Health and Care Bill

Debate between Geraint Davies and Matt Hancock

Report stage
Tuesday 23rd November 2021 Commons Chamber

[Matt Hancock (West Suffolk) (Con)]

I rise to support new clauses 60 and 61, which relate, like the amendments that the hon. Member for Central Ayrshire (Dr Whitford) spoke about, to the UK-wide application of the Bill.

Health is rightly devolved, and as Secretary of State I worked very closely with Ministers in the three devolved nations, but there are nevertheless areas in which it is vital that the NHS, as a British institution, supports all our constituents right across this United Kingdom. Two areas in particular are critical and, in my view, need legislative attention.

The first area is the interoperability of data. As well as being vital for stronger research, it is necessary not least so that if you travelled to Caerphilly or Glasgow and were ill, Mr Deputy Speaker, the NHS could access your medical records to know how best to treat you. We can see right now, in the application of the NHS app for international travel, what happens without the data interoperability that new clause 61 would require.

[Geraint Davies (Swansea West) (Lab/Co-op)]

Is the right hon. Gentleman aware that there is concern in Wales, where we are protecting the private personal data of people receiving medicine and healthcare, that in England there will now be a gateway for the private sector to take people’s data and use it for its own reasons? That is one reason that we would not want to give the English our data.

Vaccine Roll-out

Debate between Geraint Davies and Matt Hancock

Thursday 21st January 2021 Commons Chamber

[Matt Hancock]

I will absolutely look into that. I join the hon. Lady in praising the roll-out in Bedfordshire, which is going well. It is wonderful to hear the personal stories of so many people whose vulnerable family members have been vaccinated. The vaccination programme is touching us all; we just have to get it done as quickly as possible to make people as safe as possible as fast as we possibly can.

[Geraint Davies (Swansea West) (Lab/Co-op) [V]]

Coronavirus deaths are 10% higher in areas with only slightly higher air pollution. Will the Secretary of State bear that in mind in respect of his priorities for the rolling out of the vaccine? More importantly, will he ensure that the World Health Organisation air-quality limits are introduced to the Environment Bill next week, so that they have immediate effect and are legally binding? That will save thousands of lives from coronavirus and prevent tens of thousands of premature deaths from air pollution next year, given that as many people die from pollution every year as died from coronavirus last year.

[Matt Hancock]

The hon. Gentleman is an irrepressible campaigner on tackling air pollution. There is a link between air pollution and a person’s risk of dying from covid, and I have been talking about that to my right hon. Friend the Secretary of State for Environment, Food and Rural Affairs.

Coronavirus Vaccine

Debate between Geraint Davies and Matt Hancock

Wednesday 2nd December 2020 Commons Chamber

[Matt Hancock]

It is a great day for science and a great day to be Chair of the Science and Technology Committee, I would have thought. I am grateful to my right hon. Friend for what he said, which was very generous.

On the point about repeat testing instead of isolation for contacts, that is something we are trialling right now, and I hope we can make significant progress on it in the weeks ahead.

[Geraint Davies (Swansea West) (Lab/Co-op) [V]]

Last Tuesday, the Prime Minister reassured me that Government guidance would stop non-essential travel out of areas in tiers 2 or 3 into less-infected areas. However, in fact the guidance says that

“if you live in a tier 2 area, you must continue to follow tier 2 rules when you travel to a tier 1 area.”

That means that someone can travel from higher-infection areas to lower-infection areas, including to Wales. Will the Secretary of State update the guidance to comply with the Prime Minister’s advice and stop non-essential travel from higher-infected to lower-infected areas ahead of the vaccine?

[Matt Hancock]

The guidance is precisely as set out on gov.uk.

Covid-19 Update

Debate between Geraint Davies and Matt Hancock

Thursday 26th November 2020 Commons Chamber

[Matt Hancock]

We work as a very cohesive team of Ministers in the Department, and we all work on covid-related issues. I take my hon. Friend’s gentle chiding that he would rather my No. 2 took these decisions, but I am afraid he is stuck with me for the time being.

On the serious point that my hon. Friend raises, we will review the tiers in a fortnight and then regularly, which he can reasonably take to be weekly. We have a weekly cycle of meetings, with the chief medical officer chairing a meeting, typically on a Tuesday. I then chair a meeting on a Wednesday for an announcement on Thursday of any change to the tiers.

[Geraint Davies (Swansea West) (Lab/Co-op) [V]]

The Secretary of State knows I chair the all-party parliamentary group on air pollution, so he will not be surprised if I point out that tier 3 areas tend to be the areas with the highest pollution. Every microgram of PM2.5 per cubic metre increases covid deaths by between 14% and 18%, and that is on top of the 40,000 deaths annually from air pollution. Does he agree that we need cross-Government activity and an all-Government report annually—from the Department for Environment, Food and Rural Affairs, the Ministry of Housing, Communities and Local Government and the Department for Transport—on what they are doing individually and collectively to combat air pollution and, in so doing, to reduce the covid death rate and the overall death rate? I can see the Prime Minister nodding sagely. Would the Secretary of State agree to an annual report?

[Matt Hancock]

It is very impressive that the hon. Gentleman can see the Prime Minister, since he has just left the Chamber, but I am sure the Prime Minister is nodding sagely, wherever he is. The hon. Gentleman makes a very serious and important point, on which we agree. Air pollution is a very serious issue. In lockdowns, air pollution has been reduced; that is one upside to what are otherwise very damaging things to have to do, but they are necessary to keep the virus under control. I hope we can continue to work together on tackling air pollution long after this pandemic is over.

Covid-19 Update

Debate between Geraint Davies and Matt Hancock

Tuesday 20th October 2020 Commons Chamber

[Matt Hancock]

Yes, I am happy to agree with my hon. Friend. We were discussing on Sunday morning the challenges in South Yorkshire, where cases are going up fast and action needs to be taken. Talks are ongoing in a highly collegiate and constructive way. I pay tribute to the way that he stands up for his constituents in Rother Valley and makes the case directly to Ministers day after day about what is best for the area and represents them so clearly.

[Geraint Davies (Swansea West) (Lab/Co-op) [V]]

In lockdown, people need the financial support to do the right thing and stay at home to stop the virus. In Wales, where we are in national lockdown, the Labour Government have provided £300 million. That is £100 per person to help them stay at home to beat the virus. But in Manchester, the Prime Minister has provided £22 million. That is £8 per person, instead of £100 per person in Wales. How can that be right? Will the Secretary of State and the Chancellor ensure that, wherever people live across the United Kingdom, they have enough money to stay at home to beat the virus, without inflicting massive poverty?

[Matt Hancock]

We have put substantial funding into not only Greater Manchester but Wales, which goes directly to businesses that are affected and have to close and directly to individuals, through the furlough scheme, the job support scheme and universal credit, which is available to all those who lose their jobs and people in low-paid work. In addition to the funding that remains on the table—and I urge the local leadership in Greater Manchester to come back to the table—there is widespread support available.

Covid-19 Update

Debate between Geraint Davies and Matt Hancock

Monday 5th October 2020 Commons Chamber

[Matt Hancock]

My hon. Friend is right to ask that question, because we are expanding the number of labs as we expand the number of tests. I know that there is great capability in Derbyshire that can be brought to bear as part of this big team effort.

[Geraint Davies (Swansea West) (Lab/Co-op) [V]]

As you know, Mr Deputy Speaker, people in lockdown in Wales are not allowed to leave their county for fear of spreading the disease. For instance, people in Newport, where there are 50 cases per 100,000 people, cannot go to Aberystwyth. But people in Manchester, where there are 500 cases per 100,000 people—10 times the number—can go to Aberystwyth and elsewhere in Wales and spread the disease. To stop this spreading of disease, will the Secretary of State restrict travel out of locked-down areas in England? If not, will he accept that it would be a good idea for people arriving in low-risk areas in Wales to quarantine, or is he happy for the disease to spread without restriction?

[Matt Hancock]

The challenge is that the primary transmission of the disease is between households and households mixing with one another. The approach that we have taken in England since we came out of the initial full-blown lockdown has been to put travel restrictions in guidance rather than law, because we feel that that is the most appropriate thing to do. That is not the approach being taken in Wales, but that is how we are currently handling it in England.

Covid-19 Update and Hospitality Curfew

Debate between Geraint Davies and Matt Hancock

Thursday 1st October 2020 Commons Chamber

[Matt Hancock]

I want to say to all the staff and all the regulars at the New Cross that we would not have this in place unless we thought it was needed. The science is about how, late at night, people end up closer together and therefore spread the virus more, and this will not stay in place one minute longer than it needs to.

[Geraint Davies (Swansea West) (Lab/Co-op) [V]]

If the Government decide to restrict trade or close down trade for pubs or particular businesses for good public health reasons, surely it is for all of us, through the Government, to pay that cost—through borrowing, at historically low interest rates, paid back over time through our progressive tax system—not for individual pubs and businesses to pay it, possibly with bankruptcy, as at places such as Brains brewery in south Wales. Will the Secretary of State therefore have a word with the Chancellor to ask that he provides adequate financial support for both sustainable businesses and good public health?

[Matt Hancock]

Of course, this measure is for England, and it is up to the devolved Welsh Administration to decide public health measures in Wales, but the principle that we as taxpayers, as a whole country, should shoulder as much of the economic burden as possible is what underpins the absolutely unprecedented £190 billion of extra support that this Government have put into the economy to get us through these very difficult times.

Covid-19 Update

Debate between Geraint Davies and Matt Hancock

Thursday 10th September 2020 Commons Chamber

[Matt Hancock]

I am very happy to meet my hon. Friend, who speaks so strongly for Crewe and all of its residents, on the need for a high-quality NHS. Of course, my hon. Friend is a qualified doctor who, during lockdown, spent a huge amount of time in hospital and working on the frontline of the NHS, and I think we should all applaud him for that work. I am absolutely happy to meet him. He knows, with enormous expertise, of what he speaks. We are all grateful for his service, and I hope that we can continue to make improvements to Leighton Hospital.

[Geraint Davies (Swansea West) (Lab/Co-op) [V]]

Some 10% of infectious people are being sent over 22 miles—some, hundreds of miles—without contact tracing, for testing, so would the Secretary of State agree that the current testing system also amounts to a spreading system for the virus?

[Matt Hancock]

No, because the testing sites operate, of course, in a covid-secure way; we put a huge amount of effort into the infection control procedures at testing sites. I want to reiterate, for anybody listening who has symptoms and might be worried by some of the things they are hearing, that the average distance that people go is only 6.4 miles, and that 90% of people travel less than 22 miles to get a test. If you have symptoms, please get a test.

Coronavirus

Debate between Geraint Davies and Matt Hancock

Wednesday 17th June 2020 Commons Chamber

[Geraint Davies (Swansea West) (Lab/Co-op) [V]]

Research from Harvard and Queen Mary University clearly shows a dramatic increase in the level of deaths and infections from covid-19 in higher pollution areas. Given that BAME communities tend to live in higher pollution areas, will the Secretary of State accept that this is a major factor in their disproportionate death rate? What is he doing with colleagues to ensure that we have low pollution levels as we come out of covid? Will he meet me to consider proposals from scientists, businesses, academics and local authorities, published by the all-party parliamentary group on air pollution, on a strategy for coming out of lockdown with low air pollution to reduce death and infection rates?

[Matt Hancock]

The hon. Gentleman—he is my hon. Friend when it comes to air pollution—and I share a passion for clean air. He is right about deaths being correlated with areas of high air pollution. We are looking at the reasons behind the disproportionate number of BAME deaths, and we will take air pollution into account in that work. On the final point, it is a bit like an earlier question asked by one of my hon. Friends from a completely different angle—some things have got better in this crisis. Overall, of course, the crisis has been terrible, but some things have got better. One is air pollution. Let us cling on to that and redouble our efforts to keep clean air for the future

Covid-19: R Rate and Lockdown Measures

Debate between Geraint Davies and Matt Hancock

Monday 8th June 2020 Commons Chamber

[Matt Hancock]

The use of the testing capability that we now have, which is one of the biggest in the world and the biggest capability in Europe, means that we can focus the testing where it is most clinically needed. Reports such as the one by PHE on the impact of the disease on different parts of the population, whether that is in respect of age, sex or ethnic background, are incredibly important in making that assessment. Where the clinical judgment is that tests should be used specifically for one group because they have a higher risk, we will follow that clinical judgment.

[Geraint Davies (Swansea West) (Lab/Co-op) [V]]

Given the varying rates of infection across both England and Wales and the need to isolate covid, will the Secretary of State now adopt the Welsh guidance that people should not normally travel more than five miles from their home, in order to stop people travelling from high-infection areas to low-infection areas and thereby spreading the virus unnecessarily?

[Matt Hancock]

We talk to the Welsh Government all the time about making sure that the public health matters that are devolved are exercised in as co-ordinated a way as reasonably possible, and I fully respect the Welsh Government’s capability in making these sorts of assessments for Wales.

Coronavirus

Debate between Geraint Davies and Matt Hancock

Tuesday 3rd March 2020 Commons Chamber

[Matt Hancock]

Yes, and that is a very important point. Fake news in response to a virus like this can be dangerous and damaging to health and it should be taken down. I am working with the social media companies—I spoke to the main social media companies yesterday—and the biggest of them are playing a very responsible role. If someone searches on Google, the top two sites that come up for coronavirus are from the World Health Organisation, and the NHS is third. Google is promoting good, high-quality, medically informed advice, and the other social media platforms—the major ones with which we are working—are also taking this very seriously.

[Geraint Davies (Swansea West) (Lab/Co-op)]

Does the Secretary of State agree that the key drivers of aggregate transmission are, first, the level of movement and, secondly, the level of assembly? Will he therefore take this opportunity to advise elderly people in particular, who are more at risk, that they would be well advised to restrict their movements—perhaps go to the shops once a week instead of twice—and to work as and when they can in a sustainable way from home rather than at work? Does he also agree that we should, if at all possible, avoid big assemblies of people as transmission rates are higher there? If not, we will end up having to enforce roadblocks and confinement much more quickly than otherwise.

[Matt Hancock]

No, we will be advised by the science. The point that has been raised many times is that timing is really important. There are downsides in terms of the destruction and medical downsides in terms of controlling the spread of this virus if things are done too soon. I am very happy to arrange a briefing for the hon. Gentleman —a briefing is available with the chief medical officer at 4.15 pm today for anybody who wants a private briefing—and to take him through some of that science.

Wuhan Coronavirus

Debate between Geraint Davies and Matt Hancock

Monday 3rd February 2020 Commons Chamber

[Geraint Davies (Swansea West) (Lab/Co-op)]

Thank you very much, Madam Deputy Speaker.

Figures issued yesterday—I appreciate that the Secretary of State has updated them today—showed that, out of 14,500 people diagnosed, 304 had died and 342 had recovered. What is of concern is the similarity of the number of people dying to the number of people recovering.

The Secretary of State has already mentioned that the transmission rate is doubling every five days. He will also know that, as well as introducing flight blocks, China has introduced road blocks, and has prevented people from going to work for 14 days in districts where there is no transmission at all. What does the Secretary of State plan to do if a number of cases emerge in cities up and down Britain? Has he any plans to reduce people’s movements, for instance, to contain the virus?

[Matt Hancock]

Let me make it absolutely clear that I do not recognise, and the Government do not recognise, the figure that the hon. Gentleman has given for the number of people who have recovered. The mortality rate is estimated to be about 2%. Of course we will revise that figure as more information comes to light, but the figure that he gave for the number who have recovered from the disease appears to be very low in comparison with the information that we have.

Of course we have plans in case the disease becomes widespread globally and widespread here, and we are constantly working on those plans to ensure that we are as ready as possible. We have plans in place, and we had them before the virus arrived here. We are working through those plans, and I will endeavour to update the House whenever I possibly can.

I began by paying tribute to the shadow Secretary of State. Normally when I am nice about the shadow Secretary of State, he thinks that I am doing it to damage his political career. There may be some truth in that, but in this case he is acting in the most responsible and high-minded way, and I think that the whole House should pay tribute to him.

NHS Funding Bill

Debate between Geraint Davies and Matt Hancock

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

[Matt Hancock]

The Foreign Office is working with international partners both in America and other EU countries, keeping open about the procedures and what it will do for the estimated 200 UK citizens who are in the area in China in which this is currently contained. On the point about the readiness of the NHS here, four centres are stood up and ready should there be a need. The centres are in Guy’s and St Tommy’s, Liverpool, Newcastle and the Royal Free, and there is a further escalation if more beds are needed. So we are ready, but of course we keep all these things under review.

[Geraint Davies (Swansea West) (Lab/Co-op)]

The Secretary of State will know that we are all looking forward to lots of celebrations of the Chinese new year. What communication has he had with Chinese organisations that are arranging these, so that they can get in contact with people who may have come from Wuhan so as to try to identify risk and pre-empt problems?

[Matt Hancock]

We are using all possible means to get in contact with the 1,460 people whom we need to contact, and who we know have travelled to the UK from Wuhan and who have not as far as we know left the country. We are collaborating with Border Force, the airline and others, including universities, schools and cultural organisations to try to make contact.

--- Later in debate ---

[Matt Hancock]

I will give way to the hon. Member for Swansea West (Geraint Davies) and then the hon. Member for Nottingham South (Lilian Greenwood).

[Geraint Davies]

The Secretary of State knows that NHS funding increases in recent years have averaged about 1.4%. His plan is for 3.4%, yet the last Labour Government delivered average increases of 6% a year—almost twice as much—so how can he be saying that this is enough? It is clearly too little, too late.