
(5Â years, 4Â months ago)
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Yes, he did address this issue in his press conference. I can read the right hon. Member for Leicester South (Jonathan Ashworth) the words from that press conference, because he says from a sedentary position, “He did not.” The Prime Minister said, speaking about Bolton:
“given the caution that I think we have to exercise with this new variant, the risk of extra transmissibility, I would urge people just to think twice about that. That’s what we’re saying. I think that we want people in those areas to recognise that there is extra risk, an extra disruption, a threat of disruption to progress caused by this new variant and just to exercise their discretion and judgment, in a way I’m sure that they have been throughout this pandemic and will continue to do so, I hope very much.”
Those were his words, and the guidance was in place.
The Minister has done a good job on the vaccines, but this statement is utterly chaotic and completely confused. What advice is he actually giving to people in the north-west or in West Yorkshire about going to the pub, about weddings and about travel—even about whether, if they are allowed to travel out of Bolton, they are allowed to travel to Portugal, on the green list, for holidays? Is not the reality that he is so uncomfortable about giving any advice because he knows the reason he is putting these people in Bolton, in West Yorkshire and in other places in this position is that the Government failed to put India on the red list earlier? Over 400 people from India came into the country with the Indian variant, and putting India on the red list would have prevented it from spreading to thousands of other people in the community. Will he apologise to people in the areas that are affected with the additional restrictions he is advising because of the Government’s failure?
I do not agree with the right hon. Lady, as she will not be surprised to hear. I have already talked about how visiting families are impacted and pubs and hospitality are affected, and about the exercise of caution and being careful. She will recall that when India was put on the red list on 23 April, it was a full six days later that this particular variant was identified by the experts—the virologists—as a variant of interest, and a full two weeks later before it became a variant of concern. So her point, actually, is made unfairly.
(5Â years, 4Â months ago)
Commons ChamberYes. My hon. Friend will no doubt have seen the letter sent out from Dr Nikki Kanani, who is the medical director of primary care for NHS England, reiterating the point that it is important to offer a face-to-face consultation for a patient who really wants one while also using technology where that is the most clinically appropriate thing to do. These decisions should be taken between doctor and patient together. There is no greater supporter than me of the use of technology in healthcare. I think it improves access no end. People do need to be able to go to the surgery if they so choose and see the right person—the clinically appropriate person. That is the approach that we are taking while making sure that we can use a system that allows people to access the right services in the right settings as much as possible.
People will understandably feel angry that all the progress that everyone has worked so hard for by supporting the vaccines and following restrictions is now being slowed or potentially put at risk because the Government’s border measures have failed to prevent the spread of a new variant. Can the Secretary of State tell me whether it is true, as reported, that even by 7 April, 5% of people arriving from India had covid, apparently 50 times higher than the rate here; what that figure had risen to by 19 April; and how many of the 2,323 already identified new variant cases are people who travelled directly from India, and how many are people who caught it through onward transmission that was not prevented by the border measures?
As I said, the positivity rate for people travelling from India was relatively low at the start of April. We published the data of the positivity rates from the managed quarantine service. However, by the end of April, the positivity rate from India had risen, so we took the precautionary decision, even before this variant was deemed a variant under investigation, to put India on the red list. We did that before other similar countries, such as Germany and Canada, banned their flights. I understand the enthusiasm of the Chair of the Home Affairs Committee for pursuing this line of questioning, but we have to take decisions based on the evidence; we cannot take decisions based on evidence that arrives afterwards, which is what she seems to think we should have done.
(5Â years, 5Â months ago)
Commons ChamberThat is the approach we have taken so far since the introduction of the red list and the hotel quarantine. Through the testing of every single passenger who comes here, we essentially now have a survey of the world. We can see where the new variants are from the people coming through the testing regime. I am grateful for my right hon. Friend’s wise counsel.
The Health Secretary is clearly right to put India on the red list and to safeguard the vaccine programme from new variants. However, the India variant has been under investigation for three weeks, and other neighbouring countries with lower and slower covid rates were put on the red list 10 days ago. This week, Hong Kong identified 47 covid cases on a single Delhi flight. Before Friday, we still had 16 direct flights from India and many more indirect ones. Can he explain, contrary to his previous answer, why India was not put on a red list 10 days ago, when other countries were? Can he publish the Joint Biosecurity Centre’s assessments, recommendations and criteria and also publish a full genomic analysis of which countries all the new variant cases are arriving from, so that we can see where the border gaps still are in the measures that he has in place and make sure that we do not keep having these delays?
We keep all these decisions for each country under constant review. The challenge of the genomic data is that some countries have excellent coverage of genomic sequencing and others do not. Actually, that is not particularly correlated with their income. For instance, South Africa, a middle-income country, has excellent genomic sequencing. We take the decisions very rapidly when we need to. We keep all this under constant review and I am glad that she welcomes the decision to put India on the red list today.
(5Â years, 6Â months ago)
Commons ChamberMy hon. Friend makes two critical points. The first is that the manufacture and purchasing of British-made tests is an incredibly important project. I thank SureScreen in her constituency for working closely with us over several months. We now have a product that we can all be proud of and that will test people in Britain to help break chains of transmission and control this virus. I am grateful for her work in that regard.
I also agree with her second point. The spending review put aside £1 billion for the recovery of elective operations, as well as half a billion pounds for the recovery of mental health services. That is crucial for cancer and all the other elective areas, including cardiothoracic, and we will publish further details of the recovery programme soon. The NHS is just exiting a stage of significant pressure—more than 10,000 people are still in hospitals with covid—and we need to ensure that staff get some rest and recuperation, but next year will be all about the recovery my hon. Friend talks about. The money has been allocated, and we will need to get on with it.
The Brazil variant cases arrived a month after I raised this issue with the Prime Minister, and they show not only the problems of delays, but the limitations of the pre-travel tests that did not catch those cases. Even now, 99% of the 15,000 daily arrivals are not covered by hotel quarantine, and most people can still travel home from the airport by tube, train or even plane, mixing with others—as some of these travellers did—without being tested on arrival in the UK. Why are the Government still refusing to introduce additional tests on arrival, and still allowing international passengers to travel onwards on UK public transport? Does the Secretary of State recognise that those gaps in the system will let more new variant cases spread?
These cases would be caught by the new hotel quarantine policy. The right hon. Lady talks about the need for more testing, and we have introduced tests on day 2 and day 8, to ensure that we keep everybody who arrives as a passenger in the UK under the necessary level of surveillance.
(5Â years, 7Â months ago)
Commons ChamberMy right hon. Friend is right to raise the issue of the level of hospitalisations as one of the key factors and conditions for exit, as set out by the Prime Minister. The good news is that the number of people in hospital with covid is now falling. It is still higher than either at the April peak or at the November peak. The challenge in terms of the number of cases is that, when cases are very high, you are more likely to get a new variant, but, thankfully, cases are coming down very sharply, too.
Yesterday, the Home Secretary told me in Parliament that 100% compliance checks were now taking place at the border. Yet one passenger arriving at Heathrow yesterday from South Africa via Qatar has reported having no checks on her forms or tests and being just sent on her way through passport e-gates. This is a problem that I raised with the Prime Minister almost a month ago. Travellers have reported throughout that the reality is not matching the Government’s rhetoric, so why, when this is so important, does it appear that the most basic checks are still not happening?
The Home Secretary is looking into this individual case. The measures that we announced today further strengthen the enforcement to make sure that the rules that are currently in place are enforced more strongly, and indeed that we have brought in a new system of rules to strengthen the safeguards at our border yet further.
(5Â years, 7Â months ago)
Commons ChamberAbsolutely. Sefton Council leads on this particular outbreak, but I understand that there are some residents in Lancashire who are in that postcode area. The website sets out where the door-to-door testing will cover and the activities that the council is leading on, working with us, making sure that we get testing as broad as possible.
If you are in the PR9 postcode area, or any of the other postcodes that I set out yesterday, it is very important to be especially vigilant. It is imperative to stay at home unless it is absolutely essential that you leave home. I understand the concern—of course I do—but the reason that we have been so clear that these are the postcode areas is that we do need people to take action to limit the community spread in the vicinity of the cases that we have found.
The Health Secretary rightly said that our mission should be to stop the South African variant spreading. The community spread shows that border measures are failing to do that. He has set out no timetable for quarantine hotels today and, seven weeks after the variant was identified, it is still possible for people to travel home from South Africa and elsewhere, with no quarantine hotels, no quarantine taxis and no test on arrival, and go straight on to public transport in the UK. Why is that still allowed and how long is he going to allow it?
As the right hon. Lady knows, we have brought in very significant measures at the border to control the arrival of those from countries at risk, for instance, South Africa and other southern African nations, Brazil and nations around Brazil, and Portugal. The self-isolation requirements that she mentions are absolutely critical, but we are also of course looking at what further measures are necessary.
(5Â years, 7Â months ago)
Commons ChamberAs with all science, we are learning more but, as we do, we must continue to do all we can to protect this country.
It is right that new border restrictions are tougher. On 18 January, the UK temporarily closed all travel corridors and added a requirement for anyone coming to this country to have proof of a negative covid test taken in the 72 hours prior to departure. All travellers have had to complete a passenger locator form, which must be checked before they board and then self-isolate on arrival for 10 days. Our stay-at-home regulations are clear: it is illegal to leave home to travel abroad for leisure purposes. Going on holiday is not a valid reason for travel.
We have also banned all direct travel from over 30 countries where there is a risk of known variants, including southern Africa, South America and Portugal. This is a ban on entry for all arrivals, except British, Irish and third country nationals with resident rights in the UK, who have been in the travel ban countries in the past 10 days. But as the Prime Minister said on 27 January, we must not be afraid to go further if necessary, and on the 27th, my right hon. Friend the Home Secretary outlined the further steps that we have been compelled to take, and I will lay them out.
With regard to those entering the UK, first, the police have stepped up checks and are carrying out more physical checks at addresses to make sure that people are self-isolating. Secondly, we are continuing to refuse entry to non-UK residents from the countries already subject to the UK travel ban. Thirdly, we are introducing a new managed isolation process in hotels for those who cannot be refused entry, including those arriving home from countries where we have already imposed international travel bans. They will be required to isolate for 10 days, with very few exceptions and only where strictly necessary.
With regard to those travelling out of the UK, first, we have increased our enforcement of the existing rules, because people should be staying at home unless they have a valid reason to leave. We will introduce a requirement for people to declare their reason to travel, which will be checked by carriers prior to departure and again at the border. Secondly, we are increasing police presence at airports and ports, and those without a valid reason for travel will be turned around and sent home or face a fine. Thirdly, this week we are again reviewing the list of exemptions from isolation so that only the most important and exceptional reasons are included. I am clear that our approach must be firm but flexible, and not the one-size-fits-all approach advocated by the hon. Member for Torfaen.
The Minister referred to police checks. The data published last week showed that, when the police are doing these very minimal checks at the moment, if they find that nobody is home—so clearly nobody is self-isolating at that address—they take no further enforcement action at all. Does she not think that is crazy?
And that is why we are working as quickly as possible across Government and using everything at our disposal to ensure that we have an efficient method of ensuring that people are doing what the vast majority are doing. We not only have the police stepping up; we also have the isolation assurance service. The number of people sampled per day for calls is 1,500 out of those who arrive. We make a total of 3,000 IAS calls a day and send another 10,000 texts. These are repeated contacts with individuals, and it is a considerably different picture now from the one that may have been the case back in the middle of last summer. As I say, we have started, and this is a flexible, firm approach that can be stepped up and down.
The hon. Member for Torfaen spoke about a blanket ban across all countries and for all things, but actually, with regard to making sure we are safe, it must be firm and flexible so that we can ensure not only that we keep ourselves safe in this country but, as the pandemic takes its course, that we can respond appropriately. This blanket ban from all countries that he is talking about—
It is a pleasure to follow the hon. Member for Bexhill and Battle (Huw Merriman), a fellow Select Committee Chair, although I take a very different view from him, based on the evidence that the Home Affairs Committee has heard. This debate is urgent. We need to protect the vaccine programme from new variants, such as those from South Africa and Brazil. Ministers have rightly said that border measures are needed to stop the spread of those new variants, but with news today of the increase in the number of new South African variant cases in the UK, it is clear to us that those measures are not working. The Government have not done enough and we have not learned sufficient lessons from abroad and from the first wave. I urge Ministers to do more.
For a month after the South African variant was found, the only focus was on direct flights, even though our Committee report showed that direct flights were not an issue in the first wave—only 0.1% of cases came from China, but 62% came from France or Spain where there were no restrictions in place. Even now, people returning from high-risk countries are not tested on arrival, still do not have quarantine hotels to go to, and can still go straight onto the tube or train at Heathrow. The promised new plans from the Government still have big holes. The majority of travellers will not be covered by quarantine hotels and, again, they will not be tested on arrival, even though they could have been on long and crowded journeys since their last test several days ago. All the additional police checks in the world will not make a difference if, when the police find that there is nobody home, no further enforcement action is taken.
The UK got things badly wrong the first time round: barely any quarantine; no testing; and all restrictions inexplicably lifted on 13 March so thousands of covid cases were brought back into the country, accelerating the pace and scale of the pandemic. The countries that have controlled covid best—New Zealand, South Korea, Australia, Singapore, and Taiwan—are those that took early firm action at the borders to try to stop any covid cases at all. They are global trading nations, but they took early action and, as a result, kept schools, businesses and communities open and saved so many lives.
There are two ways that the Government could be learning from those countries now: extend quarantine hotels to cover far more travellers, as New Zealand and Australia did, or follow the South Korean approach, which combines additional testing on arrival with a mix of quarantine hotels and designated quarantine transport, much stronger checks on home quarantine, and no trips on public transport. South Korea has lost 1,400 people to covid; we have lost 100,000. If we had our time again in the first wave and had the chance to take much stronger border action to save lives and keep our communities open, we would have done so in a shot, so please let us learn those lessons now as we deal with the new variant.
I am sorry, I will not, because I am so short of time.
That is why we acted quickly to suspend all travel corridors following the surge in cases this winter; it is why we recently introduced pre-departure testing requirements, whereby passengers require a negative test before being allowed to travel to the UK, to further protect against imported cases; and it is why all international passengers arriving in the UK are required to complete a passenger locator form.
On enforcement, recent statistics show that enforcement action and the hard work of border officials has resulted in almost full compliance from those entering the country. Border Force has made 3 million spot checks, and it now aims to achieve 100% checks to tackle PLF and PDT non-compliance at the border, along with 100% covid compliance checks.
Will the Minister explain what he means by 100% compliance checks? Does he just mean people filled in the form, or does he mean they were actually checked to see whether they were self-isolating at home? If it is the latter, how does he explain the police figures from last week, which found a whole load of people who had been at home where no enforcement was taken?
The right hon. Lady misheard me. I said that Border Force is working towards achieving that 100% check.
However, there is no room for complacency. We have taken additional steps to limit new covid-19 strains entering the country through the use of travel bans. We have banned travel from southern Africa, Brazil, South America, Portugal and the United Arab Emirates. We will be stepping up police enforcement, making sure that only those who absolutely must travel are leaving the country and checking that those who return are complying with the rules.
We can be clear that we already have in place a system of great robustness, as was noted by my hon. Friends the Members for Morley and Outwood (Andrea Jenkyns), for Derbyshire Dales (Miss Dines), for Rushcliffe (Ruth Edwards) and for Milton Keynes North (Ben Everitt). That includes pre-departure testing, a passenger locator form with enhanced enforcement, and 10 days’ isolation—all assuming someone is not coming from one of the red list countries from which travel is banned, remembering that travel corridors are currently suspended.
In the time that I have remaining, let me deal with the main topic—why not a full travel ban? We have taken the robust but balanced approach that I referred to earlier. We have carefully considered all available options, including applying blanket restrictions, but they are not appropriate for our current situation. We are an island nation yet a global hub, and we are different from Australia and New Zealand, as my hon. Friend the Member for Bexhill and Battle, among others, noted. It is critical that we allow freight to keep moving, and at present 40% of it arrives in the belly of passenger planes. That is the food on our tables, the PPE in our hospitals, the online goods that people order, the supplies that people working at home use.
No one should be fooled that a blanket approach, as we are having urged upon us today, would work. We have to look at what it would achieve. We have only to look at the United States, which closed its borders entirely in the early stages of this crisis and now has one of the worst pandemic experiences in the world, to see how vain that hope could be. Nor is it clear, as the Chairman of the Transport Committee said and as New Zealand and Australia have seen, how borders, once closed, will ever open up again. I therefore disagree with the right hon. Member for Normanton, Pontefract and Castleford (Yvette Cooper) that we should follow that approach.
(5Â years, 8Â months ago)
Commons ChamberCases in the Wakefield district have gone up by over a third in a week. They are still lower at the moment than in November, when Pinderfields Hospital was pushed into crisis, but they are rising fast, and none of us wants to go through that crisis again. That is why measures are clearly needed, but this is a really difficult time for everyone. I want to thank the staff of Mid Yorkshire Hospitals NHS Trust, the NHS healthcare staff and the key workers working non-stop to get us through this difficult time, to whom we owe so much. The community hubs we set up in Normanton, Pontefract, Castleford and Knottingley, supported by Wakefield Council, are working hard again, with volunteers and neighbours helping each other, but we urgently need more support from Government for businesses and families, especially those excluded from economic support from the start.
We need rapid action to roll out the vaccine, and we need the programme to work. That is why I want to raise concerns about the potential threat to the vaccine programme from the new South African variant. Senior scientists have said that this may be less susceptible to the vaccines because of the additional mutations. I know the Government are worried about it, but I do not understand why they are not taking urgent action to prevent it from being brought into and spreading across the UK. Rightly, the Government have stopped direct flights from South Africa, but the first wave shows that that is not enough. Genomic evidence quoted in our Home Affairs Committee report in August showed that 34% of imported covid cases came into the UK from Spain and 29% came from France. Less than 1% came directly from China. So when the Prime Minister says that we have taken strong action by stopping direct flights, he is kidding himself. The South African variant has already been identified in France, Austria, Norway, Japan and Australia. Currently, our border checks are weak and not taken seriously. Travellers are not tested before or on arrival. Untested, they get public transport from the airport and pop into the shops to get milk before going home, and the checks on self-isolation arrangements are minimal.
The Financial Times says that the Government’s plans to introduce pre-travel testing have been delayed because the Department for Transport wants UK residents to be exempt. If true, that is ridiculous and dangerous, because covid does not discriminate, and we cannot afford delay. Other countries have strict rules including quarantine hotels, regular tests, airport testing, repeated testing and quarantine taxis with screens—look at New Zealand, Australia, Germany, Italy or South Korea. The UK has to get serious about this too. We failed to do that the first time round and, as a result, we face our third difficult lockdown. We cannot afford further waves of this virus. We have to make sure we do not make those mistakes again.