Smokefree England: Covid-19 and PHE Abolition

Rosie Winterton Excerpts

Thursday 12th November 2020 Commons Chamber

[Liz Twist (Blaydon) (Lab)]

May I start by congratulating my hon. Friend the Member for City of Durham (Mary Kelly Foy) on securing this debate and on her introductory speech? I am going to start in time-honoured speaking fashion by telling you, Minister, what I am going to ask you, and then elucidating on that—

[Madam Deputy Speaker (Dame Rosie Winterton)]

Order.

[Liz Twist]

Sorry. I will start by telling you, Madam Deputy Speaker, what I am going to be asking the Minister and then perhaps expanding on that. First of all, Minister, I will be asking you about the tobacco control plan, which my hon. Friend has already referred to. If we are going to achieve the smokefree by 2030 ambition, that needs to happen quickly, and I will be asking you what you can do—

[Madam Deputy Speaker]

Order. The hon. Lady really must refer to the Minister, because when she says “you”, she is talking to me.

[Liz Twist]

Sorry, Madam Deputy Speaker. I am getting carried away.

I will be asking the Minister what he will be doing to ensure that vital maternity safety programmes, such as the saving babies’ lives care bundle, can get back on track. I will be asking him what he will do to develop a national strategy for reducing rates of smoking in pregnancy among women from disadvantaged communities, learning the lessons from the areas where the greatest declines have been seen in smoking in pregnancy. I will be asking him how he will ensure that mental health trusts are required to implement National Institute for Health and Care Excellence guidance and that the Care Quality Commission is directed to assess that when it carries out its inspections. Finally, I will be asking him what steps he will take to ensure that smokers with mental health conditions receive evidence-based advice about switching from smoking to vaping.

I want to elaborate a little further on those issues. As a result of comprehensive action at national, regional and local levels, significant progress has been made over the years on bringing down smoking rates in England. The 2019 prevention Green Paper’s commitment to make England smokefree by 2030 was an appropriately ambitious and welcome commitment to continuing this important mission. However, a year on from the end of the Green Paper consultation, we have yet to see the Government’s response or their promised and much-needed further proposals, which would enable us to meet the 2030 ambition.

Despite our national progress, smoking remains the leading cause of preventable illness and death in England. Each year, smoking kills more people than obesity, alcohol, drug misuse, HIV and traffic accidents combined. Smoking is a particular challenge in my constituency of Blaydon, where 17.4% of adults smoke, compared with 15.3% across the north-east and 13.9% nationally. Smoking costs Blaydon £1.8 million every year, largely as a result of NHS treatment costs, lost productivity due to ill health and premature death caused by smoking. For communities such as Blaydon, achieving the smokefree 2030 ambition will be tough, but it remains essential for the health and wellbeing of our community. However, analysis by Cancer Research UK finds that on current trends, disadvantaged communities such as my own will not become smokefree until the mid-2040s. This rate of progress is not acceptable and not affordable for our most deprived communities.

The last tobacco control plan was two years late, as we have heard. It should have been published in 2015, and it was delivered in the summer of 2017 only because of the commitment of the then Health Minister, the hon. Member for Winchester (Steve Brine), who I am pleased to say has just joined us. The tobacco control plan that he introduced included the ambition for a smokefree generation, and now that the Government have committed to deliver this by 2030, the pressure is on. Our current tobacco control plan is set to run out in 2022, leaving an eight-year gap in which, according to Cancer Research UK, the rate of smoking prevalence decline must be 40% faster than our current trajectory if our nation is to meet the 2030 tobacco control plan commensurate with the scale of the ambition to be smokefree by 2030.

I shall turn now to the NHS long-term plan. The successful delivery of the plan is essential to the achievement of the smokefree 2030 ambition. The plan published in January last year sets out welcome commitments to tackle smoking in the NHS. By 2023-24, NHS-funded tobacco dependence treatment will be offered to all hospital in-patients who smoke; all pregnant smokers and their partners, too, if they smoke; and all long-term users of specialist mental health and learning disability services who smoke.

The evidence is clear of the benefits this will bring, both to smokers and to the NHS. Smokers are 36% more likely to be admitted to hospital and smoking is responsible for almost 500,000 admissions each year in England. One hospital patient in four is estimated to smoke. The increased demand that smoking places on NHS treatment capacity translates into an enormous financial burden. Each year, smoking costs the NHS around £2.6 billion, including avoidable secondary care costs estimated at £890 million a year. The cost in the north-east to the NHS is around £132.3 million a year, with smoking in Blaydon alone responsible for around £300,000 of that. Across the north-east, it is estimated that implementing the long-term plan commitments at just 40% coverage, as is aimed for by the end of 2021-22, would deliver net savings of nearly £12 million to the NHS in the north-east.

In the north-east, progress towards implementation of the long-term plan’s commitments on smoking is well under way. Treating tobacco dependency is one of two key priorities for the north-east and north Cumbria integrated care system population health and prevention work stream. To focus efforts across the region, a dedicated north-east Smokefree NHS/Treating Tobacco Dependency Task Force was established in 2017. The taskforce has provided strategic direction, developing regional resources and facilitating partnership working with all stakeholders, including NHS trusts, local authority tobacco commissioners, Public Health England and primary care.

As of April 2020, all NHS trusts in the north-east had achieved smokefree NHS status by implementing updated smokefree NHS policies and pathways to identify and treat smokers from admission, in line with national guidance. Across the north-east, trusts have established good links between hospitals and community stop-smoking services funded by local authorities to ensure treatment started in hospital is continued after patients leave hospital. Trusts are training staff to build capacity. They have also signed the NHS smokefree pledge as a clear and visible way to show commitment to helping smokers to quit and to providing smokefree environments.

Elsewhere, progress has not been so heartening, and it is clear that the funding and focus promised by the long-term plan are much needed. An audit of smoking cessation advice and services in NHS acute hospitals, published earlier this year by the British Thoracic Society, concluded that there is poor adherence to national standards and slow progress in identifying and treating smokers. In fact, in many cases the situation is worse than at the time of the last audit in 2016. One smoker in two is not asked whether they would like help to quit. Only one hospital in three has a hospital-funded smoking cessation practitioner, compared to one in two in 2016. Referral to hospital smoking cessation services is available in only four out of 10 hospitals. In 2016, the figure was more than half.

Progress on the long-term plan’s commitments has also not been immune from the impact of the covid-19 pandemic. Early implementation sites chosen to stress test the new tobacco dependency treatment pathways set out in the long-term plan were due to start in April, but this had to be delayed until last month. With winter approaching, and the risk of co-circulation of covid-19 and seasonal flu looming, there is a real risk that work to deliver the long-term plan’s commitments on smoking could be derailed. If we are to achieve the smokefree 2030 ambition, addressing smoking where contact with smokers is greatest is an opportunity that must not be missed

Let me turn to smoking in pregnancy. The Minister is as concerned as I am about this issue, on which there is too little progress. This needs to be a major focus of the next tobacco control plan. Ensuring that more pregnancies are smokefree not only protects the baby as it grows and reduces the risks of complications such as stillbirth and miscarriage; it also gives children the best start in life. NHS England has included addressing smoking as a key part of the initiative to reduce stillbirth and neonatal deaths through its saving babies’ lives care bundle, which is designed to encourage trusts to implement evidence-based measures to improve the safety of pregnancies. However, as with other aspects of NHS activity, this work has been undermined by the impact of covid-19, with a key aspect—carbon monoxide breath tests for all women—currently suspended. I understand that there are also reports from local authorities’ stop-smoking services that fewer pregnant women are being referred for them for support by maternity services. What will the Minister do to ensure that those vital maternity services get back on track as a matter of urgency?

Despite work in the NHS, progress has not been made anywhere near swiftly enough. There are big variations in the performance of different parts of the country. In a soon-to-be published analysis, Action on Smoking and Health finds that rates of smoking in pregnancy have increased in the past five years in a third of clinical commissioning groups, while declines have been seen in less than half, or 44%. It is therefore hardly surprising that the Government seem so unlikely to achieve their ambition of reducing rates to 6% by 2022. In the north-east, we continue to have some of the highest rates of smoking in pregnancy in the country. These are driven by high levels of disadvantage in the region, but, unlike in some regions where rates have even increased, rates in the north-east have fallen in the past five years, from 17% in 2016 to 15% in 2020. Progress has been driven by the regional tobacco programme in the north-east and by the work of NHS England, Public Health England and local government.

The Minister might be interested to hear that a recent analysis by The Times found that areas of the country that were likely to have seen big drops in rates of smoking in pregnancy were also more likely to have implemented financial incentive schemes to support pregnant women to quit. Evidence on the effectiveness of these schemes has been accumulating for many years; they have been shown to increase quit rates when implemented alongside evidence-based quit support. Such incentive schemes are in place in Greater Manchester and South Tyneside. Madam Deputy Speaker, I can see you looking at the clock, so I shall press on.

Covid-19

Rosie Winterton Excerpts

Wednesday 11th November 2020 Commons Chamber

[Joy Morrissey (Beaconsfield) (Con)]

May I offer my heartfelt condolences to the hon. Member for Kingston upon Hull West and Hessle (Emma Hardy)? There is nothing worse than losing a member of your family that you love, and the reason I am here today is to speak on behalf of a mother in my constituency who also lost someone very dear to her—her 21-year-old son, Jamie. Jamie represents a cohort that often falls through the cracks in care, not just during a pandemic but in everyday existence. It is the cohort of working-age disabled adults in long-term residential care.

Jamie’s mother battled for him from the day of his birth to ensure that he had the care and provision that he needed to succeed. She was a teacher, and she is a local community champion. During lockdown, she was denied access to her son. She was unable to visit him and watched in horror as his health and situation deteriorated day by day. He became catatonic, refused to eat, and developed open wounds and bed sores. It was not until lockdown ended that she was able to have access to her son, her only son, but by that point it was too late. Jamie had passed away the week before.

I had been unaware of the situation that Jamie was in, and I am speaking today to raise awareness so that other family members may have access and special visitation rights to a child who is in adult social care and who is struggling during the pandemic. I hope that my speaking about Jamie will help them to get that access and that we will remember to have humanity and compassion for those who are vulnerable and suffering during the pandemic. As a mother myself, I cannot imagine not being able to see my child. I know that many Members in this House have older children, and perhaps they will testify that parenting does not stop at 18 or at 21. You are a parent to your child forever, and to be unable to help and advocate for a child with complex disabilities who cannot speak for themselves is a tragedy. I am here to speak on Jamie’s behalf so that others will have a voice.

I am so grateful for the Government’s announcement that a vaccine is coming and that a mass roll-out of testing is being organised. That will go a long way to help the most vulnerable, but I want this very small cohort to be remembered. I want safeguarding measures to be put in place. As we go into the winter months, we must remember that this patient cohort needs additional support, care and patient advocacy, and that the parents need visitation rights so that they can speak on behalf of those who have no voice.

I would like to pay special tribute to the Minister for Care, my hon. Friend the Member for Faversham and Mid Kent (Helen Whately), for her work behind the scenes on this issue. She has spent a great deal of time helping and assisting, and she does not get the credit she deserves for trying to advocate for this patient cohort and raising the need for additional support. I thank her, and I thank the Minister here today for answering our questions during this debate. I would also ask that perhaps in future Ministers from other Departments could come to the House to respond to the covid-19 general debates, so that we can ask specific questions and tailor our debate perhaps towards education or the Treasury—

[Madam Deputy Speaker (Dame Rosie Winterton)]

Order. We need to move on.

--- Later in debate ---

[Matt Western (Warwick and Leamington) (Lab)]

I thank all those on the frontline at Warwick Hospital, University Hospital Coventry and Warwickshire and our care homes, as well as the police, our local council and those in our schools who have worked throughout this period. I thank all the volunteers for the extraordinary work that they have done in such extraordinary times. There has been such little respite for all of them; I commend and thank them all.

Regrettably, it is going to be impossible to address all the problems that we face in four minutes, but perhaps I could say that it would have helped greatly if the Government had been able to lead by example and been more consistent in some of their policies. For example—I have mentioned this previously—how was it that, for some reason, we could allow people to travel on an aeroplane for three and a half hours, sitting cheek by jowl, but we could not allow those same people to sit in a cinema or a theatre, on a train, a bus or elsewhere? How was it that garden centres were allowed to open, but car showrooms were not? Eventually that was agreed to, and I press again for it to be allowed now.

I will focus my comments on the impact of covid-19 on our social care sector. If I have time, I will also mention the self-employed and furlough. The public were forgiving at the outset for many months, but they are rapidly tiring, and the Government’s actions are having a profound impact on their tolerance of and compliance with the guidance. That guidance is not clear; it is inconsistent, and people are struggling to follow. We have tier for this and tiers for that—tiers for universities and tiers for different parts of the country. But it is as we enter winter with the prospect of not being able to visit loved ones in care homes that my constituents are desperate to see family members and demand urgent action.

In the first lockdown up to 12 June, almost 20,000 residents of care homes in England died with covid-19. In fact, 28,000 excess deaths were recorded in care homes in England during the same period. In Warwickshire, we saw more than 400 excess deaths, which is why I called for—and continue to call for—an inquiry. As Amnesty International concluded in its report in early October,

“a number of decisions and policies adopted by authorities at the national and local level in England increased care home residents’ risk of exposure to the virus…notably…Mass discharges from hospital into care homes of patients infected or possibly infected with Covid-19 and advice that ‘[n]egative tests are not required prior to transfers/admissions into the care home’.”

If Amnesty has time, I would very much welcome its representatives to Warwickshire in to help me get this inquiry, which is essential and should have been done through the summer to prepare us for this second wave.

The ongoing restrictions have meant that people continue to be unable to visit their loved ones. It is a fact that over half of care home residents die within 15 months of moving into a care home. Many residents have now spent more than eight months without any visits from family or friends, with huge consequences for their wellbeing. Many care homes in Warwick and Leamington have stopped all visits due to the second wave, so it is critical that the Government act urgently to enable family members to visit their loved ones.

A simple action would be to amend visitor status. Organisations such as the Alzheimer’s Society are urging for an acceleration of the pilot key worker status scheme to enable family members and carers with access to regular testing and PPE to visit safely and provide care that people with dementia so desperately need. After all, SAGE states that infection rates from visitors to care homes are very low, and if visitors had access to PPE, weekly testing and infection control training, the risk would be significantly lower still. We also need to be clear about discharges from hospitals into care homes—a process that led to a significant proportion of care home deaths in the first wave. If there is one thing that the Government could do, it would be to change the visitor status of family members so that they could see their loved ones over the coming months and allow them the dignity that they should be afforded.

[Madam Deputy Speaker (Dame Rosie Winterton)]

I want to try to get everybody in, so I will reduce the time limit to three minutes after the next speaker.

--- Later in debate ---

[James Sunderland (Bracknell) (Con)]

Broadly speaking, I recognise the hard truth that lockdown 2 was necessary to keep our NHS and emergency services from being overrun. Although I would have wanted to see the tier system endure a bit longer, I recognise that it took strong leadership from the Government to make the strong calls that they have done, and I commend them for that. It is also hugely welcome to hear the news of the vaccine developments, and I recognise the huge human cost that has been spoken about a great deal this evening.

I want to focus if I may on the economy. We are now past the point of no return with regard to the economy. If we choose to go back to the tiered system, it cannot come soon enough, given the lives and livelihoods put at risk by the restrictions. We need to see the UK open for business. Yes, we must take the virus seriously, but we cannot let it prevent us from living our lives. Therefore, if a new normal is necessary, we need to learn to live alongside the virus, not to hide from it.

There are certain areas that the Government would wish to focus on right now and it is really important that we do that. First of all, aviation is a particular concern to me. It concerns 330,000 jobs worth more than £28 billion. It is a desperate position for aviation.

The leisure industry has also been hit harder than most. Despite reports of very low infection rates at fitness centres and outdoor sports providers, not to mention the ever-growing body of evidence of mental health benefits, they are yet to be recognised as part of the solution rather than part of the problem. We have 600,000 signatures on a petition against gym closures, and I urge the Government to please look very closely at that.

Turning now to entertainment, although it is great to see elite sport back on TV, we cannot forget those grassroots sports providers—league 1 and league 2 clubs for example—and also the Football Association redundancies, plus the whole raft of sports all across the UK. Exhibitions employ 600,000 people. The UK currently exports £2 billion-worth of exhibition services every year. We are a top 10 global exporter, so we must put that right as soon as we can.

Lastly, I have a few words to say on my constituency of Bracknell, if I may. These points have come directly from my constituents via correspondence over the last couple of weeks. First, the infringement of civil liberties needs to be balanced against the need to restrict the spread of the virus, so I urge the Government please to perhaps look at that balance more carefully. Some 100,000 people currently make up the cancer backlog, and we must do some work there as well. On flu jabs, I believe there is a shortage of flu jabs. People are asking locally about getting flu jabs at local pharmacies and surgeries, and I again urge the Government to look at that. Finally, I would like to see a permanent Test and Trace site in Berkshire.

[Madam Deputy Speaker (Dame Rosie Winterton)]

The thing is that if everybody took two minutes, instead of three minutes, everybody would get in. I am not going to reduce the time limit officially, but if colleagues want to be considerate to each other, that would be my advice.

Covid-19

Rosie Winterton Excerpts

Monday 2nd November 2020 Commons Chamber

[Several hon. Members rose—]

[Madam Deputy Speaker (Dame Rosie Winterton)]

As I am sure colleagues can see, a large number of people wish to participate in this debate. We did not manage to get everybody in the last general debate, so I am imposing a time limit for Back Benchers that will start at five minutes.

--- Later in debate ---

[Sir Bernard Jenkin (Harwich and North Essex) (Con)]

If I may just respond to the hon. Member for Paisley and Renfrewshire North (Gavin Newlands), I do not feel that this House is ignoring Scotland; I feel that this House has voted for very large sums of extra money to be devoted to Scotland. But perhaps my Government need to be more mindful of the fact that these things can be so easily misconstrued in the heat of Scottish politics, and it is the responsibility of the Government to make sure that they are not so misconstrued.

This crisis was incredibly unexpected, even though it took months to arrive, and almost every western Government was extraordinarily ill-prepared for it. There have been unprecedented challenges, inevitable mistakes, much experimentation, much learning and much wasted, but much achieved. However, the politics of this country inevitably tends to revert to type, and we have seen a bit more of that in the House of Commons today with what we do best in here, which is to disagree with each other for the sake of disagreement. Somehow we have to try to rise above that in this crisis.

The opposition to these measures on the Government Benches reflects declining public confidence in the Government’s covid response, and it is public confidence that the Government should, above all else, strive to address. So what needs to be done to strengthen public confidence? We heard quite a lot about that in the speech by my right hon. Friend the Member for South West Surrey (Jeremy Hunt). A lot of it is about having a plan, explaining a plan, and giving people hope that there is a plan. The measures announced on Saturday are another reaction that has set the course for the next four weeks, but beyond that, the Government have not published any plan. I have been asking for some time for a plan called “Living with coronavirus”. There may be a single vaccine that gets us out in one go, but that is most unlikely to happen, so we will go on needing to manage the spread of the virus for many months and possibly even years. How are the Government going to do that? The Royal Society certainly does not expect an instant vaccine.

There are basically three choices facing this House. The first is to control the virus with more of these economically ruinous lockdowns. We all agree that that is not going to be acceptable, and we have heard frustration being expressed by some of my colleagues. The second is to expand the NHS to gargantuan proportions so that we can deal with as many people who get infected. We cannot afford to do that and we do not have the capacity to do it. The only solution is to try to manage the virus, perhaps with vaccines but certainly with Test and Trace. We have had six months to get Test and Trace to where it is. Let us celebrate the 500,000 tests a day and the huge organisation that has been established, but we should ask ourselves what needs to be done in order for us to have as effective testing and tracing as people have in Japan and in Korea. They had years practising in the aftermath of SARS—severe acute respiratory syndrome. We have had to achieve this very much more quickly, but that does not mean that we cannot adapt those experiences of very different societies to our own immediate future to make sure that we do a much better job.

We need to carry on improving the data. The fact that Test and Trace is divided among four different directorates in four different locations, and that the data directorate has had three directors general in the past five or six months, does not suggest that there is much continuity or co-ordination across Test and Trace.

We need to deliver a campaign to change behaviour on the street. This cannot be done from a spreadsheet in Whitehall. It cannot be done from remote call centres with unfamiliar telephone numbers. It can only be done with person-to-person human contact. Go and ask the Japanese how they are doing it. It is very analogue. It is very old-fashioned. There is an app— every country has an app—but an app is a tiny proportion of what people can achieve. People are not going to use an app if they think it just results in them being rung up by some stranger and told what to do. That is not working.

Above all, NHS Test and Trace needs a single command structure and a single plan. However localised the delivery is, and I am very much in favour of using local authorities—the local authority pilots that have been carried out already have proved very much more successful in contacting a much higher proportion of people—every local authority should be so funded. However, we need a central headquarters, preferably run by a military capability that can bring this together and win this together.

[Madam Deputy Speaker (Dame Rosie Winterton)]

Order. In order to get everybody in, after the next speaker I will need to reduce the time limit to four minutes, which is what was in place in the debate before the recess. Perhaps colleagues might like to tell the hon. Member for Wycombe (Mr Baker) when he returns that it will be four minutes for his speech.

Covid-19

Rosie Winterton Excerpts

Thursday 22nd October 2020 Commons Chamber

[Several hon. Members rose—]

[Madam Deputy Speaker (Dame Rosie Winterton)]

Order. Colleagues will see that there are many who wish to contribute to this debate. Therefore, I will impose an immediate five-minute time limit on Back-Bench contributions. I call the shadow Secretary of State.

--- Later in debate ---

[Anne McLaughlin]

I see that the Health Secretary agrees with me somewhat. Everybody on these islands is tired at the moment, but those making the tough decisions do not have the option to give in to the tiredness. I might not always agree with everything they are doing—I do not generally agree with most of what they do—but I understand that everybody is an expert these days.

Some of what the Government did in response to the pandemic was good. Furloughing was not just good; it was fantastic. I am not going to qualify that. These islands were not alone in having the idea, but it was a great idea. When I sat and watched the Chancellor’s initial response, I thought he was fast, flexible and responsive. I felt at that point that ideology had gone, that politics had been taken out of the situation and that the Government were simply doing what they could to support people as best they could. In fact, I remember thinking that when the Chancellor appeared on “Spitting Image” he would be wrapped in the red flag, so socialist were some of the furloughing policies.

We also heard about people slipping through the net. As everybody keeps saying, we are in unprecedented times. We had those Paymaster General calls every day, and much of what we reported was acted on initially. It was a terrible time, but it was a good time for politicians to work together in the interests of the four countries of these islands.

Not everything was acted on, however, and not everyone was supported. Some of those gaps were never filled. I want to mention two things in particular. First, my constituency has many wholesalers who chose not to furlough their staff because they wanted to play their part in responding to the pandemic. They wanted to ensure the flow of food and drink, particularly to hospitals. I know something was said in the statement earlier today, which I have not yet seen, but they have felt for a long time that they did not receive a response.

I wrote to the Chancellor to ask about that and I just want to say something about the responses I have been getting. The hon. Member for Blaenau Gwent (Nick Smith) made a point of order about this earlier. Some of the responses have no reference—when we put a reference, they do not include it when responding. One of the complaints made in the point of order was about a six-word response to a question. I got an eight-page response to something, but I have no idea what the question was because, as I said, it did not give a reference. In addition, it seemed to be eight pages of “Isn’t the Government great?” which is just not acceptable. I do not know why the replies are like this. I wonder if it is an attempt to stop us asking questions in the first place, because I am certainly giving up sometimes.

The people who have formed the campaign organisation ExcludedUK have not given up. I am part of the all-party parliamentary group on the ExcludedUK. They have been incredible, but they are in a really difficult position and I, too, would have been in their position had I not won my seat in December. I was self-employed but I had not been self-employed for long enough. I will not go into the details, but I know that if I were one of them right now, I would not be living in the home that I have lived in for 10 years. I do not know what would have happened to me, so I identify with them and want to keep supporting them.

It was really good that the Government added £1,000 a year to universal credit, although it had been cut to the extent that that simply brought it back up to 2011 levels. On the other hand, I did not expect a Conservative Government to do that, so I am glad that they did. However, they need to extend it and they need to add it to legacy benefits. I implore them to do that and to extend the furlough scheme. Whenever that is mentioned in this place, Government Members shout, “For how long can we do that? We can’t sustain it forever!” But it would not be forever, and even though we do not know exactly how long it would last, we can estimate and reasonably suppose that by next summer there will be some kind of normality, so why not extend it until then, if needs be? In the past few months, I have noticed some terrible situations with employers and I have many examples. I already gave some examples when I spoke in the debate on whistleblowers a while back, but I want to raise one situation today, because I am hoping that Government Members will do something about it. It is a very serious matter. The employer is the Government. Whoever took the decision that I am going to tell the House about should be ashamed of themselves.

There are three service centres in Glasgow for the DWP and the situation concerns people working in those service centres who do not have to do face-to-face. I am telling the House what is happening in Glasgow, but I am sure this will not just be the case in Glasgow; I imagine that it is widespread across these islands. Workers were on a work-from-home pilot scheme. Some teams were allowed to work four days a week at home and one day in the office. Others worked three weeks at home and one week in the office.

On 23 September, the Prime Minister and the First Minister both gave the instruction that anybody who could work from home should work from home. Naturally, those workers expected that they would be allowed to work from home full time, but they were refused permission to do that. Some of the workers, who are all kitted out at home, are having to bring their equipment into the office on that one day of the week or that one week of the month, despite what the Government were saying people should do. They were constantly being told that it was fine, it was safe and that there was no danger to them. Well, that was not what the Government were saying.

On the week ending 9 October, it was announced that two members of staff in that building had tested positive. On 12 October, another three members of staff were reported to have tested positive. On 15 October, a further two members of staff tested positive—seven cases in less than a week. On 19 October, Monday of this week, there was another case and on 20 October, Tuesday, there were another two. So that is 10.

I am sure that Members can understand the fears that those workers were experiencing, but I will tell them who did not understand—or maybe they did and just did not care. Last Friday, a senior manager at the DWP held a Skype meeting with the teams to reassure them that the office was safe and to remind them that the pilot could not be changed and there could be no flexibility, despite what the Prime Minister and the First Minister were telling employers to do. I understand that the tone was more threatening than reassuring. The senior manager warned that if workers continued to raise concerns the pilot might be cancelled and they would all be forced to work in the office full time. She “hoped” that that would not have to happen. That is workplace bullying and I hope the Secretary of State will raise it with the Secretary of State for Work and Pensions. I certainly will be raising it.

Yesterday, just to bring everyone up to date, staff were told that the pilot had been suspended. That is good in the short term, because all those who can work from home are now doing so full time, but there is no information and no answer to their questions about how this situation will progress. Given threats that speaking out might mean that the pilot is cancelled and everyone will be forced to work in the office, one can be forgiven for thinking that that is what is going to happen. So I just want to ask a few questions. Why, if they could work from home and are equipped to work from home, were they forced to work in the office? Of the 10 testing positive so far, how many were part of the work-from-home pilot? How can a Government agency be given permission to ignore the restrictions that everyone else is rightly following? Will management punish the “unruly dissenters” who complained about it by forcing them all to work in the office, as was suggested by the senior manager? Do the Government understand the message that the workers are getting, which is, “You don’t matter, you have no power”?

Well, not only do they have no power, but their MP seems to have no influence. My attempts to represent my constituents started on 4 October, when I had a meeting with DWP senior managers. I had just been made aware of the situation—the meeting was about something else—so I said I urgently needed to know who to contact to raise the issue on behalf of the employees. They got back to me yesterday, 21 October, after being prompted three times. I waited 17 days and their response was, “You might need to give us some more information.” If I cannot represent those employees as an MP and make any difference to their lives, and they cannot as workers, who else can?

Madam Deputy Speaker, you are looking at me like you want me to stop—[Interruption.] No? Oh, that’s excellent.

[Madam Deputy Speaker (Dame Rosie Winterton)]

I am sure the hon. Lady is aware that there are a great number of speakers, but I am quite happy for her to finish her remarks.

[Anne McLaughlin]

I have had less than half the time that the hon. Member for Leicester South (Jonathan Ashworth) had, but I thought his speech was great anyway.

I want to talk about some other people who have been prevented from working from home—namely, MPs. We can participate virtually in question sessions, and when it comes to voting we can nominate a proxy, but we cannot participate virtually in debates such as these. I heard the Leader of the House confirm this morning that the virtual Parliament would be extended to Easter, so we will be able to speak in question sessions and nominate a proxy vote, but we will not be able to take part in the debates that are the lifeblood of our democracy.

I was interested in the so-called reasoning behind that decision in response, this morning, to my hon. Friend the Member for Edinburgh East (Tommy Sheppard), who again questioned why MPs who cannot be here in person cannot participate in debates virtually. His microphone was muted and there was a 10-second gap while that was resolved. The Leader of the House then used that as a justification for not allowing virtual debates, but he had just said that it was fine to participate virtually in question sessions. The question session that they were taking part in had a glitch of 10 seconds, but the question got asked and it got answered, and the roof did not cave in and nobody came to any harm. No catastrophe would fall upon us if there were such a glitch in a debate like this, so why does this place, which many like to think of as the mother of all Parliaments and a great bastion of democracy, silence the voices of MPs who, through no fault of their own, cannot be here in person? Worse, why does it silence the voices of their constituents?

Madam Deputy Speaker, I will stop there, even though I have a good eight minutes more, because I know lots of people want to get in.

[Madam Deputy Speaker (Dame Rosie Winterton)]

I am very grateful to the hon. Lady for being so understanding. I am going to reduce the time limit to four minutes, but Members will need to brace themselves for the fact that not everyone will get in. However, there is a whole day’s debate on covid-19 on Monday 2 November, the day we come back from recess.

Covid-19 Update

Rosie Winterton Excerpts

Programme motion
Monday 19th October 2020 Commons Chamber

[Matt Hancock]

The tier 3 restrictions are put in place when the local NHS is at risk of being overwhelmed. We will not keep people in restrictions for one moment longer than we need to. Nobody wants to have the restrictions in place. They are there for a reason and that reason is clearly set out, which, as my hon. Friend said, is to save lives with the minimum negative impact while protecting the economy and education, and supporting the NHS as much as possible. That is the strategy and I think it has very widespread support both in this House and among the public. The measures we put in place to deliver that have been put in place with the deepest reluctance. The single best thing that you, Madam Deputy Speaker, my hon. Friend or anybody in this country can do is abide by the rules and be cautious about social interaction—hands, face, space. That way, we can all help to restrict the spread of the virus and get it under control while we support our scientists to come forward with the innovations that will eventually get us out of all this.

[Madam Deputy Speaker (Dame Rosie Winterton)]

Order. There will be a suspension of some minutes to allow safe exit and entry.

Public Health: Coronavirus Regulations

Rosie Winterton Excerpts

Tuesday 13th October 2020 Commons Chamber

[Richard Drax (South Dorset) (Con)]

It is a pleasure to be called in this debate, Madam Deputy Speaker, and to see the Minister for Health on the Front Bench—I have huge respect for him. This issue is one of national interest, is it not? This is not about party politics; it is about what we as individual MPs think is best for our country. MPs such as me, who disagree with the Government to a large extent, are not heretics. We do not want to “let it rip” and we do not want to see the elderly die; we are just trying to gauge as best as we can what is best for our country. Just because one or two, or a few, of us disagree with the Government, it does not mean to say that we are violently opposed to what they are doing. We have huge sympathy for them, as we have never been here before. But I ask myself every morning, and I have asked doctors and professionals this: if we locked down the whole country again for two, three or four months and covid almost disappeared, what would happen when the door opened and we all came out again? That little virus would be there, saying, “Hello, I’m back” and it would infect us all again, because it is a pandemic.

This virus is not going to go away. Two days ago, I spoke to a professor who is working hard on a vaccine at a Southampton hospital and he was optimistic that a vaccine could be found. That is great news, but all vaccines come with a health warning—they do not necessarily do the job, as we have seen in the past. Flu is still here. People who get the vaccine still get the flu. Flu mutates and new vaccines have to be produced. So even if we get a covid vaccine—it would be good news and I would, of course, welcome it—the pandemic will still be here.

Is all this worth shutting down the country for? My hon. Friend the Member for Peterborough (Paul Bristow) does not want to be in tier 2, but all tiers are, in effect, shutting down the economy in local areas, to a lesser or greater extent. As a country, we are paying a terrible, terrible price, economically, socially, mentally, financially and in health terms. Millions of our constituents are suffering in unimaginable ways. I will end by talking about my parents, who, sadly, have passed away. I know for certain that were they alive now, they would say, “Richard, get out there. Get the country going again. Protect those like us as best as you can, but for God’s sake get the country back on its feet.”

[Madam Deputy Speaker (Dame Rosie Winterton)]

With one minute, I call Dehenna Davison.

Public Health

Rosie Winterton Excerpts

Wednesday 7th October 2020 Commons Chamber

[Helen Whately]

I am just wrapping up, and I have taken many interventions. I am very sorry, but I am not going to take a further intervention at this point, as there are people waiting to speak.

I particularly thank people in the protected area in the north of England, who are restricting social contact and forgoing many of the things that make life worth living. In so doing, they are playing their part in supressing the virus and protecting those whose lives are at risk.

[Madam Deputy Speaker (Dame Rosie Winterton)]

Colleagues will be aware that this is an extremely short debate. To have any chance of getting everyone in—the Minister can come back at the end to respond to points that have been made—I will impose a three-minute time limit on Back-Bench speeches.

--- Later in debate ---

[Mr Harper]

Yes, I do. We can see from the footnote to the regulations that we are debating that the two sets of regulations that they refer to have been amended 18 times. I have to confess that I find them difficult to follow. A resident of any of the areas in question cannot just go to the Government website and pop their postcode in—[Interruption.] The House is going to be asked to take a view on these regulations today, and I have taken the trouble to look at them and research them so that I can take a properly considered view on them. I am also concerned that the Government should make the right decisions based on evidence. We hear stories to the effect that these restrictions may be put in place in other parts of the country, and it is important that we get it right. Let me conclude my remarks, and I will sit down.

The Government need to think about living with this virus for a considerable period and having a sustainable set of restrictions. I do not think that there are just two choices. As I said to the Minister yesterday, I do not think it is helpful if every time somebody asks a question or sets out an alternative, they are accused of wanting to let the virus rip and let thousands of people die. I think that point was well made, because she did not refer to it again in her closing remarks. However, on a webinar with the CBI this morning, I heard the Secretary of State again set out that choice, which I think is a false choice.

I do think that there is a “third way”, to quote the phrase that has been used today. I think it is a more sustainable one, which would be better for the country and more successful. If the Government were to adopt that approach, I think the whole House and the whole country could get behind the plan. We could unite to live with this virus in a way that people would find meaningful and sustainable. I hope that the Government will reflect on that and bring forward such a plan at the earliest opportunity.

[Madam Deputy Speaker (Dame Rosie Winterton)]

Order. I urge colleagues to be considerate of each other. Not everybody is going to get in on this debate, and if people have spoken once, it is quite important to remember that interventions are going to prevent others from speaking. I therefore urge people not to take interventions.

--- Later in debate ---

[Mr Richard Holden (North West Durham) (Con)]

I agree with quite a lot of what the hon. Member for Easington (Grahame Morris) has just said, and also what my hon. Friend the Member for Bishop Auckland (Dehenna Davison) said.

We all understand that localised restrictions are better than national ones, especially when there are particular spikes in local areas, but there are variations within our communities as well. Weardale in my constituency has far fewer cases than much of the rest of my constituency, so it would be great to see some really localised data and some really localised regulations. I understand that the Government have to respond to local authorities and have worked with them, and they have listened to Members when we have raised some issues. I thank the Minister and the Secretary of State for responding to the childcare issue that we raised recently.

More broadly, people in my constituency are concerned about three overarching things. First, the clarity of the schemes—how areas are put into them and how they get out. People really want to know the path forward, because currently that is really worrying people, and particularly local businesses in the hospitality sector.

Secondly, on the 10 pm curfew, my local pubs, clubs and restaurants really benefited from the eat out to help out scheme, but they are now really worried about what we are going to do going forward. We need to understand why the 10 pm curfew is in place—people need to hear what the Government are saying and the evidence behind it.

Thirdly, on test and trace, we have seen a huge increase in testing in the UK, but recently there has been a problem with speed of response, which has led to more concern locally. We really need some answers from the Government on how we are moving forward on that.

I shall conclude quickly, because lots of other Members want to speak. The Government really need to explain and justify the things that are being put forward, as my hon. Friend the Member for Crewe and Nantwich (Dr Mullan) said. Only by doing so will we maintain the consent of the people to impose measures. I agree with my hon. Friend the Member for Bishop Auckland that, with our local businesses facing real local impacts after being locked down once, and now facing restrictions again, they really need the Government to come forward with a clear message and some clear support.

[Madam Deputy Speaker (Dame Rosie Winterton)]

Order. I want to bring the Minister in at the end for at least five minutes. We can get everybody in if people think about each other. If people take, say, two and a half minutes, we can get everybody in. I am sure Margaret Greenwood will lead the way.

Public Health

Rosie Winterton Excerpts

Tuesday 6th October 2020 Commons Chamber

[Helen Whately]

I am sorry but I was closing my speech, not taking an intervention. That was the end of my speech. [Interruption.]

[Madam Deputy Speaker (Dame Rosie Winterton)]

Order. The Minister has completed her speech. She is due to come back at the end of the debate, although hon. and right hon. Members who wish to speak must bear that in mind if they wish her to speak again, because this is just a 90-minute debate.

Covid-19 Update

Rosie Winterton Excerpts

Thursday 17th September 2020 Commons Chamber

[Several hon. Members rose—]

[Madam Deputy Speaker (Dame Rosie Winterton)]

I do want to be able to get everybody in, so I urge colleagues to make the questions fairly brief and, correspondingly, the answers.

[Munira Wilson (Twickenham) (LD)]

While there are some welcome announcements in this statement, I am utterly astounded that there is only one reference to coronavirus testing when we see cases rising across the country, a system in meltdown, people unable to access tests, and turnaround times down. If the Secretary of State does not believe us, perhaps he should read his own constituency inbox. Will he finally admit that the system is broken and we risk losing control of the virus? Will he issue a public apology?

--- Later in debate ---

[Matt Hancock]

I pay tribute to the hon. Lady, because in Kirklees it has been difficult in the last few weeks. Unfortunately, we are seeing continued cases in Kirklees. Last week, my right hon. Friend the Chief Secretary to the Treasury announced further support for businesses. She rightly argues for that in Batley and Spen, and I will see what I can do to further that.

[Madam Deputy Speaker (Dame Rosie Winterton)]

I want to re-emphasise that we need brief questions, because we have two very well subscribed debates this afternoon on coronavirus support and it is important that we get to those fairly promptly.

[Tracey Crouch (Chatham and Aylesford) (Con) [V]]

Over the past few days, I and Kent colleagues have received a significant increase in the number of inquiries from constituents regarding testing arrangements in the county, which are leaving many frustrated by the online booking system and, ultimately, unable to arrange a test nearby. What steps is the Department taking to scale up testing and lab capacity in Kent, and could consideration be given to a more accessible and localised system to ensure that those in genuine need of a test are able to arrange one as close to their home as possible?

--- Later in debate ---

[Matt Hancock]

Further to that point of order, Madam Deputy Speaker. I am very happy to look at any evidence that is presented, but I did look into this issue when it was raised on Tuesday. If someone does as the hon. Lady suggests and then goes to a testing site that is not the one they booked into, an alarm comes up on the screen to say that the person is booked into the wrong testing centre, so there is a process in place to tackle the problem that she has mentioned. I am very happy to look at any evidence to solve any problems in the system, but I have looked into this one, and I am assured that that is the case.

[Madam Deputy Speaker (Dame Rosie Winterton)]

I thank the hon. Lady for her point of order, and I thank the Secretary of State for responding to it. I suggest that if the hon. Lady still wishes to send the emails to the Secretary of State, perhaps she should do so. It feels as though we can perhaps get to the bottom of this if we do it that way. There will now be a three-minute suspension.

Health and Social Care Workers: Recognition and Reward

Rosie Winterton Excerpts

Thursday 25th June 2020 Commons Chamber

[Nick Fletcher (Don Valley) (Con)]

We have clapped and we have clapped. In fact, the country clapped week in, week out for eight weeks, and we all embraced it—so much so that, when we did not, we missed it. There is no taking away from the fact that this pandemic has been tragic for many people, and to those who have lost loved ones, what can we say? Our heart goes out to you. There is really nothing worse. For those who have lost their jobs, it is tough. I have lost mine before, and I know it is tough and how hard that can be.

The clapping—yes, the clapping—became to many a symbol of a country coming together and of thanking the ones on the frontline. They are the ones who, in effect, were coming out of the trenches every day to save people who had caught this terrible virus. I can only imagine how it would have felt for myself or my wife going to work and knowing that one of us would be coming into contact with this deadly disease, which could be taken home. Even worse would be knowing that I would, at some point in the day, see someone die, and such deaths would be reported on the news each night. Some might say, “Well, that’s what nursing is about.” Some might say, “You must get used to it.” Some might say, “It’s just another day.” Some might, but I will not: I was not there, so how can I? What I can say is that I am glad that they were there for us. Thanks to this Government, the efforts of the frontline staff and our national effort, we are coming through this. There is light at the end of the tunnel. In fact, it is within touching distance—so much so that we can now start to reflect on what we have all been through.

This motion comes after several petitions calling for us to recognise and reward our health and social care workers. When I last counted, 200,000 people, including 245 of my own constituents, had signed one of these petitions calling for our frontline staff to receive the recognition they deserve. I keep saying “frontline staff” because I think that many thanks should go to the doctors, carers, nurses, porters, cleaners and everyone else who makes up the frontline in our NHS and social care sector—those who, when many in the country were furloughed and spending time with their families, were putting themselves at risk and missing time with their loved ones. For many in these frontline jobs, Easter was cancelled, and many have worked back-to-back shifts.

We must remember that we may not all end up in hospital during our lives, but there is a good chance that we may spend some time in a nursing home, so carers there, who are pretty much all on the frontline, need recognition too. Some of them really went the extra mile, as they never went home at all to keep the virus away from their residents. Every night the Government have taken time to stand in front of the nation and tell us where we are with this virus, but they have never given us the figures for the people our carers have put back on the road to recovery. This is difficult with care homes—

[Madam Deputy Speaker (Dame Rosie Winterton)]

Order.