Covid-19 Update

Caroline Nokes Excerpts

Monday 19th July 2021 Commons Chamber

[Nadhim Zahawi]

The hon. Gentleman attends the Friday briefings that I offer colleagues. He is absolutely right. Last week, Public Health England published some encouraging real-world data that showed that two doses of the vaccines offer around 74% protection for those who are immunosuppressed or immunocompromised. That comes with a caveat that that group of people is not homogenous and we need to unpack some of the data. The JCVI has already recommended in its interim advice on the booster campaign in September that that group goes top of the list for the third dose as a boost. Of course, we have a large clinical trial, which will report imminently on the immunosuppressed and the immunocompromised. We will look at that data with the JCVI. The chief medical officer continues to ask the JCVI to look at what else we can do to protect that group, including through the therapeutics taskforce, which is doing some tremendous work.

[Caroline Nokes (Romsey and Southampton North) (Con) [V]]

There is some real concern among my constituents that they might in some way have the wrong batch of AstraZeneca vaccine. My hon. Friend provided a useful update on Friday, but can he give any further reassurance that no British traveller will be turned away at the border because they have been given the wrong vaccine?

[Nadhim Zahawi]

My right hon. Friend is right that there is no such thing as a wrong batch of Oxford-AstraZeneca vaccine in the United Kingdom. Our independent regulator regulates all manufacturing sites for AstraZeneca, Pfizer and the other vaccines. The AstraZeneca vaccine produced in the Serum Institute is the same vaccine—the Vaxzevria vaccine brand that is approved by the MHRA and the European Medicines Agency. There was some confusion in parts of world such as Malta last week, which the MHRA, the EMA and the Commission helped to clear up. I reassure my right hon. Friend that anyone who has had an Oxford-AstraZeneca vaccine and has the UK app or the letter to demonstrate their vaccination can travel. I think that 33 countries now recognise our vaccine certification.

Covid-19 Update

Caroline Nokes Excerpts

Monday 5th July 2021 Commons Chamber

[Sajid Javid]

I think the hon. Gentleman is suggesting that people should have the freedom to wear a mask if they wish, but it should not be mandatory—it should not be mandated by law. There are countries—I lived in Singapore for three years—where people would wear masks if they were feeling unwell, out of respect for others. If people choose to do that here, that will be a good thing, but it will not be a requirement from the Government. As I said, in certain settings—crowded places such the tube in London—many people would choose to wear masks, despite its not being a legal requirement.

[Caroline Nokes (Romsey and Southampton North) (Con) [V]]

The immunosuppressed want to know what the plan is for them. Will they be allowed tests for spike antibody levels on the NHS? Will they be able to get a booster before September if their antibody tests show that they have no protection, despite being vaccinated?

[Sajid Javid]

My right hon. Friend asks an important question and we are still considering what more we can do to give more confidence to the immunosuppressed, and we will be saying more on this shortly.

Covid-19 Update

Caroline Nokes Excerpts

Monday 14th June 2021 Commons Chamber

[Matt Hancock]

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.

[Caroline Nokes (Romsey and Southampton North) (Con) [V]]

As the evictions ban comes to an end and rate relief ends, what reassurance can my right hon. Friend give businesses such as Fitskool in my constituency, which is still operating under restrictions, that this delay to full step 4 really is the last delay?

[Matt Hancock]

I understand entirely the point that my right hon. Friend is making in terms of these restrictions and the impact on businesses and, in particular, the link to those in rent arrears. That is something I have been discussing with the Communities Secretary, and I am very happy to meet her to discuss how in the short term we can ensure that businesses, such as the one in her constituency that she mentions, get the support they need.

Covid-19 Update

Caroline Nokes Excerpts

Monday 19th April 2021 Commons Chamber

[Matt Hancock]

Of course, the prioritisation for vaccination when it comes to those who are vulnerable is clinically determined. I know that this question has been looked into. We are also looking into work on the links between ME and long covid, which share some similarities but are different conditions. It is an area that needs further work and further research—there is no doubt about that. If there is an update to the clinical advice on prioritisation and whether those with ME need to be in category 6 or category 4, I will update the hon. Lady. Thus far, however, we are following the clinical advice and that is the approach we have taken overall.

[Caroline Nokes (Romsey and Southampton North) (Con) [V]]

I was really pleased to hear my right hon. Friend reference the appointment of Professor Lucy Chappell and the work on vaccines in pregnancy. Will he please update the House on what is being done to reassure young women that there is no plausible way that vaccination can affect fertility? Will he also let us know how quickly he expects pregnant women, who we know might be immunosuppressed, to be called forward for their vaccination, or will they have to wait for the age band that is appropriate?

[Matt Hancock]

I was absolutely delighted that on Friday, following the work of Professor Chappell and others, we were able to make the announcement with respect to the vaccination for those who are pregnant. The prioritisation remains as with people who are not pregnant, so it will essentially be by age unless there is another reason that one might be in a higher group, for instance if you are a social care worker. It does not affect the prioritisation. Hitherto the advice had been understandably cautious, because clinical trials are not done on people who are pregnant. However, there is now very clear advice for those who are pregnant: when it is your turn, come forward and take advice. Have a discussion about your individual circumstances with your clinician. They can then, subject to that individual circumstance, which is of course appropriate in pregnancy, be vaccinated. I am grateful to my right hon. Friend for raising this issue. It was a really important announcement on Friday. Mr Speaker, I probably should have included it in my original statement, but unfortunately it was already rather long. I am absolutely delighted that Professor Chappell and the whole team—it was a big team effort—were able to ensure we made this progress.

Coronavirus

Caroline Nokes Excerpts

Thursday 25th March 2021 Commons Chamber

[Caroline Nokes (Romsey and Southampton North) (Con) [V]]

It is always a pleasure to follow my hon. Friend the Member for Ruislip, Northwood and Pinner (David Simmonds), who talked about the importance of keeping some of the provisions within the Coronavirus Act, very much in a just-in-case manner. I will speak from my perspective as Chair of the Women and Equalities Committee about three components that have caused us concern in the past and one that still does.

We very much welcome the action taken by the Health and Social Care Secretary to remove the Act’s provisions around the Mental Health Act 1983 and sectioning back in December. They had not been used and were therefore not needed. I also very much welcome his actions over the course of the last 24 hours in deciding to retire, as it were, the Care Act 2014 easements, which the Women and Equalities Committee had called for and, indeed, which I would be calling for this afternoon had he not already done it.

However, the same step has not been taken over the education easements in the Act. Too many disabled children have not received the support they need during the pandemic. These easements have not been used since July, yet the justification for keeping them, sent to me by the Under-Secretary of State for Education, my hon. Friend the Member for Chelmsford (Vicky Ford), is that the Secretary of State is keeping them under review in case the evidence changes. The Minister acknowledges in her letter to me, dated today, that the powers are unused and have not been used since last July. Indeed, she goes on to state that, compared with May, June and July last year, these flexibilities are much less needed. If they are unused and the evidence shows that they are less needed, why are they being retained? I am not some great conspiracy theorist; I do not think that this is an attempt by the Secretary of State for Education to keep this power indefinitely, but it is not used and it is not needed, yet it remains on the statute book. Of course, there is no ability to amend just that one section this evening.

Respectfully, I argue that the justification we have been given makes no sense, and I urge the Secretary of State for Education to think again on retaining these powers. Parents are desperately worried that children with special educational needs are not getting access to the assistance they need. They are back in school now, which I absolutely welcome, but I urge the Education Secretary to reconsider and to remove these unneeded easements.

Women’s Health Strategy

Caroline Nokes Excerpts

Monday 8th March 2021 Commons Chamber

[Ms Dorries]

I join the hon. Lady in wishing every woman across the world a happy International Women’s Day. She opened by talking about the mental health taskforce and saying it is not the first of its kind, but it absolutely is. It was a five-year project that the NHS used to bring together women and organisations from across the healthcare sector to develop a mental health plan—a five-year view—which it did and reported on. As she knows, partly as a result of that, we now have the long-term plan in mental health.

The hon. Lady also spoke passionately, as she always does, about the patients she meets as part of her work and the women who are suffering from eating disorders—sadly, that has been a tragic cost of covid. We know that two groups have been affected by the past 12 months in the mental health sphere: people, including women, with pre-existing mental illness; and, in particular, young women aged 15 to 26, in whom we have seen an explosion in the number of referrals—I believe the figure is 22% for young women seeking help with eating disorders. We have committed funding during the spending review, when £500 million was announced, and I announced £79 million on Friday. Part of that is going to deal with the problems that we have as a result of the pandemic, and with young women and girls—and in some cases young men—who are suffering from eating disorders.

The hon. Lady talked about the stillbirth and neonatal target of halving the number of stillbirths by 2025. We are way ahead of our target on that. The Office for National Statistics published new data last week, and I believe we are looking towards a 30% figure already. We are way ahead of target, and that is a result of the measures that have been put in place in the maternity safety arena, including the saving babies’ lives care bundle and the early notification scheme.

I reiterate that what we are announcing today is a call for evidence from women everywhere in the UK: from every organisation and every friend, every partner, every family of every woman.[Official Report, 12 March 2021, Vol. 690, c. 5MC.] The link has been published today. I published it on the Government website and it is on the Department of Health and Social Care website and on my Twitter feed. It is a link that women can easily access using their phones or their laptops, and it takes a few minutes to complete. We want to develop the first ever women’s health strategy within the Department of Health and Social Care that will deal with all the issues—there are too many for me to talk about now—and all the ways in which women have been affected. These will include research funding and cohorts of trials not using women, using all the information that we have from Paterson and Cumberlege and from women stating clearly that women are not listened to in the healthcare sector. To address that, we need to hear not just from the Paterson women and the mesh women who spoke to Cumberlege; we need to hear from all women everywhere, and that is why we have launched this call for evidence today, to develop this strategy before the end of the year.

[Caroline Nokes (Romsey and Southampton North) (Con) [V]]

I really welcome this call for evidence and my hon. Friend’s clear commitment to hear from all women everywhere. Can she please reassure me that the consultation will not just be about reproductive health, important though that is, and that it will include all conditions and ensure that women have the ability to express freely what they want to see from their strategy? I welcome the timescale of the strategy coming forward in September.

[Ms Dorries]

My right hon. Friend is a huge champion for women’s rights and a Committee Chair. I would ask her, following the work that was undertaken by the all-party parliamentary group on women’s health, to contact anybody that she knows who can help to get this dealt with or who she has liaised with throughout her time as Chair of the Women and Equalities Committee, so that they can help to get this message out to the people who they know, to encourage women everywhere—and, as I said, not just women but families and anybody who wants to contribute.

Within the first minutes of the link going live this morning, we instantly had 300 responses. I have not checked what the figure is now. We need huge numbers of women and yes, absolutely, it is not just about the usual issues that get talked about, although they are an important part of this. Menopause, menstrual health, maternity and neonatal issues are the things we talk about frequently, but this will be about everything. For example, we know that drugs that are used on women are trialled and developed using all-male cohorts, and that doctors are taught in medical school to recognise symptoms that are taken from men and not applied to women. We know about the inequalities, and we need to know about any subject from disability to mental health; anything that a woman experiences in a healthcare setting, we need to know about it.

Vaccine Roll-out

Caroline Nokes Excerpts

Thursday 21st January 2021 Commons Chamber

[Matt Hancock]

The armed forces have been incredible in their support for the efforts that we have all had to go to nationally to tackle covid. That is also true with the vaccination programme—especially the logistical expertise that the hon. Gentleman refers to. This UK-wide vaccination effort has been supported enormously by the armed forces. I am very grateful to them for the work that they have done, really going the extra mile to help save lives.

[Caroline Nokes (Romsey and Southampton North) (Con) [V]]

I am very worried about domiciliary carers who might be employed privately or via an agency and how they will access the vaccine. It is very probable that their employment status is not known, yet they could be going into several homes per day, helping vulnerable people. Can my right hon. Friend reassure me that these brilliant carers will not be forgotten?

[Matt Hancock]

Yes, absolutely; that is incredibly important, and we are working to ensure that as many as possible are identified. Category 6 in the Joint Committee on Vaccination and Immunisation categorisation specifically identifies as part of the early vaccination effort those carers who may not be paid carers in a care home but nevertheless care for vulnerable people, because of the incredibly important work that they do.

Public Health

Caroline Nokes Excerpts

Wednesday 6th January 2021 Commons Chamber

[Caroline Nokes (Romsey and Southampton North) (Con) [V]]

I welcome the opportunity to contribute. We have heard a great deal of consensus across the House. We know that there is a terrible toll on people—on our constituents—and every Member who votes in favour of these regulations does so with a heavy heart, balancing the impacts carefully and with the recognition that the measures must be for a minimum period of time, reviewed frequently and carefully monitored.

We have heard from many speakers about the impact on children. My right hon. Friend the Member for Harlow (Robert Halfon) highlighted the terrible impact that the loss of social interaction during lockdown is having on young people and their mental health. I was pleased to hear from my right hon. Friend the Prime Minister today that getting schools back is an absolute priority. It must be. Teachers, parents and schoolchildren themselves have reached out to me, asking that I highlight their worries, as have those in the early years sector, who feel that they have not been taken with the Government and have been neglected in the announcements over the past few days.

Back on 12 November, I called for teachers to be prioritised for vaccination. I recognise that there are competing calls from all key workers, but I make a particular case for those working in special schools, where there is a very great need and where it is hardest for children to understand the importance of social distancing.

Equally, there must be vaccination for domiciliary care workers who are employed by charities or are working independently. This afternoon, Age Concern Hampshire has highlighted to me its worry that those workers will go unvaccinated.

The death toll among those with learning difficulties has been horrific. The hon. Member for Lewisham, Deptford (Vicky Foxcroft) highlighted the work that the Women and Equalities Committee did on that issue in our report on the impact of covid on those with disabilities. The commitment to rolling out information in a manner that can be easily understood, whether it is Easy Read, large print, Braille or British Sign Language, has been inadequate. As a result, the people who need the most help have had an information gap. That is not good enough. Gov.uk still does not have a BSL translation, when there are apps that could do it quickly, easily and relatively cheaply.

It is not just those with learning difficulties who have not been given enough information. Members of Parliament have this afternoon asked for additional details about the agreed schedule of vaccine delivery and the approach to the equation between numbers vaccinated and the consequential lifting of restrictions. People have shown a willingness to comply with massive restrictions, but they want to understand the exit strategy. Early years providers want to know that they are as valued as primary schools. Golfers want a clear explanation of why a walk with their partner with no clubs is fine, but one with their clubs is not.

People are not fools. The science is difficult and graphs can be bewildering, but Ministers need to give us transparency and honesty—that is the key.

[Mr Deputy Speaker (Mr Nigel Evans)]

I call Karin Smyth by video link. [Interruption.] You are on mute, Karin.

Covid-19 Update

Caroline Nokes Excerpts

Monday 14th December 2020 Commons Chamber

[Matt Hancock]

The right hon. Gentleman has made a typically wise intervention ahead of the decision making on Wednesday as to the wider tiering decisions for the rest of the country.

[Caroline Nokes (Romsey and Southampton North) (Con) [V]]

The Minister for Care has today indicated that there are 12,500 retired GPs and nurses seeking to help with the roll-out of the vaccination programme. My constituent David is one of them. He is 67 years old, fit and well and keen to do his bit, but the system that he has to log on to in order to apply keeps timing him out. I know that my right hon. Friend is an absolute whizz with apps. Please can he make sure that this one works for people like David?

[Matt Hancock]

I am thrilled at the number of former clinicians who have come back to support this. In fact, I met some of them when I went to Milton Keynes to see the vaccine being injected. I will look into the little whizzing box that is preventing my right hon. Friend’s constituent from applying.

Obesity: Covid-19

Caroline Nokes Excerpts

Tuesday 10th November 2020 Westminster Hall

[Caroline Nokes (Romsey and Southampton North) (Con)]

It is a pleasure to serve under your chairmanship, Mr Davies, and I add my congratulations to the hon. Member for Strangford (Jim Shannon).

We have had an important and interesting debate. I would like to follow what my hon. Friend the Member for Stoke-on-Trent Central (Jo Gideon) said by stating that we need to look at the issue holistically. This is not just a health problem; it is also an education problem and a Department for Work and Pensions problem.

I was particularly struck by the comments of the hon. Member for Strangford: we cannot use fat shaming and stigma to force people to lose weight. Over the summer, we learned from the Prime Minister’s brave words about his own battle with covid, his own unwellness and how that had been exacerbated by his weight. It might be easy from Downing Street to recruit the services of a personal trainer, but that is not open to everybody; we have to find routes to enable individuals to empower themselves to take control of their own wellbeing—whether that be through exercise and diet, or through receiving the emotional and mental support they need.

We all know that weight is not just a physical issue—there is an inextricable link between food and the way people feel about themselves. It is critically important that the support services are there to dig into that and to find the best routes, because we all know it will be an individual journey for each and every person.

I have to admit that the Prime Minister inspired me throughout lockdown; I made sure my “covid stone” was in the right direction, but for many that was not the case. It has been demonstrated that people have put on weight, and as we go into another lockdown there is real anxiety about the impact on people’s wellbeing.

I keep banging on about wellbeing—people think that I have gone all airy-fairy and am about to break out the crystals and the twinkly music—but the reality is that mental, physical and emotional wellbeing are all linked. Just yesterday, I was at Focus Fitness in Southampton talking to the personal trainers, who are all operating over Zoom in a covid-secure way. They made the point that there has to be a wellbeing approach that reaches across all generations and socioeconomic groups, and that we must find routes to help the poorest in our society embrace these initiatives as well.

Many people have mentioned cooking. During half-term, I was at the community pantry based at Romsey Community School, where we were talking about the Connect4Summer courses that were run over the summer and the half-term courses. They bring families together and give them ingredients, recipes and those basic cooking skills, which are so important. What really struck me was that the pantry gives away fruit and veg—there is a free bag of fruit and veg that people can take. I asked, “Why are people not taking it unless it is free?” I was told that it was because people did not know how to cook with it.

The point is absolutely crucial. I was blessed, in that my mother taught me how to cook reasonably well, but I know that I am lazy and do not have the time to cook properly from scratch. Lockdown enabled me to hone some of my cooking skills, but we have to make sure that those who are time-pressured—who in some cases are working two or three jobs—also have the ability to pick up that bag of vegetables and know they can cook something nutritious, quick and, mostly importantly, tasty.

I turn to the comments from the hon. Member for Bath (Wera Hobhouse). I have a lot of sympathy with what she said about calorie counting. Some of the major chains such as Costa Coffee and McDonald’s have been advertising calorific values for years, yet the trajectory has been in the wrong direction: we are still getting fatter. In many instances, the battle has already been lost the minute a person walks through the door. Regardless of what the indication of calories on a menu is, people are in the wrong place to be making healthy choices.

It is important that we make labelling really straightforward. There is less than two seconds between someone picking up something in a supermarket and putting it in their trolley. That is no time to be inspecting the calorific fat and salt levels, so traffic lights or whatever mechanism makes things quick and easy have to be the way forward. People also have to have the skills to cook the healthier choices.

We have seen a rush over the last few days: the national media have been talking about how to lose a stone before Christmas and how to drop a dress size. Yet again, this is appearance-based, with little understanding that the issue is about people’s long-term wellbeing. I recognise that in some instances diets do not work and people will engage in yo-yo dieting, but in other instances they do. We have to find a way to empower people to make the lifestyle choices to bring about sustainable long-term differences to their way of life.

I think I have covered everything that I wanted to in a very limited time, but I look forward to the Minister’s coming up with some practical solutions as to how we can make a real difference to the people in our constituencies who need the most help, the most encouragement and the most support.