(3 years, 8 months ago)
Commons ChamberI agree with my hon. Friend that a combination of mass testing, vaccinations and tough enforcement is not only right to deal with this virus but, as he says, fair for people who are doing the right thing. This virus attacks us all as humans. It does not treat people differently just because they are better off and might be able to fly to Dubai for the weekend; it treats us all the same, so we should treat people the same. That is one of the reasons why it is important to bring these measures in with strong enforcement, so that they are both tough and fair on people who are working so hard and sacrificing so much to follow the rules.
I simply do not understand the logic being used for the red list. Countries where dangerous variants are present are not included, and multiple back doors are left open. Over the past few days, I have watched passenger flights, including a flight from Peru—on the red list—that is currently en route to the Netherlands, which is not on the red list but has substantial connections to the UK, and flights from southern African red-list countries en route to hubs in Addis Ababa, Nairobi and so on, which again have substantial onward connections to the UK but are not on the red list. We have even heard about UK troops in Kenya testing positive for covid today. Will the Secretary of State publish the epidemiological data that is being used to take decisions about which countries are included, and urgently review some of the very serious inconsistencies?
(3 years, 9 months ago)
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Yes, we are going to have a mass vaccination centre in Peterborough, alongside all the work that the GPs are doing, and we hope that it will be open next week. I want to thank the NHS in Peterborough for the work that it is doing and for getting this going.
I praise again the work of Cardiff and Vale University health board for its vaccine roll-out. Yesterday it delivered 10 times the number of vaccines in one day that it did on its first day of delivery of the programme; it is doing an incredible job. The Secretary of State rightly said that supply was the limiting factor, and this morning we heard that the Wockhardt factory in north Wales had been affected by flooding. Can he confirm whether any supplies have been damaged or affected? We have also heard that the Serum Institute of India factory has been affected by fire this morning. What is the Secretary of State doing to ensure that we have more manufacturing capacity and more fill and finish capacity, and that we have a back-up in case something goes wrong, which would be devastating for the supply of this critical vaccine?
(3 years, 9 months ago)
Commons ChamberI will come on precisely to my hon. Friend’s point, because that is a critical question that I know people are rightly asking: if we are going to have these restrictions, how do we get out of them and, frankly, how do we get out of all the restrictions that we have had to put in place?
The Secretary of State mentions the vaccine as one of the crucial routes out of this, and I pay absolute tribute to all the incredible scientists and NHS staff who are preparing to deliver it. However, one of the things my constituents are asking me is how we can be sure that the production of the vaccine will meet the ambitions the Prime Minister and others have set out and that we are building the types of facility we need to continue to ramp up production to the highest levels we can. Can the Secretary of State explain what is going on, because I was concerned to hear about the factory in Wales that is not operating seven days a week? Why is that? Is it because it is not getting enough supply into its system?
(3 years, 10 months ago)
Commons ChamberYes, of course; absolutely. I am delighted that we are now vaccinating from over 100 different community settings, as well as 70 hospitals across the UK. It is a tribute to the whole vaccine roll-out team, who have done a magnificent job over the last—I was going to say over the last week that the vaccine has been rolling out, but it has been weeks and weeks in the planning before then. I would say to residents in Melton and Rutland that we will look at Leicester, Leicestershire and Rutland separately when we make the decision on tiering on Wednesday. Those in Rutland who are in tier 2 still need to work at it and do their bit to try to keep Rutland in tier 2, and, of course, hopefully get to tier 1. It is so important that everybody does their bit.
The Secretary of State has rightly set out the very stark picture today—not only of the variant, but of the growing pressures, including the pressures that are likely to be placed on our NHS at this critical time. Will he therefore agree, particularly given the crucial supply chains for the vaccine, for PPE and for the 40 million packages of medicine that go back and forth between ourselves and the EU every month, that the talks must continue and we must not end up in a no-deal outcome, which would be absolutely devastating at the most critical time for our NHS and our country?
The Prime Minister is working hard to see if we can achieve a deal. I hope that there is movement from the European Union so that we can achieve that, but we are ready for any outcome.
(3 years, 11 months ago)
Commons ChamberYes, absolutely. We will follow a clinical prioritisation according to need. That starts with those who are resident in care homes and their carers, the over-80s and NHS staff, and then essentially comes down the age range, including those who are clinically extremely vulnerable. Through the experience of the past 10 months, we know, sadly, who is most likely to die of covid, and they are the people we will try to get to first.
This is hugely welcome news. As well as paying tribute to the scientists, I pay tribute to all the teams in our local health boards who are preparing to deliver the vaccine—particularly Fiona Kinghorn and her team at Cardiff and Vale University Health Board—and the armed forces who have been involved in the process. They have done an absolutely incredible job over the past few weeks to be ready for delivery.
The Secretary of State said, crucially, that this is a UK-wide effort; will he give a cast-iron guarantee that not only this tranche of vaccines but future tranches will be available on a completely equitable basis throughout the United Kingdom, so that we can bear down on this virus in every part of our country?
Yes, I can give that assurance. I join the hon. Gentleman in thanking the volunteers, whom I should have thanked in response to an earlier question, and also thank in advance everybody in the NHS who is going to be involved in this roll-out. It is going to be a mammoth effort—people are going to be working really hard this winter, when people already work hard during winter in the NHS—and I am sure that the whole House is very grateful to them.
(3 years, 11 months ago)
Commons ChamberI was immediately going to turn to say that despite the successes, there is further to go and we would all agree on that. We need to follow the evidence of what works and, crucially, we need to work together. I know that the Home Secretary has been working with the Administration in Scotland on the approach to be taken. The attitude that we should have is that every new case of HIV is one case too many.
That brings me to the commitment that we were able to make two years ago. At the suggestion of my hon. Friend the Member for Winchester, I announced the commitment to ending new HIV transmissions by 2030. I remember being told at the time that this was an ambitious target, but I know that we can get there. This year, we have been making PrEP routinely available across England to those who need it, and have backed that with funding for local authorities. None the less, it is really this report from the HIV Commission that shows us the way. I want to thank all those who have been involved: the Terrence Higgins Trust, of course; the National AIDS Trust; the Elton John AIDS Foundation; Public Health England; and work across the devolved Administrations. I also take this opportunity to thank Sir Elton for his exceptional personal advocacy for people living with HIV and the sterling work that he has done to raise money for HIV prevention and treatment across the world, and to thank all those who have played their part in getting us to where we are.
Let me turn now to the work of the commission itself. I know that colleagues across the House have played an active role in it. The report that the commission has published today makes many important recommendations for how we can progress on our path to zero. I pay tribute to all the commissioners for their hard work and thank each and every one of them. I wish to put on record my thanks and praise for Dame Inga Beale for her expert leadership.
My hon. Friend set out the core recommendations, which include the interim milestone of an 80% reduction in new HIV transmissions by 2025, early diagnosis at the core of the approach we should take and the default assumption of test, test, test—that sounds familiar, and we know that it works—as well, of course, as the expansion of testing.
The reason I wanted to come to the House personally tonight was so I could say this: we will use the excellent report of the HIV Commission as the basis of our upcoming HIV action plan, which I commit to publishing next year. I want that to be as early next year as is feasible to ensure that the work is high-quality, can be delivered and can set us fair on a credible path to zero new transmissions in 2030. I look forward to working with Members from all parts of the House in making that happen.
May I, on behalf of the all-party group, thank the Secretary of State for that commitment, which is absolutely crucial? I know it will be welcomed by me and my predecessor, who cannot speak here. Will the Secretary of State also commit to doing all we can as a country, working with his colleagues at the Foreign, Commonwealth and Development Office and elsewhere, not only to ensure that our commitments globally are met in the UN Global Fund, but also to support the world-beating research that goes on in places such as the international AIDS vaccine initiative at Imperial College, which is leading the way towards treatments and vaccines not only for HIV but for so many other infectious diseases, including covid?
The cross-party nature of the support for this work could not be better demonstrated than by the fact that when our colleague from the Scottish National party, the hon. Member for Glasgow Central (Alison Thewliss) intervened, she anticipated my very next sentence, and so has the hon. Gentleman. I wanted immediately to turn to the global matters, because no one is safe until everyone is safe. If we have learned anything this year, we have learned that. We also need to work on shared solutions together and across the world, and we as a country will lean into the global efforts to tackle HIV and AIDS, as we have done under Governments of all persuasions over the past three and a half decades.
(3 years, 12 months ago)
Commons ChamberThe covid vaccine taskforce is about the procurement of the vaccines. That is a matter for the Department for Business, Energy and Industrial Strategy. The Department has put out a statement and made clear the circumstances around that conference. What I would say is that I am very happy to answer any questions on vaccines. As the hon. Member says, we have procured a number of vaccines. We have procured six in total, two of which are the two leading vaccines in the world. The taskforce has done an excellent job of making sure that we have one of the strongest procurement pipelines for vaccines in the world.
While we are still on the subject of vaccines and the Secretary of State is answering questions, the biography of Kate Bingham on her own website on SV Health Investors says that she is in fact leaving the taskforce at the end of 2020. Who is replacing her and what confidentiality agreements will she be asked to sign on her return to an entirely profit-making business?
It was a fixed-term appointment in order to do that vital work, and was always due to come to a close. This comes back to the old thing that we have across these Dispatch Boxes: on the Government side of the House, we want to harness the capabilities of everybody; on the Opposition side of the House, unless a person is in the public sector, they do not seem to get the credit. I think we should welcome everybody who is willing to put their shoulder to the wheel to drive the action that is necessary to improve this country’s response.
(4 years ago)
Commons ChamberAs well as the expansion of testing that my hon. Friend mentions, I can tell him that we are expanding NHS testing capacity within Stoke, and we are putting in the extra funding to deliver that. This man stands up for Stoke so strongly, and he has been making the case clearly and powerfully, so I am glad to be able to tell him that we can do that.
Vaccines have come up a number of times during the statement today. Will the Secretary of State be absolutely clear: are there shortages and recalls of flu vaccine going on at the moment? I have certainly been told by a major pharmacy company that there are, and the Royal College of General Practitioners wrote to me yesterday mentioning delays of one month. He did not answer the question from the Chair of the Health Committee. Kate Bingham was very clear that vaccinating the whole population was just not going to happen. Was she correct to say that?
On the latter point, we take our advice from the Joint Committee on Vaccination and Immunisation, and it will provide the clinical advice. That clinical advice has not been provided yet, because the data has not yet been provided to it in full from the trials that are ongoing. I could not be clearer about that. The Government’s advice on the distribution of the vaccine for clinical purposes comes from the JCVI, and I urge the hon. Gentleman and all others to read its report from 10 days ago. It was an excellent report.
When it comes to the flu vaccine, we have enough to vaccinate every single person who is in a priority group over the age of 65, those who are clinically vulnerable and the children who are eligible for it. We are rolling that out over the forthcoming months. On Sunday, I spoke to the president of the Royal College of GPs, and we discussed the need to make it clear to GPs and pharmacists—they are at the core of the roll-out—and also to the general public that we have enough vaccine. We are rolling it out over the months to come. It is very important that people come forward, and I am really glad they are doing so in record numbers this year, but it does take several weeks to get that done.
(4 years, 3 months ago)
Commons ChamberUrgent 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.
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I am very happy to work with my Welsh colleagues on how it is possible to open pubs and hospitality in a covid-secure and safe way. Wales has a great tradition of great pubs. I very much hope that they can be open as soon as the Welsh Government make their decision.
I remind the Secretary of State about another virus: HIV. As chair of the all-party group on HIV/AIDS, I met colleagues from across both Houses this morning to hear about the impact of the covid-19 crisis on people with HIV in terms of mental health, access to treatment and many other issues, including the disproportionate impact on black, Asian and minority ethnic communities. Will the Health Secretary say what he has been doing specifically to support people with HIV? Will one of his Ministers meet the group to listen to our specific concerns?
Yes, this is an incredibly important issue. Our goal as a country to reach no HIV transmissions by 2030 stands unaffected by covid. It is a vital objective, and there is a huge amount of support and effort behind that goal. Access to treatment has, of course, been made more challenging. We talk about the epidemic and think about it as being the biggest since the Spanish flu, but it is not. The biggest epidemic before this one was the HIV epidemic, which we are still working to rid the world of. I have every hope that in our lifetimes we will get there. We will play our part.
(4 years, 7 months ago)
Commons ChamberWe have done more testing than most countries. There are some countries that are ahead of us, and we are racing to catch up. We have tested far more than, say, France or America, but not as much as Italy. It is something that we are putting a huge amount of effort into. I understand the pressure my right hon. Friend rightly puts on me to expand testing capability. We are increasingly using private companies to do the testing—to expand their production and execution of the tests—rather than just doing it in the brilliant public health labs we have at Porton Down and around the NHS.
I commend what the Secretary of State said about working with the devolved Administrations to get the measures in the Bill right. It is crucial that many of these measures are UK-wide; I realise that these are unusual times. There is a specific power in schedule 21 to limit entry to premises and, if necessary, to close them down, which applies to all four Administrations. Can he be clear about whether that will apply to care homes? I have heard a lot of concern from constituents who are worried that some care homes still are not restricting entry to individuals and are therefore putting elderly residents at risk. There is real demand for this to be unified across the country to protect elderly residents.
We have other ways to enforce that with care homes, not least contractually through local authorities. I understand the hon. Gentleman’s concern; people in care homes need to be protected, and many of them shielded, from the virus, because many of the most vulnerable people are in care homes. I will take away the point and look at whether more needs to be done, but we do have other powers available to deliver on what he and I—I think—agree is needed.
Clearly, these are issues of the highest sensitivity. It is important that we take those measures in case they are needed in the circumstances where staff numbers available are low, to make sure we can get the support needed as appropriate and make the interventions that are sometimes difficult to make. For instance, it can be, in some circumstances, far worse not to detain somebody under the Mental Health Act where they are a danger to themselves or others. If there is not the availability of a second doctor, because of staff shortages due to the virus, then I think that is appropriate, but the safeguards are an important part of getting this right and an important part of why this is time limited.
I thank the Secretary of State for giving way. He is being incredibly generous. Clause 23 talks about food supply chains, which are absolutely crucial. He will have seen that many supermarkets are taking on additional workers to meet demand. Can he provide an answer on this point or get one from the Treasury? I have heard from many people who are thinking of applying for those jobs, perhaps to make up loss of income. If they are covered by the 80% wage subsidy, are they able to take on extra work or will they lose the 80% wage subsidy from their existing job? May we have urgent clarity on that point, because it could be deterring people from taking up those important jobs in our supermarkets and supply chains?
(4 years, 7 months ago)
Commons ChamberWe are distributing personal protective equipment across the NHS from the stockpiles and supplies that we have in place for this purpose, but we are also seeking to enhance the production of these items because it is clear that we are going to need a lot.
Many pharmacies across the country refuse to take prescription requests over the phone. Will the Health Secretary explain what he is doing, with the other Health Ministers across the UK, to ensure that people can access prescriptions over the phone or electronically that are then transmitted directly to pharmacies, and to relax restrictions on the supply of medicines—for example, so that people can get a three-month prescription, rather than a month?
The hon. Member is quite right to raise this point. In England, where I am responsible for these matters, we are addressing all these points. I am sure that the devolved nations are looking at them too.
(4 years, 7 months ago)
Commons ChamberI hope that the decision to keep Parliament open makes it clear that the institutions that are fundamental to our way of life in this country will continue through this virus. We will get through it as a nation, and then we will take this nation forward. This is going to be a difficult and challenging time for many, many people. It will be a national effort, but that national effort will prevail, and we will get through.
I was pleased to hear what the Secretary of State had to say about the involvement of the devolved Administrations, including the Welsh Government, in the legislation that has been drawn up. It would be useful to have the clarification on funding that my hon. Friend the Member for Rhondda (Chris Bryant) asked about. However, can I ask about mutual aid between the four NHSs of the UK? For example, the Secretary of State talked about procuring ventilators. Is that being done on a UK-wide basis with the four NHSs, or are they competing against each other? What will be done in terms of cross-border needs—for example, Welsh patients travelling to English hospitals or vice versa—where the need is greatest?
(5 years, 12 months ago)
Commons ChamberThere is lots that we can agree on in this strategy but, as chair of the all-party parliamentary group on HIV and AIDS, I am genuinely disappointed to see that there is no mention of sexual health, HIV or crucial preventive measures such as PrEP. We have made huge progress in reducing new HIV infections in this country. Surely, we cannot risk the reversal of that progress now. Local services have been cut and the Health Foundation estimates that sexual health services in England will have been cut by a quarter by 2020. That means huge consequences for the individual and costs for the NHS. What is the Secretary of State going to do?
Public Health England is trialling PrEP, and I am willing to work with the hon. Gentleman and others to ensure that we do everything we can in this space. The truth is that outcomes are improving in many areas of sexual health, and we have to ensure that we get the right treatment to the right people at the right time.
(6 years, 7 months ago)
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I hope that they have heard that, and I think it would be very sensible if they did.
The Minister spoke of the importance of our liberal democratic values. Is he aware of the very concerning attempts by Facebook to block the whistleblower in this case and of allegations that Cambridge Analytica has attempted to block the broadcast of a Channel 4 exposé into this tonight, using a law firm?
Of all the different things that have surprised me and shocked me in this revelation, the decision by Facebook to take down the whistleblower’s Facebook account, and the removal of their WhatsApp account and the Instagram account, was the most surprising—[Hon. Members: “Use a stronger word!”] I thought it was outrageous, and I will say why. Facebook has some serious questions to answer. It will tell its side of the story, but it has some serious questions to answer. To answer this by blocking an account, when at the same time, as we know in this House, it does not act fast enough to block other accounts of obviously outrageous behaviour—[Interruption.] Well, I will tell you what, it shows us that when it needs to, it can block things incredibly quickly, and it will have to do a lot more of that.
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When Labour was in office, there was no industrial strategy, but there is now, and clear action is being taken to support businesses, as demonstrated by the increase in outputs. In 1997, steel production was 18 million tonnes; it fell by almost a half to 10 million tonnes, but is now up to 12 million tonnes, which shows that we are determined to support the UK steel industry.
The Minister will be aware that many of the concerns about Tata apply to other steel manufacturers in the UK, including Celsa in my constituency. Does he agree that we have a significant problem, in certain markets, with dumping from countries outside the EU, particularly Turkey and China, which is causing huge challenges for those companies, as well as creating the energy problems we have heard about? Will he and the Welsh Secretary meet me, Celsa and others to discuss the challenges and to consider what urgent action can be taken to deal with them?
Of course, I would be delighted to meet the hon. Gentleman to consider what more we can do. As he knows, the Government’s record in supporting the steel industry is strong, and if we can strengthen it further, following his suggestions, I am absolutely up for that.