Covid-19 Vaccine: Take-up Rates in London

Feryal Clark Excerpts

Tuesday 9th March 2021 Westminster Hall

[Feryal Clark (Enfield North) (Lab) [V]]

It is a pleasure to serve under your chairmanship, Sir Christopher. I thank my hon. Friend the Member for Hammersmith (Andy Slaughter) for securing the debate. I start by paying tribute to the amazing NHS workers at North Middlesex University Hospital and at Chase Farm Hospital, as well as all the NHS workers in Enfield and the public health team at Enfield Council, who are working day and night to make the vaccine roll-out a success.

The vaccine roll-out programme that began in early January across the nation is nothing short of amazing, thanks to the great work by our NHS. I congratulate the Minister on the work he has done. Right from the start, however, as my hon. Friend the Member for Hammersmith set out, there have been concerns with the roll-out in London, and those concerns have been raised by London MPs from day one.

It transpired initially that the vaccine supply to London was inadequate in comparison with other regions, and that the set-up of delivery centres across London was limited and done too slowly to come on board. We knew that the pandemic had highlighted the inequality in our communities and we knew about the pockets of deprivation—the areas with high covid rates and poor healthcare provision: we have been raising those issues over the past twelve months of the pandemic.

It took a very long time for the NHS to be allowed to share the vaccine update data with us MPs. When the Government finally gave clinical commissioning groups permission to share that data, it became abundantly clear that those areas and communities that we had been raising—in Enfield, the communities that had suffered the worst of the pandemic—were also those with the lowest vaccine uptake.

I have raised this matter at many meetings with NHS colleagues and with the Minister. There are many barriers. The issue is not just about vaccine hesitancy, as is constantly repeated; there is an expectation that an 80-year-old Kurdish woman will book an appointment over the internet, but that is just not going to happen. The digital divide in the eastern part of Enfield North constituency, where the uptake of the vaccine by over-65s is just above 50%, is a real issue. There needs to be an easier booking mechanism for areas with a digital divide, as well as for the elderly, who are not very tech-savvy.

The wards in my constituency with the highest covid rates and poor primary care provision do not have vaccine centres nearby. The nearest vaccine centre for constituents in those wards is two bus rides away, which is just not acceptable. Where the need is greatest, the provision is low. In the most affluent areas of my constituency, where there is good primary care provision and many vaccine centres, the uptake is more than 80%, and 40-year-olds are now being called for their vaccines.

Finally, 16,000 people across Enfield—predominantly in the eastern part—are not registered with a GP. There is no clarity on how those constituents will access vaccines. I would be really grateful if the Minister set out the plan for people who are not registered with a GP. Will the Minister also clarify what is meant by the term “hesitancy”, as there is real confusion on that? Does it mean people who reject the vaccine outright, saying, “I do not want this,” or does it mean people with whom no contact has been made after three contact attempts? It is really important that we get some clarity on that.

Future of Health and Care

Feryal Clark Excerpts

Thursday 11th February 2021 Commons Chamber

[Matt Hancock]

Yes, that is absolutely right. In fact, my hon. Friend put it rather better than I did. Perhaps I will take up his rhetorical suggestions for how to make this case. Accountability is important, but the more local the decision making, the better. There should be local decision making across a whole range of partners—not just in the core NHS, but by providers of services, from whatever sector they come, including the voluntary sector, which, during this pandemic, has been embraced more. We need to build on that to make sure that we have a system that can truly serve local needs. Ultimately, all healthcare is locally delivered, because it is delivered to an individual to improve or save their life. Essentially, we need to make sure that the appropriate decisions are taken as locally as reasonably possible.

[Feryal Clark (Enfield North) (Lab) [V]]

The pandemic has shone a light on massive health inequalities across the country. The Secretary of State announced the abolition of Public Health England in September, but there is still no clarity on where the vital health improvement function will sit in the future. Why are we hearing about new structures for the NHS today without also getting clarity on the arrangements for vital elements of public health and prevention?

[Matt Hancock]

There is a simple, clear reason for that, and I am very glad that the hon. Lady asks that question, because it is an incredibly important function. We will set out more details on the arrangements for health improvement functions, but the population health approach that is embedded within the integrated care systems set out in the White Paper will itself be at the fulcrum of delivery of health improvement and of narrowing health inequalities. If we think about it, around 20% of the impact on someone’s health is what happens in hospital; the rest is what happens outside hospital, the extra support that people can get and, of course, the choices that people make. Integrated care systems will be supported and funded in such a way that their goal is to improve the health of the local population, not just of the patient.

Health improvement is embedded in the structure and the design of the future of the NHS embedded in the White Paper, and the wider health improvement responsibilities will flow from that. We will set out the precise organisational structure of those shortly, but I needed to get the White Paper out first, because it is off this population health approach that the future of health improvement will be built.

Covid-19 Update

Feryal Clark Excerpts

Wednesday 30th December 2020 Commons Chamber

[Matt Hancock]

My right hon. Friend is absolutely spot on. The issue of long covid is very serious, and we have put more support into the NHS and into research to try to understand long covid better. I know about it very much myself, and I understand the impacts that it can have, which can be debilitating on people’s lives. I am delighted that there is a long covid centre at Stoke Mandeville. It is such an excellent hospital, and I am not surprised that it is doing all the cutting-edge work that is needed, but the single most important thing we can do to support those who have long covid is to understand better the causes and therefore understand what we can do to help people get their lives back to normal.

[Feryal Clark (Enfield North) (Lab) [V]]

The Secretary of State has said in many statements over the past 10 months that we have the virus under control. Only two weeks ago, he said that we cannot risk letting cases rise again, yet that is exactly what is happening under his watch. Yesterday, the UK reported a further 53,135 cases of coronavirus, which is the highest daily total since the pandemic began. With many hospitals in London and the south-east at breaking point, it is clear that the Government have lost control of the virus. With schools set to go back in a week’s time, what public health strategy does he have in place to keep our children, their families and teachers safe?

Covid-19 Update

Feryal Clark Excerpts

Thursday 17th December 2020 Commons Chamber

[Matt Hancock]

Legally, there is a review every two weeks, but in practice we review every week, and I will not wait a week longer than necessary to get places out of tier 3 if we can safely do that. To people across Colne Valley I would say, first, that the reduction in rates has been impressive, but we are not there yet. The pressure on the NHS has reduced, but is still significant. I would also say to everybody in Colne Valley that they have a Member of Parliament who probably makes his case to me more than any other. It is not for want of effort from the local MP, but this decision is based on the epidemiology, and I really hope we can get there soon.

[Feryal Clark (Enfield North) (Lab) [V]]

Madam Deputy Speaker, can I take this opportunity to wish you and the House staff a merry Christmas and a very happy new year?

I have had numerous emails from unpaid carers in Enfield North concerned about access to the vaccine. Can the Secretary of State set out exactly when unpaid carers will be given the covid-19 vaccine, given that they spend their time caring for extremely vulnerable people and could pass on the virus? Any guidance would be a huge comfort to residents and their unpaid carers in Enfield North.

[Matt Hancock]

The guidance has been set out by the Joint Committee on Vaccination and Immunisation. I think it is very important that we follow the clinical advice in this prioritisation to make sure that it is fair.

Covid-19

Feryal Clark Excerpts

Wednesday 18th November 2020 Commons Chamber

[Feryal Clark (Enfield North) (Lab)]

Madam Deputy Speaker, I cannot remember the last time I was able to take part in a general debate in the Chamber, so I am delighted to be back here. I want to take you back to 1966. In 1966, Harold Wilson was Prime Minister and England won the World cup. When people talked about the moonshot they were actually talking about people going to the moon. It is 54 years since those events. That time gap matters to today’s debate, because before this year, 1966 was the last time that my constituent, whom I will call Mrs Enfield, was apart from her husband. That is 54 years of a life together: cups of tea; walks in the park; the trials, tribulations and triumphs of a long marriage. Now, along with her family, Mrs Enfield finds herself apart from her husband once again, unable to visit him in hospital after a worsening of his Parkinson’s condition forced him to go there; unable to visit him in the nursing home, to which he was moved after two weeks; and unable to make sense of a system that is doubling the disadvantage experienced by the most vulnerable adults. The video calls that they have been permitted are next to no good, as her husband cannot understand what is happening. The feedback that the family receives is patchy, and they do not know whether their loved one is distressed and confused.

That is not an isolated case. I accept that it is not simple to resolve it, but this is not March. The Government have had eight months to address the most obvious and heartbreaking consequence of the covid-19 restrictions. Our care homes, their staff, the residents and the families who rely on them were let down in the tsunami of the first wave. It is unforgiveable that they have been let down once again, as there has been time to work up safe solutions for those families.

I am sure that, like me, every Member in the House can point to anguished sons and daughters in their constituencies who are victims of well meaning but confused restrictions and regulations. No one blames the care homes or their staff. Confusion reigns, and they are doing the best with the guidance that they have been given. The truth, however, is that those visiting restrictions have created and deepened trauma, with disastrous consequences for elderly and frail people and their families. They are trying to make themselves understood behind a mask; there are shouted conversations, 3 metres away, to mums and dads with dementia; people are trying to mouth and sign conversation through frosted glass in the November rain; and there is confusion and heartbreak as elderly relatives with Alzheimer’s think that they have been abandoned or have done something wrong.

We can make an immediate and safe leap forward by putting decency and common sense back into the heart of care homes by classing designated family members as key workers, offering them tests on the same basis as care-home staff. It can only be right, as Deirdre Barr has recently pointed out on behalf of Dementia UK, that if a hairdresser is permitted to touch her mother’s hair, so should she. The trauma that thousands of families across the country are experiencing could be partially alleviated if the Government acted on that one simple and fair change. Testing for designated visitors would be good for families, care homes and the country as a whole, as we try to reconnect with all our loved ones, no matter where they live.

A lack of fairness, however, has become all too apparent in the way in which the Government have awarded public money for covid contracts to VIP friends and donors. Many of my constituents have expressed anger at those dodgy dealings in recent months. It is neither right nor fair for the Government to bypass usual procurement procedures and gift their friends lucrative contracts, some of which result in the purchase of products that are unsuitable for use—for example, £150 million was spent on masks that could not be used. A transparent procurement process would not only have secured value for money but would have ensured that companies could reach a certain stage of the bidding process only if the product that they offered could do the job as intended. The Government have failed to do that.

My constituents in Enfield North and I want to see a return to fairness—a fair process to be conducted when spending taxpayers’ money to combat the virus and a fair approach to allowing relatives to visit loved ones in care and nursing homes. It has been eight months since the first lockdown. We can and should be better than this.

Covid-19 Update

Feryal Clark Excerpts

Monday 5th October 2020 Commons Chamber

[Matt Hancock]

It is too early yet to set out the clinical details of vaccines, other than to say that we have a draft of the priority order for the distribution of a covid vaccine and that we will not bring in a covid vaccine—and the Medicines and Healthcare Products Regulatory Agency would not license it—unless we are confident that it is safe. It is at that point, when we know more about the clinical details, that will be able to say more about its effective roll out.

[Feryal Clark (Enfield North) (Lab) [V]]

After our broken test and trace system and the failure to put a protective ring around care homes, and after the recent and preventable outbreaks in universities and the ultimately unnecessary restructuring of Public Health England, the chaos this weekend is symbolic of the way the Government have handled the pandemic. Does the Secretary of State agree that these are his failures and only his alone?

[Matt Hancock]

Responding to a pandemic is an enormously challenging task. Thankfully, it is a massive team effort, and it is one in which the whole country can be engaged because we all have a part to play.

Covid-19

Feryal Clark Excerpts

Tuesday 1st September 2020 Commons Chamber

[Matt Hancock]

We are putting enormous sums into the flu vaccine programme and have released extra funds to buy more vaccine. We are deregulating and making sure that we have a wider group of people—who will all be clinically qualified—who can administer the flu vaccine; those regulations will come before the House shortly. My hon. Friend is right to say how important it is to get the communications out that everybody should get a flu jab. We will start with the free jabs for the over-65s, the frontline healthcare workers and those who are clinically vulnerable, and we will then move on to the 50 to 64-year-olds. But everybody, of every age, can get one—it is just not free to others. I encourage everybody to get one. We must tackle these online rumours that spread the pernicious anti-vax lies.

[Feryal Clark (Enfield North) (Lab)]

Only 40% of the 90 care homes in Enfield have had covid testing to date, so when will the Secretary of State roll out the mass testing promised to the care homes? What progress is being made to increase the use of rapid turnaround tests in care homes, in Enfield and across the country?

[Matt Hancock]

We are introducing more rapid turnaround tests and validating that technology. We are also rolling out asymptomatic testing to care homes. We did have a problem with the delivery of tests from Randox—these were the leading tests we were using with care homes—as I made clear to the House in July. We have spent the summer recovering that programme.

Coronavirus and Care Homes

Feryal Clark Excerpts

Tuesday 19th May 2020 Commons Chamber

[Matt Hancock]

Yes.

[Feryal Clark (Enfield North) (Lab) [V]]

My constituent Sonya Kaygan lost her life to coronavirus. She was a highly skilled and committed careworker, but worked in a low-pay sector, caused by the near £8 billion cut to its funding in the past decade. Will the Secretary of State commit to ending the scandal of low pay in the care sector and reverse a decade of cuts to social care budgets, in honour of my constituent and others who have died doing their job, so that all careworkers are paid a fair wage and have the equipment to do their job safely?

[Matt Hancock]

We have put an unprecedented amount of funding into social care during the crisis. There is the important challenge of ensuring that that reaches the frontline through local councils. We have also increased, through the increase in the living wage, the pay of the lowest paid across society and in social care. I am proud to have supported that.

Health Inequalities

Feryal Clark Excerpts

Wednesday 4th March 2020 Commons Chamber

[Feryal Clark (Enfield North) (Lab)]

I am proud to represent Enfield North, which is a key part of one of the fastest growing London boroughs and, like so many communities across London and the UK, it is a borough that is changing rapidly. The core funding Enfield Council receives from the Tory Government has been cut by an average of £800 per household since 2010, with hard-working Labour councillors having to find an extra £30 million this coming year. The impact that these swingeing, relentless cuts have had on our frontline services cannot be understated.

As I have said previously, I am pleased with the work that Enfield Council is doing to tackle health inequalities, but every single one of us across this House knows that the relentless attacks on local government have meant that its efforts provide only vital sticking plasters to the gross inequality that this Government have caused. People working in local government actually want to work with the Government to tackle the problems that we are talking about today. I pay tribute to the work of the Local Government Association in consistently raising the challenges that our councillors are facing.

The LGA rightly underlined that, when it comes to public health issues, almost every single function of local government has an impact on outcomes for local people. I wish to pay tribute to the work of Enfield Poverty and Inequality Commission for shining a light on this issue earlier this year, as part of its “All things being equal” report. The report made for difficult reading: 20,000 people living with unmet health needs; more than 15,000 people not registered with a local GP; and women living for up to 20 years in poor health. Why are we seeing damaging trends such as this? It is because injustice breeds inequality. I ask the Minister today: why is it that residents in Enfield have less than half the public health funding per head compared with other London boroughs; why is it that 30% of children across our borough live in poverty; and why is it that only two thirds of people across our borough live in good health? We have to be honest about why this situation has developed and why many of the communities that I represent remain stuck in this vicious cycle. It is because the Government have wilfully neglected the changing needs of communities such as mine over the past 10 years. The failure to give us the funding and resources that people in Enfield need and deserve have damaged people’s life chances and pushed our public health progress backwards. It is time now for a step change. It is time that the Tories invested in the health of people across Enfield North.

NHS Funding Bill

Feryal Clark Excerpts

2nd reading & 2nd reading: House of Commons
Monday 27th January 2020 Commons Chamber

[Feryal Clark (Enfield North) (Lab)]

In my constituency and the borough of Enfield, almost 16,000 people do not have access to a GP. Does my hon. Friend agree that the chronic GP shortage in this country is an absolute disgrace?

[Jonathan Ashworth]

The Secretary of State talks about recruiting all these new GPs. The Tories fought the 2015 general election on delivering 5,000 extra GPs, but GP numbers have gone down. Now he is imposing pension tax arrangements that are driving GPs and other doctors out of the NHS or driving them to cut back on their shifts. He has no solution to that and, again, it was another one of George Osborne’s ideas—the Secretary of State probably came up with it when he was George Osborne’s bag carrier—so I do not believe anything he says on recruiting extra GPs.

The 4% increase is the historic increase that the NHS used to get throughout its 61 years until the coalition Government were elected. That is why we tabled an amendment in the debate on the Loyal Address calling for the 4% increase. Every Tory Member voted against it, but a 4% increase is what the NHS traditionally got—indeed the previous Labour Government gave it 6%. Instead, we have now had a decade of decline where it received an uplift of about 1.5%. This Tory decade of decline with 1.5% increases is why the funding settlement is inadequate, because it simply cannot make up for that decade the NHS has gone through. This Bill simply cannot make up for the decade of decline in which those gains in quality care and outcomes made by the last Labour Government have been squandered by this Tory Government. The Bill cannot make up for the decade of decline where these Ministers forced the NHS through the tightest financial squeeze in its history, which has left hospital trusts with deficits of £571 million and billions in debt, and left the NHS facing a repair bill of £6.6 billion, leaving hospitals with roofs leaking, pipes bursting, equipment faulty, IT systems breaking and ligature points in mental health trusts deeply unsafe. This decade of decline means the NHS is short today of 106,000 staff and our brilliant NHS staff are being pushed to the brink every week, working a million hours extra than they are contracted to work. They are working every hour God sends to make up for the austerity these Ministers have imposed.

The speech we have just heard from the Secretary of State bears no resemblance to the realities of what is happening on the ground after the decade of decline under the Tories. Month after month, week after week, we see NHS performance data showing our hospitals recording the worst performance on record against the four-hour standard for accident and emergency. Month after month, we see the number of people on the waiting lists for routine surgery and treatment rising—it is has now risen to 4.4 million. More than 690,000 of our constituents are waiting beyond 18 weeks for treatment. That is an increase of more than 185,000—a 37% increase—since this Secretary of State took up his post. Waits for diagnostic tests are at their highest levels for a decade, cancer waiting times are their worst on record and we are bottom of the league for cancer outcomes.

Since 2010, more than 17,000 beds have been cut. Hospitals are dangerously overcrowded. Patients are left languishing for hours as trolley waits, being moved from cubicle to corridor in need of a bed. We read in the newspapers about 90-year-old war veterans left for hours upon hours on trolleys. We see photos of toddlers treated on floors or sleeping in makeshift beds on chairs. Trolley waits are not some inconvenience for patients; they lead to increased mortality in our hospitals. Research from the Royal College of Emergency Medicine shows that almost 5,500 patients have died in the past three years because they have spent so long on a trolley waiting for a bed in an overcrowded hospital. That is utterly unacceptable.