Coronavirus Vaccine

Jonathan Ashworth Excerpts

Wednesday 2nd December 2020 Commons Chamber

[Jonathan Ashworth (Leicester South) (Lab/Co-op)]

As always, I thank the Secretary of State for advance sight of his statement. This is indeed fantastic news about the Pfizer vaccine, and I join him in congratulating all who have been involved in making this happen. We have rightly clapped carers throughout this crisis. I wonder if we should as a nation come together and applaud our scientists as well one evening. It is also incumbent on all of us across the House to reinforce the case that vaccination saves lives, and if it helps, I will stand alongside the Secretary State, socially distanced of course, on any platform or in any TV studio to show that we are united cross-party in promoting vaccination.

Our constituents will have legitimate questions and they should not be ridiculed for asking them, so will the Secretary of State launch a large-scale public information campaign to answer questions and encourage uptake? Will he consider sending a pamphlet, perhaps, to every household? We know that dangerous myths circulate on social media, and we repeat our offer to work with Ministers to curb online harms. I hope we can work together and take something forward on that front.

Hospital trust staff will start receiving this vaccine first. I understand that it is a massive logistical exercise, given the temperatures and the need for two doses, but could the Secretary of State tell us how many NHS staff he expects to be vaccinated by January, which is of course the time when we expect the NHS to be under the most pressure?

Where does this leave social care and care home residents and staff? There are concerns that this particular vaccine cannot be moved multiple times to care homes, so can he set out exactly how and when care home residents will receive a vaccine? Our constituents will want to know: when will primary care networks start rolling out vaccination, and when will the mass vaccination centres he has reported to the House start opening in our communities?

We have historic strengths as a country with vaccination, but in recent years we have lost our measles-free status. We know that vaccination rates can be lower in poorer and vulnerable communities and that covid has often had a disproportionate impact in these communities, so will he ensure that there is a health inequalities strategy as well in his vaccination campaign, so that black and minority ethnic groups, and the poorest and the vulnerable, do not miss out on this vaccine?

I think we all understand that restrictions will have to remain in place for some time, but can the Secretary of State offer us a timeframe or a target for when we should expect to achieve herd immunity and life gets back to normal? Will he consider publishing a route map of what restrictions could be released as vaccination rates increase? In the meantime, if someone is vaccinated, will they still have to isolate if contacted by Test and Trace, or are they now released from that obligation?

On mass testing, some directors of public health have told me that the lateral flow tests are not licensed for door-to-door testing in hotspots and therefore can only be administered at sites. If that is correct, can the Secretary of State resolve it? If is not correct, can he issue urgent clarity to directors of public health? The Government’s document published on Monday suggests that local areas could use mass testing as a freedom pass. Will he outline to the House what that means in practice? Will local areas enforce rules? What happens if some people have had the test but some have not had the test in a particular area that is supposed to be under tier 3? In the House yesterday, the Prime Minister suggested that people may want to take advantage of mass testing ahead of visiting their families this Christmas. Will the Secretary of State update the House on whether that is the plan and how that will be implemented?

We of course welcome the Secretary of State’s news on care homes, but many care homes report that they will need resources to support the testing exercise. Will those resources be in place?

Finally, if mass testing is to work in communities, people will need support to isolate, if it is found that they have covid when they are not feeling unwell. Will the Secretary of State now expand the eligibility criteria for the £500 grant?

This is a good news day, and we should all pay tribute to everyone who was involved—we should pay tribute to the scientists. I will say again, we will work together to make the case that vaccinations save lives.

[Matt Hancock]

The hon. Gentleman has worked supportively and constructively with the Government throughout this pandemic. I pay tribute to the approach that he has taken, and that he took again today.

I stand with the hon. Gentleman in saying that vaccinations save lives. If we can encourage anybody who might be hesitant to take a vaccine by appearing together to be vaccinated together, of course I would be happy to do that. I recommend that we have a professional vaccinate us, of course—I do not think that he would trust me to do it.

The hon. Gentleman asked for a public information campaign, and there will of course be one. He asked about health inequalities, which are a very important consideration. The best thing to support tackling health inequalities is the fact that we have a vaccine, but we absolutely need to reach all parts and all communities across the whole country.

The hon. Gentleman asked how many will be vaccinated by January. While today brings more certainty, it does not end all uncertainties. We have 800,000 doses that have now passed the batch testing, but the total number to be manufactured over this timeframe is not yet known, because it is all dependent on the manufacturing process, which is itself complicated. After all, this is not a chemical but a biological product, so I cannot answer that question—that is as yet unknowable.

The hon. Gentleman asked when the PCNs and the centres will open. The answer is very soon. We have 50 hospital hubs ready to go from next week. The PCNs are also being stood up, and the centres outside hospitals. They are all coming very soon.

The hon. Gentleman then asked when we will get to lift restrictions. Of course, I understand why not only he but almost everybody in the country wants to know the answer to this question: how many people do we have to vaccinate before we can start lifting the restrictions? The answer to that is that, while we know that the vaccine protects an individual with a 95% efficacy, we do not know the impact of the vaccine on reducing transmission, because of the problem of asymptomatic transmission, which has so bedevilled our response to this virus and made it so hard to tackle.

We do not know the answer to that question, but what we will do is to follow the same five indicators that we were discussing at length yesterday, which are the indicators of the spread of the disease. We will look at the cases, the hospitalisations and of course the number of people who die with covid, and we will hope very much that, as we vaccinate more and more vulnerable people, we will see those rates come down and therefore be able to lift the restrictions. We will have to see how the vaccination programme impacts directly on the epidemic, and then move as swiftly as we safely can to lift the restrictions, which we all want to see gone.

The hon. Gentleman asked about community testing being licensed from door to door. I have not heard about that problem—I will ensure that I get back not only to him, but to those who raised it with him, if he will work with me. I am a bit surprised to hear that. Administering the lateral flow test currently requires a professional, although we hope to move on from that, but as far as I know it can take place in any setting, hence my surprise. However, as the comment was made by a public health professional, I shall dig into it further.

Finally, the hon. Gentleman talked about the testing prospectus we launched on Monday. We hope to be able to use testing to do more things that we would not be able to do without testing. In a way, visits to care homes are an example of that, as something we can now safely recommend that we could not recommend before; so too is testing to release from quarantine people coming into this country. If there are further examples of that sort of enablement of normal life through the use of testing that can be safely done and can be approved by a director of public health and by the chief medical officer and his team, we are enthusiastic about working with local areas to deliver it on the ground.

There are lots of ideas out there, and I urge people to be creative about how we can we can use testing to enable some of the things we love to get going again in a way that keeps people safe. That is what that part of the testing prospectus was about. I am very enthusiastic about it and look forward to working with directors of public health and with colleagues in this House. Yesterday, the Prime Minister said that with the roll-out of mass testing and the availability of these tests, we all, as leaders in our local communities, have a role in promoting mass testing. I am sure that there are communities across the country represented in this House that can benefit from the roll-out.

Looking around the Chamber right now, I see many people who have already approached me—not just from Lancashire. I look forward to working with colleagues in all parts of the House to promote this public health message, along with all the other important public health messages we have to promote, not least that if the NHS phones you up or sends you a letter saying that there is a vaccination slot open to you, just say yes.

Covid-19 Update

Jonathan Ashworth Excerpts

Thursday 26th November 2020 Commons Chamber

[Jonathan Ashworth (Leicester South) (Lab/Co-op)]

I thank the Secretary of State for advance sight of his statement. I suppose that we should all thank him for advance sight of the website, but sadly, it crashed before we could check what tiers we were in.

The news of a vaccine is indeed light at the end of the tunnel, but we are still in the tunnel and we have a significant way to go to drive infection rates down and keep our constituents safe. We understand why tough restrictions are still needed, but let us be clear: today, millions of people trying to survive in the second lockdown will soon be forced to endure further local lockdown restrictions, so does the Secretary of State accept that these interventions succeed when made in tandem with local communities?

I remember that when areas such as Bury and Trafford went into lockdowns in the summer, the Secretary of State promised that MPs would be involved in the decision. Has that commitment been abandoned? Then, Ministers agreed to involve regional leaders, but took exception to being challenged by Andy Burnham, so what role do regional leaders now have in these decisions, or is the position really that the Prime Minister imposes from Downing Street restrictions on communities across the midlands and the north—restrictions that will have a huge impact on the livelihoods of families and small businesses?

Christmas, the Secretary of State will know, is vital for pubs, restaurants and entertainment venues across those areas. They will need substantial financial support to get through this period. Will those areas that went into tier 3 lockdowns before the national lockdown, such as Greater Manchester and South Yorkshire, get backdated economic support for their local small businesses?

Parts of the country, such as my own city of Leicester, Bury, Leigh and Heywood, have been under a form of lockdown for months, with families forced apart and grandparents not seeing their grandchildren. Those families today will want to know what the exit strategy is and what voice they will have in that strategy. The Secretary of State has outlined five criteria by which local lockdowns will be judged. Will he publish clear, transparent rules for areas entering and leaving tiers—a score card for every area, assessing its covid progress against its criteria, so everyone can judge this publicly?

The Secretary of State talks of mass lateral flow testing, and we welcome the advances, but over two weeks ago he announced he was sending, I think, 930,000 of those tests to local authorities, yet only around 8,500 are being used a day. Can he explain why that is? He will also be aware—I am sure that he will have studied this—that Slovakia recently tested more than 3 million people over a weekend using those tests. The Slovaks incentivised people to get tested by offering greater freedoms. Is that part of the Government’s thinking on how those tests could be used?

Evidence from Liverpool suggests that there is a lower take-up of tests in poorer, harder to reach communities. Is not the problem that if people and their contacts feel they will be financially penalised for a positive test, they will avoid a test, they will switch off the app and they will not answer their phone to unrecognised call centre numbers? The reason people soldier on when ill is not a stiff upper lip: it is that they cannot afford to feed their families otherwise. Surely, after months and months, it is now obvious that low-paid people such as care workers on zero-hours contracts need better support to isolate. Why did the Chancellor not increase statutory sick pay in the spending review yesterday?

The test and trace budget has now increased to £22 billion, more than the annual budget for the police and the fire service combined, yet the Office for Budget Responsibility yesterday confirmed that its forecasts are based on the fact that

“a less effective TTI”—

test, trace and isolate—

“system necessitates keeping a more stringent set of public health restrictions in place over the winter.”

At what point will the Secretary of State accept that the current Serco model has failed? I am not against using the private sector, but I am against throwing shedloads of taxpayers’ money at failing private sector contracts. Local authorities, especially those now in tier 3, should be leading this retrospective contact-tracing work, and they should be given the data from day one, so they can get on with it. By the way, why was there no uplift yesterday in the public health grant? Surely, this is a time when we should be investing in public health, not freezing the grant.

On the easements for Christmas, there will indeed be relief in families across the country, but the Secretary of State will understand that there will also be nervousness across the NHS. We need a clear public health message: asking people to be jolly careful is not good enough. He will know that January is an immensely busy and pressured time for our NHS. It is not just the patients filling up covid beds; it is the emergency pathways that are already running at hot and it is the immense elective backlog. We know there are fewer beds because of social distancing. We know staff are exhausted. One in seven hospitals have restricted electives or planned operations so far this winter. What plans are in place to protect the NHS through January, especially if there is a long cold snap? How many elective operations does he anticipate will be cancelled in January? Nobody in this House wants to see a third lockdown, so can he guarantee that the measures he has announced today will be enough to bring the R down and sustain it below 1 for the coming months until a vaccine allows life to return to normal?

[Matt Hancock]

The goal of the Government is to bring R to below 1 to suppress the virus until a vaccine can keep us safe. That is the strategy.

I shall take the precise points that the hon. Gentleman raised. He asked for an exit strategy. The statement I outlined is the exit strategy: it is to keep the virus suppressed with the minimum damage possible to the economy and, indeed, to education, while we work as fast and as hard as we can towards a vaccine and with the widespread use of community testing across the piece to help to keep the virus under control.

I would have expected the hon. Gentleman to welcome the massive progress in Liverpool that has shown that a combination of sticking by the rules and community testing at very large scale can help to bring this virus right under control. Instead, he criticised that it does not get into harder to reach communities. That is exactly where we need to get into, and that is why we do it in combination and hand in hand with the local authority.

I praise Joe Anderson, and I also praise other local leaders, such as Ben Houchen in Tees Valley, who is working with us on this, Andy Street and leaders across the west midlands, and the hon. Member for Barnsley Central (Dan Jarvis) in South Yorkshire, who we are working with to get a community testing system up and running in places such as Doncaster. I want to see the community testing that has been successful in Liverpool rolled out right across the tier 3 areas as much as is possible, and I invite all councils to engage.

We invited councils to engage ahead of the decisions today, and we also invited all colleagues in the House to have an input, but it is important that we have clear public health messaging, because unfortunately we did see the number of cases going up and continuing to go up in those areas where local leaders were not working alongside us. It was a sharp contrast to what happened, for instance, in Liverpool, but also in other areas where the local leadership was so constructive and positive.

The hon. Member for Leicester South asked for a scorecard for the exit strategy. We publish the data, and if we can make it into an even more accessible format, I think that is a good idea. He asked about supporting the NHS—absolutely. I am delighted that, yesterday, my right hon Friend the Chancellor of the Exchequer, with the support of the Prime Minister, put another £3 billion into the NHS, on top of the £6.6 billion that is already being invested. That money starts flowing this financial year for this winter and then runs into next year.

The hon. Gentleman mentioned the need to support people who have tested positive. We have put in place a £500 support payment. On NHS Test and Trace, I thought from the figures this morning that he would have welcomed the fact that the majority of in-person tests are now turned around within 24 hours. That is significant progress on the speed of turnaround in testing, for which I am very grateful to my team. There will be further support for local councils that find themselves in tiers 3 and 2 to support the action that is needed. But all in all, let us come together and work together to get this virus under control and keep it under control, so that we can get life back to normal as soon as possible.

Oral Answers to Questions

Jonathan Ashworth Excerpts

Tuesday 17th November 2020 Commons Chamber

[Matt Hancock]

Increasingly, the test itself is only one part of getting a high-quality testing system. The logistics around it are also vital. We are already funding local authorities across the country to support them to roll out mass testing, but we will learn from the pilots, including in Hampshire, to see what extra might be needed.

[Jonathan Ashworth (Leicester South) (Lab/Co-op)]

Testing, backed up by tracing and isolation, is key to avoiding further lockdowns. At the Secretary of State’s press conference yesterday, we heard that tier 1 has had “very little effect” and that the tiers must be strengthened. Can he confirm that it is the Government’s intention to impose a tougher set of restrictions on tier 1 areas post this lockdown?

[Matt Hancock]

It is too early to do the analysis that the hon. Gentleman requests, but of course, we remain vigilant.

[Jonathan Ashworth]

We will soon be asked to make a decision on the future of the lockdown, so the earlier we get that information, the better.

Testing for NHS staff is crucial for dealing with the backlog in NHS care. Last week, we learned that 139,000 people are waiting beyond 12 months for treatment. We now know that 252,000 people are waiting beyond 18 weeks for orthopaedic surgery, which is often hip and knee replacements, and 233,000 patients are waiting beyond 18 weeks for eye surgery—many could go blind. People are waiting longer for gynae surgery and heart valve surgery, and many are languishing on trolleys in dangerously overcrowded A&Es. As well as testing NHS staff, Ministers have promised to give the NHS whatever it takes. Can the Secretary of State guarantee that the spending review will deliver the resources, beds and capacity to bring waiting lists down?

[Matt Hancock]

The good news is that we are managing to continue to drive through the backlog that understandably built up in the first peak. Instead of attacking the NHS, the hon. Gentleman should be backing the NHS and thanking it for the incredible hard work that it is doing right now and will be doing this winter.

Covid-19 Update

Jonathan Ashworth Excerpts

Tuesday 10th November 2020 Commons Chamber

[Jonathan Ashworth (Leicester South) (Lab/Co-op)]

As always, I thank the Secretary of State for advanced sight of his statement. May I just take this opportunity to congratulate President-elect Biden and Vice-President-elect Harris? I am sure the whole House looks forward to close international co-operation to defeat this virus.

I welcome the announcement, in the past 24 hours, of routine testing for frontline NHS staff. The Secretary of State will know that that is something I and the Chair of the Health Committee have been pushing for, for some months. It is welcome that we are now in a position to extend that testing. It is important not just to protect our NHS staff—I join him in thanking them—but for infection control in healthcare settings, too.

On the roll-out of the lateral flow test that the right hon. Gentleman announced today, I understand he is giving discretion to directors of public health. Does he agree that relatives of care home residents should be given priority access to those tests, so they can go into the care home, see their loved ones and even, maybe, hold their hand or hug them?

Testing is only one part of the jigsaw, of course. To avoid this lockdown becoming a let-down, we need to put contact tracing in the hands of public health teams from day one, so will the Health Secretary update the House on how he is fixing contact tracing? He may have seen Dido Harding at the relevant Select Committee just now. She confirmed that when it comes to isolation, people find it “very difficult” and that the “need to keep earning and feed your family is fundamental”. Will he therefore now accept that a better package of financial support is needed to ensure that isolation is adhered to?

On the vaccine, this is a moment of great hope in a bleak dismal year that has shattered so many families. We are optimistic, though cautious—quite rightly. We need to see the full results, the demographic details of the trials and understand the implications for severe cases. There will be clinical judgments by the relevant committee on the priority lists, which we all understand, but can the right hon. Gentleman outline the latest clinical thinking on the vaccination of children? Will the disproportionate impact of the virus on minority ethnic communities be taken into account by the relevant clinicians when drawing up the final priority list? What is the Government’s current working assumption of the proportion of the population that needs to be vaccinated to establish herd immunity and bring R below one? Over what timeframe does he envisage that happening and how many doses does he think we will need? As we vaccinate the most vulnerable, there will be fewer people at risk, and deaths and infections will come down. However, the virus is now endemic, so is it the Government’s current working assumption that social distancing and mask wearing will need to continue until that herd immunity is reached?

Fundamentally, for this to work ,we need a plan for the manufacture and distribution of the vaccine. May I gently suggest to the Secretary of State that the roll-out of test and trace and the early procurement of personal protective equipment was not as smooth as it might otherwise have been?  None of us constituency MPs wants to see booking systems overloaded and our constituents told to travel hundreds of miles for a jab, like we saw earlier this year with testing, so what is the plan? Will he publish a strategy? Can he tell us how much will be invested in the covid vaccination programme?

We need secure supply chains. Are the Government working internationally to ensure there are enough raw materials, enzymes and bioreactors to guarantee the mass manufacturing that is needed?

On distribution, the Pfizer vaccine needs to be kept at -70°C. Cold chain transport and storage is needed. A year ago, the Secretary of State used to boast that he was the country’s biggest purchaser of fridges. Is he procuring the appropriate storage equipment now? Will liquid nitrogen and freezers be provided to health centres, doctors’ practices and care homes? Will cold chain distribution be in place in all parts of the country?

Last year, the World Health Organisation described vaccine hesitancy as one of the top 10 threats to global health. May I again reiterate my offer to work with him on a cross-party basis to build public confidence in the vaccine, promote take-up and dispel anti-vax myths? I rather suspect all Members working across the House to promote take-up would prove more cost-effective than paying £670,000 of taxpayers’ money to fancy PR consultants.

This is an important moment. We see a glimmer of light in the distance at the end of this long, dark tunnel. Our constituents are hopeful. We look forward to rapid progress in the distribution of the vaccine, so we can all get back to normal.

Coronavirus Regulations: Assisted Deaths Abroad

Jonathan Ashworth Excerpts

Thursday 5th November 2020 Commons Chamber

[Matt Hancock]

I pay tribute to my right hon. Friend for the way in which he puts his case. Of course, we acknowledge the changing views of many, including many in the medical profession, and, of course, we observe the changes in the international debate. I think it is absolutely reasonable for this House to have a conversation and discussion on what is an important topic, and it is right that we locate that question within a broader discussion of how we care for people at the end of their lives, which, because of the coronavirus pandemic, has sadly become a central issue of public debate in this country.

[Jonathan Ashworth (Leicester South) (Lab/Co-op)]

I thank the right hon. Member for Sutton Coldfield (Mr Mitchell) for the way in which he has put his questions and the Secretary of State for the sensitive way in which he has responded and for the clarification he has offered to the House. I suspect there will come a point at which this Parliament will have to confront the issue. I note that the Secretary of State has said that issue should be located within a broader discussion about end-of-life care, a perfectly reasonable position which I endorse, but can he reassure me that, as part of the broader discussion, there will always be thorough and transparent consultation with the public and with faith groups, and that physicians and healthcare professionals will always be fully involved?

Members across the House will have sincerely held views, and whatever one’s views on the principle, the House should be aware that before the pandemic a person from Britain travelled abroad to Dignitas every eight days and that charities have warned that since the March lockdown some terminally ill people are ending their lives in the most traumatic circumstances because of a lack of clarity about the law—the Secretary of State has given clarity today, but until that point there was a lack of it. We know that a second lockdown will have a heavy toll on people’s mental health, especially over the winter, so can he tell us what mental health support will be made available to people facing this most awful of choices and what mental health support is available to people more broadly?

People deserve dignity in dying and palliative care needs to be improved at the best of times, but lockdown means that palliative care is particularly under pressure. Can the Secretary of State assure us that hospices will get full support throughout the lockdown, that hospice staff will get regular access to regular testing and that we have a supply of enough of the vital drugs which palliative care relies on for the lockdown period?

This is an immensely sensitive topic. I repeat that I appreciate the way in which the Secretary of State has dealt with it this morning, but many people will be deeply concerned. We look forward to working with the Government on this important issue.

[Matt Hancock]

The hon. Gentleman is quite right that this is not an issue in which there is any party politics, and there is rightly no Government position. On the specific question of assisted dying, I am glad to have been given the opportunity to clarify the impact of the coronavirus regulations on that law, but he also asked the wider question about palliative care. It is important that we support palliative care, and that we locate this question in a wider question about how people can have choice. After all, patient choice has been a growing feature within healthcare—in my view, rightly so—over the last generation. This is one area where that choice is constrained in law.

It is important that we invest in high-quality palliative care. We have put further funding into palliative care and hospices because of the pressures caused by the coronavirus pandemic. Making sure that we have high-quality palliative care services and a hospice service that we can all support fully is obviously very close to my heart.

The hon. Gentleman also asked about mental health support, and there has been increased investment in mental health support to ensure that people get the support they need in what are inevitably difficult times.

Covid-19

Jonathan Ashworth Excerpts

Monday 2nd November 2020 Commons Chamber

[Matt Hancock]

With this action, I am confident that we can make that happen, but it is one of the reasons and justifications for this action that we are taking. The action is serious, and I do not deny or demur from the consequences that the action will bring. My argument is not that this action is good or anything other than regrettable; it is that the action is necessary because the alternative is worse.

I would like to address the specific point made about mental health. It is good to be here next to my hon. Friend the Mental Health Minister. There were a number of questions about mental health addressed to the Prime Minister earlier. Restrictions such as these do have implications for people’s mental health—of course they do—and we are expanding mental health support to address that. However, we also know that coronavirus itself, and the impact of high levels of covid on the NHS, has a significant impact on mental health too. The Royal College of Psychiatrists has said:

“Stricter measures to control the virus are needed to minimise Covid-related mental illness as much as possible.”

Today it said:

“The new lockdown will significantly impact mental health but allowing COVID to go unchecked would also have serious consequences for mental illness. We must ensure that people get the support they need.”

So yes, I am worried about mental health, but in my book that is another reason to bring this virus under control.

Turning to physical health, in the worst-hit areas we have already seen the cancellation of some non-urgent, non-cancer treatments, such as hip operations and cataracts. Without action to bring R below 1, the NHS would be overwhelmed, no matter what we did to expand the NHS and protect the vulnerable, and then we could no longer guarantee that solemn promise to every citizen that our NHS will be there for you when you need it. We must not let that happen.

I want to say this very directly to all those who need NHS services this winter: help us to help you. If you are asked to go to hospital, that is because it is the best place for you. I want to say this to all the staff working in the NHS: we will support you this winter. We are grateful for the sacrifices you are making and we will get through this together.

As we have learned more about this virus, we have been able to strengthen social care, too, and our winter plan sets out the work done to improve those protections, including free PPE, regular testing and the systems for safe discharge that will be so important over the coming months.

Finally, to escape the clutches of the pandemic, we must harness ingenuity and scientific prowess to make the breakthroughs that will help us turn the corner. Testing technologies are improving all the time. We are expanding our existing technologies, and since the pandemic hit we have been putting everything behind our mission to expand our testing capacity. In April, on schedule, we delivered the target of 100,000 tests a day. The Prime Minister then set the goal of testing capacity of half a million a day by the end of October, and I can tell the House that thanks to an enormous effort under the leadership of Baroness Harding and Sarah-Jane Marsh, to whom I give heartfelt thanks, we have hit our target. Testing capacity across the whole UK is now 519,770 a day—a phenomenal national achievement. We now have the largest testing capacity in Europe.

It has been a hard road. As with any new technology, there have been ups and downs, but I always knew we would get there. I am very proud of the team. The next stage is to harness the new technologies—the lateral flow tests that can take a matter of minutes, the high-throughput tests and the point-of-care tests, which are now bringing capacity into the hotspots and on the spot in our NHS hospitals. That is all part of a mass testing capacity that we are building right now, which, alongside the work on vaccines—that is progressing well—will give us so much greater protection from this disease in the months to come.

[Jonathan Ashworth (Leicester South) (Lab/Co-op)]

Before the Secretary of State moves on, just on the point about vaccines, it was reported yesterday in The Sunday Times that Kate Bingham, the chair of the taskforce, spoke at a commercial conference where attendees paid $200 to attend and revealed commercially confidential information. Certainly at the least she apparently revealed information about a vaccine being ready by Easter, which is welcome, and that the Government have done a rehearsal to get the vaccine distributed—again, that is welcome—but why has she revealed that information there? Why has the Secretary of State not revealed that information here? Members may want to take some of those things into account before they vote on Wednesday. Did he authorise her speaking at this event, and can he update us on what she said?

[Matt Hancock]

The 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.

--- Later in debate ---

[Jonathan Ashworth (Leicester South) (Lab/Co-op)]

I appreciate that there are Members who applied for the previous debate and could not get in, so if Members will forgive me, I will take very few interventions. It would be a shame if Members could not get into this debate, as happened last time.

On 21 September, SAGE advised the Prime Minister to adopt a time-limited circuit breaker, and warned that

“not acting now to reduce cases will result in a very large epidemic with catastrophic consequences”.

On 13 October, when we debated the tiered approach, I warned that

“the embers are burning brightly”

nationwide, and that

“further action is going to be needed.”—[Official Report, 13 October 2020; Vol. 682, c. 205.]

Later that day, the Leader of the Opposition proposed to work with the Prime Minister in the national interest and help to introduce a time-limited, two-week circuit break across the school half term.

What was Downing Street’s response to our offer to work together? Downing Street branded us opportunistic. The Chancellor criticised us, describing the proposal as

“a damaging, blunt, national lockdown”

that would cause

“unnecessary pain and suffering”.—[Official Report, 22 October 2020; Vol. 682, c. 1252.].

Even though this morning he defended the decision to go into lockdown, there are now briefings—I am sure the whole House will be shocked by this—that the Chancellor does not really support this lockdown after all. I have been around for a long time, and I know that when a Chancellor tells a Prime Minister that he supports him, while simultaneously letting Tory Back Benchers think that he backs them, that is definitely a man on manoeuvres.

Then we have the Foreign Secretary, who said that

“the idea of a short, sharp circuit breaker is, frankly, something of an enigma. No one can say, if you go into a national lockdown at what point you get out of it.”

Well, quite.

That brings me to the Chancellor of the Duchy of Lancaster and Minister for the Cabinet Office—a man renowned for his long-standing loyalty to the right hon. Member for Uxbridge and South Ruislip (Boris Johnson)—who, in recent days, performed a pirouette with great panache. Two weeks ago on “Sophie Ridge on Sunday”, when asked whether a circuit break could be introduced, he gave an emphatic “No!” But yesterday, when asked on “Sophie Ridge on Sunday” whether the Prime Minister’s lockdown could extend beyond four weeks, he said yes. No wonder the Foreign Secretary is confused with that level of consistency from his Cabinet colleagues.

Then, of course, we have the Prime Minister. Two weeks ago, he said a lockdown would be the “height of absurdity” and he said that a lockdown would “turn the lights out”, yet here we are on the eve of a longer, deeper and more restrictive lockdown than we proposed. Fundamentally, this is about the Prime Minister’s judgment. Since SAGE advised a lockdown in September, over 4,000 lives have been lost. Infections have increased from 4,000 a day to over 20,000 a day. The numbers in critical care on ventilation have increased from 154 to 815. Deaths have been doubling roughly every two weeks since the beginning of September.

Thousands more, sadly, are likely to die over the next fortnight. Tragically, this lockdown is too late for them. Andrew Hayward from SAGE said earlier today on the radio that

“if we had chosen a two-week circuit break…we would definitely have saved thousands of lives and we would clearly have inflicted substantially less damage on our economy than the proposed four-week lockdown will do.”

On Wednesday, Labour Members will, in the national interest, vote in support of the necessary measures, but the House should be clear that this lockdown will be longer and more damaging because the warnings from SAGE in September and then from the Opposition in October were dismissed by the Prime Minister. There is a sorry pattern to this Prime Minister’s handling of the crisis.

[Mike Wood (Dudley South) (Con)]

The shadow Health Secretary risks inadvertently misleading the House in suggesting that SAGE was recommending a two-week circuit-breaking lockdown. As he knows, it has strongly suggested that what it was talking about was a series of lockdowns. Is that still Labour’s position?

[Jonathan Ashworth]

I am sure the hon. Gentleman is familiar with the minutes from SAGE, which read:

“The shortlist of non-pharmaceutical interventions (NPIs) that should be considered for immediate introduction includes:...A circuit-breaker (short period of lockdown) to return incidence to low levels.”

That is the proposal that we endorsed, and it is the proposal that was rejected on 21 September by the Prime Minister. Now the Prime Minister is putting the country into a four-week lockdown, which the Chancellor of the Duchy of Lancaster conceded yesterday could last beyond four weeks. This is fundamentally about the judgment of the Prime Minister, and indeed the Chancellor, who, we know from briefings, blocked the Government from making the choice to go for lockdown earlier.

Throughout this crisis, we have seen mistake after mistake. The preparations for this pandemic were poor and insufficient. The lessons of Exercise Cygnus were not taken on board. The country’s stockpile of PPE was allowed to dwindle, leaving frontline health and care workers unprotected and placed in harm’s way. I hope we can get a cast-iron guarantee that the same will not happen again this winter. Instead of putting the public health teams in charge of tracing, Ministers turned to outsourcing companies, with management consultants paid more in one day than care workers would be paid over four months. Week by week, the numbers followed up by the test and trace system fall. Directors of public health, who want to get on with contact tracing, complain that it takes days for them to receive the information on cases.

The app was months too late, and yesterday we learned that it has an not even been alerting people properly. The Secretary of State is supposed to be the digital whizz kid, and he could not deliver the app on time, and it has not been working sufficiently. Far too many test results are still not turned around in 24 hours, even though we know that we need speed when dealing with a virus that spreads with such severity. There have been 1,300 outbreaks in care homes since the end of August, and care staff still wait more than two days for results.

As we have heard, there is still inadequate financial support for people who need to isolate. It should be no surprise that there were reports of less than 20% of people isolating, given that they are expected to make a choice between feeding their families and their health. Rather than giving people proper, decent sick pay, the Chancellor spent hundreds of millions subsidising meals in restaurants through the summer. There is now evidence from academics to suggest that that led to the spread of the virus and seeded the virus in the early stages of this second wave. We welcome the announcement of the 80% furlough, but furloughed workers in the midlands and the north will conclude that their jobs were worth 13% less than those elsewhere.

The experiences of other countries were needlessly ignored, warnings were downplayed, and the precious advantage of time was squandered. Tragically, that has been as true in September and October as it was in February and March. The Government did not learn. It does not require a crystal ball to listen to scientists and make timely decisions in the national interest, so lessons must be learned, and this lockdown must be used wisely.

I welcome what the Secretary of State said about expanding testing capacity, but we also need to turn around the PCR—polymerase chain reaction—tests quickly for those with symptoms. They are still not turned around in 24 hours. If we are going to have extra capacity in the system, I hope there will be a commitment to turn those tests around in 24 hours for those who need them. We need to expand access to testing to more people, to rebuild confidence across society. UK universities are leading the way in piloting regular saliva testing for students, and some have extended that to the wider community. Rolling out these saliva tests across communities paves the way for weekly testing of key workers such as transport staff, care staff and, especially, NHS staff.

We have been calling for months for the Government to roll out a programme of regular, routine testing of frontline NHS staff. Surely, as we move into winter, that should be a priority. The saliva testing innovation should be brought on stream quickly to do that routine testing of all frontline NHS staff. If we could roll that out—I know that the Secretary of State agrees with me on this, and I do not disagree with him on the objective; I am urging him to use these four weeks to get a move on with it—it would allow us to identify asymptomatic carriers and protect the most vulnerable in society. Will he come forward with a plan to work with our universities on saliva testing, which he knows is very exciting and could make a huge difference?

Contact tracing has to be fixed. It has not been working properly through the call centre approach. The local directors of public health would do a more effective job, but they need to get the contacts within 24 hours, not within days. If they get those contacts within 24 hours, they can introduce as a matter of routine retrospective contact tracing, which finds where people got the virus from and identifies super-spreading cluster events. That approach has been taken in countries such as Japan, and we know that it is more effective. I know that it is happening in some hotspots, but it should be routine across the country.

As I said, we need reassurance that people will get support for isolation. In this lockdown, we will have a spending review, and the test of that spending review is how it will support our national health service and social care sector for the rest of this covid period. We entered this crisis after years of underfunding in the national health service, with capital budgets repeatedly raided—[Interruption.] There were years of underfunding in the national health service—of course there were. The national health service used to get a funding increase of around 4% to 5%. It got something like 6% to 7% a year under Labour Governments. Under this Government, for 10 years, it has got around 1%. Everybody knows that the NHS went into this crisis after years of underfunding. Everybody knows that the NHS went into this crisis with capital budgets having been repeatedly raided, which has left hospitals with a £6 billion repair bill. The NHS entered this crisis with around 15,000 beds having been cut since 2010.

[Matt Hancock]

We cannot let this stand—what a load of nonsense. The NHS went into this crisis with the highest funding level in its history, with more doctors than at any time in its history, with more nurses than at any time in its history and with the biggest hospital building programme in its history. The investment from this Government in this NHS is the highest that has ever been made by any British Government in history, and that is why it is only we who are the party of the NHS.

[Jonathan Ashworth]

The national health service has been systematically underfunded for years under this Tory Government. The NHS went into this crisis without adequate levels of PPE for frontline staff, with nurses using curtains and plastic bags to protect themselves on the wards in the face of this horrific virus. [Interruption.] They are sighing, but they sent our staff into the face of danger without the proper protection; that is what happened going into this crisis, because of years of cutbacks and underfunding of the national health service. The cutbacks and underfunding mean that we have lost 15,000 beds in the national health service since 2010, and that our public health budgets have been cut by £800 million under this Tory Government and because of years of austerity for the NHS. There are people with serious mental health problems who will be spending this lockdown in Victorian-style mental health dormitory wards because of the cutbacks in the capital funding for the NHS.

[Matt Hancock]

Come on!

[Jonathan Ashworth]

That is absolutely true.

[Matt Hancock]

The hon. Gentleman mentions dormitories in mental health services. Dormitories have plagued mental health services for years and years and years—and who are the first Government to not only commit, but to put the funding in to end dormitories in mental health services? It is this Conservative Government. It is not only that this Government are the Government for the NHS and that we are the party of the NHS; we are also the party investing record sums in mental health services, with the biggest increase of all the increases in funding going into mental health services, including to end the dormitories in mental health services that have existed ever since the NHS was created.

[Jonathan Ashworth]

The Government have been cutting capital budgets in the NHS, which is why we have still got those horrendous dormitory wards, including at Leicestershire Partnership NHS Trust and Derbyshire Healthcare NHS Foundation Trust. Years of Tory cutbacks have meant that clinical commissioning groups have been raiding child and adolescent mental health budgets in order to fix the wider revenue gaps in the NHS. That is because of 10 years of underfunding in the national health service. We went into this crisis with an NHS that did not have enough staff—short of 80,000. It has seen 15,000 beds cut and public health budgets cut by £800 million. Hospitals have been left with £6 billion of repair bills and with these Victorian dormitory wards that have not been updated for years. The Secretary of State cannot stand there and say that the NHS had enough investment going into this crisis, because if it had we would not have had staff without PPE.

[Stephen Doughty]

Perhaps my hon. Friend will take a look at the situation in Wales. Thanks to investment from the Welsh Government, I have a brand-new mental health facility at Llandough Hospital in Cardiff South and Penarth, with state-of-the-art facilities to deal with mental health issues in Wales.

[Jonathan Ashworth]

Wales also has a much better test, trace and protect system because the Welsh Government did not outsource it to Serco. Of course, the Welsh First Minister showed some leadership and actually imposed his short firebreaker, when the Secretary of State’s leader was running away from the difficult decisions that were needed and was not following the advice of the scientists.

The spending review is due towards the end of November. The test will be whether the NHS and the social care system are given the funding they need. One matter that the Secretary of State did not go into in great detail—perhaps the Minister for Patient Safety, Mental Health and Suicide Prevention, the hon. Member for Mid Bedfordshire (Ms Dorries), could respond when she sums up—is what protection will be in place for the social care sector. We understand why we need to have a lockdown, but we know that a lockdown is going to be particularly devastating for those in receipt of social care. Many people have made great sacrifices, not being able to see their loved ones in social care throughout this period. There is a great worry that many loved ones are literally fading away in social care, not able to see their daughters, granddaughters, sons and grandsons.

We really need a system in place so that loved ones can see their families in social care. Some of the testing innovations that the Secretary of State has spoken of, which we welcome, should be used so that relatives can see their loved ones in social care regularly. He did not mention that today, but this is going to be a real issue in the coming weeks. I hope that the Minister of State can reassure the House that there will be a sufficient plan in place for those in receipt of social care to be fully protected throughout the four-week lockdown and the winter more generally.

[Rushanara Ali]

Does my hon. Friend agree that not only do those in care need additional protection, but the black and minority ethnic death rates in the first lockdown were unprecedented? The Government published the disparities report, yet they do not have an action plan as we go into a second wave. We can see the numbers already; BAME deaths have already happened in my constituency in this wave. What are the Government going to do to protect those from BAME backgrounds who are particularly at risk?

[Jonathan Ashworth]

This is a really important point, which my hon. Friend has raised many times in the House. We know that covid particularly thrives on inequalities in society and is particularly brutal with respect to socioeconomic inequities. We have seen the disproportionate impact on those from BAME backgrounds, particularly those who live in constituencies such as hers and mine, in overcrowded housing or in low-paid, public-facing roles. The Public Health England report and other reports published in recent weeks by think tanks all make welcome and sensible recommendations about targeted testing and particular protections in the workplace. Those need to be implemented because we know that this virus is particularly cruel when it comes to inequalities. That is why I have always made the broader point that getting through this virus in the end not only relies on mass testing—we agree on that—and the wider distribution of a vaccine, but fundamentally relies on a wider health inequalities strategy. We went into this crisis with inequalities getting wider, life expectancy going backwards and child mortality rates worsening. That is the result of 10 years of austerity, as Sir Michael Marmot says. If we want to get on top of this virus, which is now endemic, we are going to need a fully resourced and wider health inequalities strategy.

[Jonathan Edwards]

Will the hon. Gentleman give way?

[Jonathan Ashworth]

I will, but this will be the last time, because I want to finish.

[Jonathan Edwards]

I am grateful to the hon. Gentleman. I invite him to agree that the Treasury needs to up its game on its co-ordination with the devolved Administrations because, when Wales, Scotland and Northern Ireland wanted to go into lockdown there was no extension to the furlough, yet there is when the policy comes to England. The Treasury needs to be working with the devolved Administrations so that they can pursue their chosen public health policy.

[Jonathan Ashworth]

The hon. Gentleman makes a completely valid point, although it is not just about the devolved Administrations; the Chancellor should work more closely with the various civic leaderships across the country. When it was the north being locked down, they simply did not get the economic support for the jobs and livelihoods in their areas. If the Government are moving to a tiered system post this lockdown, whenever it ends, I hope that they will not make that mistake again.

If this pandemic has taught us anything, it is surely that our NHS and social care service, and the staff who care for all of us, need to be fully funded and supported in the months ahead. We will support this lockdown on Wednesday—we will vote for it—but the British people are again being asked to make huge sacrifices, so, in return, Ministers must not waste this lockdown. They must take action to improve the test and tracing system, they should expand the new testing techniques and we must give the NHS and our social care system the support they need to get through the months ahead.

--- Later in debate ---

[Jeremy Hunt]

I would be very grateful, and I know that staff everywhere would be grateful, if my right hon. Friend could give some indication of when all NHS staff can be confident that they will be tested, but I thank him very much for that answer.

Secondly, I hope the Secretary of State will not mind me saying that this is the moment when we have to fix contact tracing. To be reaching only 60% of people’s known contacts is not good enough. He knows that, and he does not try to defend it—

[Jonathan Ashworth]

He does.

[Jeremy Hunt]

No, no. This is the point: when we have 50,000 people being infected every single day, it is a massive logistical task, but if we are honest, we still had problems when it was a tenth of that number being infected every day. This is the moment to recognise the uncomfortable truth that this would be better done locally, with local authorities taking the ultimate responsibility. While we are making these changes to the contact tracing regime, to have only 20% of people who are infected and told to self-isolate actually complying suggests only one answer, which is that we as the state should pay their wages for the period that they have been asked to isolate. That is expensive, but it is less expensive than the cost of them not complying with the important direction to isolate.

On a more technical matter, I ask the Health Secretary to consider whether there is a way we can speed up the approval of the new therapeutic drugs that are coming online. As he knows, we generally wait until both safety and efficacy are proved before approval is given to a new drug. However, in a pandemic, would it not be right to allow the mass marketing of drugs to go ahead as soon as they are deemed safe, even though we cannot guarantee their efficacy? That could save lives, and any delay might mean that people could not get the benefits of those new drugs.

I want to finish on the issue of population testing. My right hon. Friend and I have had many discussions about this and again I know that he is sympathetic. We are in an immensely stronger position because of the huge improvements in testing capacity that he rightly celebrated in his earlier comments. However grave the situation we are in now, it would be a whole lot graver if we had not increased testing capacity from 10,000 a day to 100,000 a day, and then to 500,000 a day last week and potentially 1 million a day by Christmas. We are not far off the 2 million a day that would be needed to test the whole population every month.

Now is the time for us to tell the public how we are going to chart a course to that destination, because this is the only true light at the end of the tunnel. Charting a course to that destination means charting a course through the incredibly complex logistics and through the technology that will be necessary to record who has or has not had their positive test on time, but if we can show people that there is a date next spring by which the whole population will be tested on a regular basis, we will also be showing people that there is a way through this pandemic. In that way, our national depression would be lifted and we would be able to give the hope to our constituents that is now in such desperately short supply.

--- Later in debate ---

[Jim Shannon (Strangford) (DUP)]

It is a pleasure to follow the hon. Member for Guildford (Angela Richardson); I thank her for her speech.

I, as much as anyone here, know at first hand that there is no way of understanding this virus—how it takes one and leaves another, or how it spreads in one room in 15 minutes, yet in other rooms people sit for hours with no transmission. I recognise, as others do, the incomprehensible aspect of this disease, so I also recognise that it is difficult to strategise. Looking forward, what should our next steps be? We have the benefit in this second wave of not being as unsure as we were. Our NHS has equipment and more medical knowledge. There are plasma trials, which appear to make a difference. We know which interventions are the better ones. I am pleased that we have the Nightingale hospitals.

I was also pleased to hear the Prime Minister and the NHS reiterating the need for people to attend appointments if they need screenings and tests, because my abiding concern has been and will be whether we are saving people from covid at the expense of allowing people to die from cancer—a point that other Members have mentioned. One of my constituents said to me, “Is my husband’s death meaningless because it was cancer and not covid that took him?” It is imperative that we protect the NHS by doing the right thing, and the NHS has to be open for day-to-day business; it is so important to ensure that that happens.

If hon. Members look at my head, they will know that I do not go to a barber very often. I just use a shammy; I do not even use a comb. But that is by the by. I say that in jest, but I do want to make a plea for barbers and hairdressers, who have got the R rate to 0.02. I ask myself, why on earth are they subject to rules and regulations when their R rate is the one that the whole nation wants to get to? We want to get it to 1; they have got it to 0.02. Those people could end up having had six months of reduced wages. Just how can we let them down? Those people have bought houses and have been buying gifts on the high street—it just so happens that Newtownards High Street in my constituency is the Northern Ireland high street of the year. How do we let those retailers down?

Simon Hamilton, the chief executive officer of Belfast Chamber of Trade and Commerce, has said:

“COVID-19 has created an interlinked health and economic emergency. This pandemic has cost lives and already has driven numerous businesses to closure causing a huge number of job losses which are reflected in the latest labour market statistics which show the second highest number of redundancies ever during a period when the furlough scheme was meant to protect jobs… Businesses have invested millions of pounds in making their stores, their restaurants, their pubs, their hotels and their factories safe for staff and safe for customers.”

Without the willing co-operation of those businesses, where would we be? He continued:

“It has been an unprecedented period of uncertainty and challenge. After finding the fortitude to keep going after months of lockdown, restrictions and closure earlier this year, many believed that they were starting to see light at the end of the tunnel only for that to now be extinguished.”

That is what really worries me about where we are. It is about finding a balance for health and for business.

The Minister is not here, but there is a good understudy—the Lord Commissioner of Her Majesty’s Treasury, the hon. Member for Castle Point (Rebecca Harris)—in her place taking notes. I ask the Government to reconsider the closure of churches. My email inbox has been full of requests on their behalf. Our lockdown in Northern Ireland has been successful and we have been able to give people a place to go once a week to meet in unity and pray for the future of this nation—to seek God for strength, peace, comfort, hope, wisdom, forgiveness and even joy at this difficult time.

[Jonathan Ashworth]

I am sure that the hon. Gentleman is as pleased as I am that Leicester are winning 2-0 against Leeds.

On the hon. Gentleman’s point about places of worship, a lot of my own constituents have got in touch about our gurdwaras, temples, mosques and churches, and are deeply concerned about this. I hope that before the vote on Wednesday—we will be supporting the lockdown regulations—Ministers can come to the Dispatch Box and give us some reassurances around places of worship. It is a very important issue and I am pleased that the hon. Gentleman has raised it.

[Jim Shannon]

I thank the hon. Gentleman for that. I already knew the score because my hon. Friend the Member for North Antrim (Ian Paisley) had told me. I said, “I am pleased we are winning 2-0, but there’s still 70 minutes to go.” I really want Leicester to win, as my wife supports Leeds United and it is really important we win tonight.

I tabled an early-day motion asking for a National Day of Prayer. It states:

“That this House notes the unprecedented position that the covid-19 pandemic has brought the nation to; further notes that in this time of economic and societal uncertainty the country should follow the lead of Her Majesty Queen Elizabeth II and recognise the importance of prayer when Her Majesty said in her 2013 address that prayer helps us to renew ourselves; and calls on the Prime Minister to initiate a National Day of Prayer to enable those for whom this is important to seek God”.

We need wisdom, and the call for a National Day of Prayer is for those of Christian faith and others to unite together and pray for the help we so desperately need. We need support for the NHS, businesses and the vulnerable, but we also need to humble ourselves and ask God to make the path straight as we work together to come through this covid winter ahead of us. We must trust God and we must pray for the help we need. I think every one of us here should adhere to that.

Covid-19

Jonathan Ashworth Excerpts

Thursday 22nd October 2020 Commons Chamber

[Jonathan Ashworth (Leicester South) (Lab/Co-op)]

Given the numbers who are interested in the debate and given that I have enjoyed the indulgence of the House now for four days in a row—I am not sure what I will do next week; I might just come here and make a speech for the sake of it—I will try to be brief. I also apologise to the House, because I have a long-standing commitment and so I will not be here for the wind-ups. I apologise to the House for that discourtesy on this occasion. I have spoken to Mr Speaker about it, and he understands the particular circumstances.

I noticed that the Secretary of State has updated the House on Slough, Stoke-on-Trent and Coventry, but he did not mention anything about Nottinghamshire and West Yorkshire, and he will know that they are candidates that are widely speculated as the next to go into the tier 3 lockdown restrictions. For example, in parts of Nottinghamshire, localised infection rates are 370 per 100,000 in Gedling and 362 per 100,000 in Rushcliffe. In West Yorkshire, the rate is 307 per 100,000 in Wakefield and in Calderdale. Given that, he must be considering the future of West Yorkshire and Nottinghamshire.

I am just aware that we are going into the parliamentary recess. I do not know whether I can invite the Secretary of State to say anything now, because Members from those areas will be concerned that with Parliament not sitting next week, they might not have an opportunity to put their points to him or get their points on the record. If he does not want to say anything now, it would be important if the Minister of State could offer some reassurance to people in those parts of the world as to what might be happening.

[Matt Hancock]

As previously announced, discussions are under way. We want to proceed in consultation with and working with the local areas. With the parliamentary recess next week, we will find a way to ensure that colleagues are appraised of the situation, preferably in advance of any announcement.

[Jonathan Ashworth]

I am truly grateful for that reassurance, because the Secretary of State will understand that many people in those areas will be concerned and Members will want to get their points of view on the record on that front.

The virus has caused a pandemic because it exploits ambivalence and takes advantage of our human vulnerabilities. It undermines our biological defences and spreads through human social behaviour and clustering. We know that people with long-term chronic conditions in particular are vulnerable, and we know that there is a greater burden of illness in our more disadvantaged areas, which covid cruelly exaggerates. We know that as we entered this crisis, we had less resilience as a society. We entered with life expectancy falling for some of the poorest and stalling nationwide, and life expectancy is a summary of our overall health.

In the past 10 years, the amount of life in good health has decreased for men and women. Our child mortality rates are some of the worst in Europe, and poor health and chronic illness leave communities acutely vulnerable to disease, so it should come as no surprise to any of us that some of the boroughs currently fighting the most virulent fires are some of the very poorest in our country, with the very worst life expectancy.

I welcome the progress being made on diagnostics, therapeutics and vaccinations, which the Secretary of State has updated us on today. We welcome the expanding of mass testing, including the saliva testing and the lateral flow testing. I hope, by the way, that the Secretary of State will invest in our great universities, which are developing some of this saliva-based testing, because they will need the equipment and the labs to process it. He will probably need to invest in robotics and artificial intelligence to do some of that, because there are not enough staff to do it at the moment, and I hope that is part of his agenda. As well as all that, because the virus is now endemic, we will need a health inequalities strategy to get on top of this virus for the long term.

In the immediate term, we also need to adjust our behaviours to bring infection rates down, which is why I have supported the difficult restrictions that the Secretary of State has had to impose, and it is why we are saying we need clarity all the time from Government. But people also want to know that there is light at the end of the tunnel, because it is still not clear to families in Bury, Heywood and Penistone and all those other places that have been put under lockdown in recent days how they will escape it.

We still do not know whether the restrictions across the north will be lifted when the national R falls below 1 or when local regionalised R values fall below 1. We still do not know whether restrictions will be lifted across the north when hospital admissions stabilise. Yesterday, the Prime Minister said that decisions are

“based on a number of things including the R—also, of course, rates of infection, rates of admission to hospital and other data.”—[Official Report, 21 October 2020; Vol. 682, c. 1053.]

He did not tell us what that other data is. Perhaps the Minister responding to the debate can outline how an area in the north in tier 3 gets out of those restrictions. I know that the areas will be reviewed every four weeks, but what are the criteria to inform those reviews?

I represent Leicester, where we are in tier 2, but we have been in a version of restrictions for 114 days. We went directly from national lockdown to local lockdown. In fact, we endured tougher restrictions than those currently designated for tier 3. Our hospitality closed, our non-essential retail closed and—I did not agree with this—our schools closed as well. All those measures together did help to bring infections down in Leicester to about 55 per 100,000—to be frank, many Members would bite your hand off for 55 per 100,000 now—and even at 55 per 100,000 we remained in a version of lockdown.

Now, months later, after all the sacrifice we took in Leicester—after months with our businesses closed, with the mental health impact of people not being able to see their loved ones and families denied the opportunity to visit a care home to see their grandmother or mother—our infection rates in Leicester are 219 per 100,000. The Secretary of State will therefore have to forgive me when I express some scepticism that his approach will work and suppress the virus to the levels sufficient to bring the R value down, because although the early restrictions in Leicester did have an impact, after months we are still under restrictions with infection rates over 200 per 100,000.

The Secretary of State updated us on the situation we are in. He has been good at updating the House repeatedly; I have no criticism of him at all on that front. The growth rate in the virus is slower than in March—it is more muted, thanks to the great sacrifices of the British people, with hand hygiene, social distancing and everything we are doing—but it is not plateauing. We are dealing with an autumn resurgence, and for all the heat and fallout we have had across the House this week, the truth is that the virus is at worrying levels everywhere. The national R is between 1.3 and 1.5. The R across the south-east is between 1.3 and 1.5, across the south-west between 1.3 and 1.6, and across the east of England between 1.3 and 1.5.

Of course, admissions to critical care are currently concentrated in the north and the midlands, but while at this stage in the first wave those admissions to critical care were beginning to come down, they are continuing to go up. It is right that improvements in care mean that people are less likely to die. That is a good thing, and we all celebrate that, but general and acute beds are filling up with covid patients across the north and across the midlands.

We know that the Prime Minister has rejected a circuit break for now—he does not rule it out indefinitely. We think he should have taken advantage of next week’s half term. He decided not to do that. But we should remind ourselves that SAGE advised the circuit break on 21 September. A month later, on 21 October, we had these grim statistics: 191 deaths; 996 hospital admissions; 6,431 in hospital; 629 on ventilation; 26,688 tested positive; and 249,978 cases in the past 14 days. Many will ask how much of that could have been avoided, had the Prime Minister gone along with SAGE’s advice a month ago.

Today, the Chancellor said in his statement that we have to find a balance between saving lives and protecting livelihoods, but I do not believe that the two are in conflict. It is not a trade-off. Actually, I do not believe the Secretary of State thinks it is a trade off—the tone of his remarks was very different from that of the Chancellor earlier. Saving lives and protecting livelihoods go hand in hand. I worry that the approach the Government are currently taking—while understandable, because nobody wants to be in a lockdown, and none of these decisions are easy or do not have negative consequences; I think we are all mature enough across the House to appreciate and understand that—means that there will, by necessity, have to be tougher, deeper action in the weeks to come, not only in autumn. Winter has not hit us yet.

Professor John Edmunds of the London School of Hygiene said yesterday in one of the Select Committees that

“there’s no way we come out of this wave now without counting our deaths in the tens of thousands…I think we are looking at quite a bleak situation unless we take action…I don’t think we should be taking action just specifically in the highest risk areas, but I think we need to take action everywhere”.

A similar sentiment was expressed by Sir Jeremy Farrar, who is also on SAGE. For balance, Professor Van-Tam said at the press conference this week that he disagreed, but also that

“we may have to push on the pedal a little harder”

to get it under control.

I know the Secretary of State is a decent man. He has been very good throughout this crisis in talking to me privately; one would expect a Secretary of State and a shadow Secretary of State to have those discussions. Whenever I have asked for briefings, all the way back to January, he has ensured that the chief medical officer would give me confidential briefings, as I am sure that every Member across the House would understand and appreciate. So I know he is a decent man. I know he is not playing games or anything like that. I know that these are difficult judgment calls of extraordinary gravity. I know there is no easy solution. Everything has trade-offs; everything has negative consequences. But we also know that unless we take decisive action, the consequences could be even worse. No one should pretend to the House that that is not the case. There is a worry that by not taking action now, we will, in the words of Professor David Hunter, an epidemiologist at Oxford,

“all wind up in tier 3 eventually.”

According to Times Radio yesterday, Government sources were telling it that the Government are now planning a three-week circuit break next month across all tier 2 and tier 3 areas. If that is the case, then the Government should probably level with us so that we can all start preparing for it.

This is not just about minimising harm and deaths from covid. As the Secretary of State said in responding to questions from my hon. Friends, we have a huge responsibility and duty to minimise harm and deaths from non-covid conditions as well. We have to avoid the situation that we were in in the spring, when the immense lockdown, which was actually a number of different interventions all at once, meant that to build surge capacity in the national health service, we had to cancel elective operations to free up general and acute beds, and much important diagnostics work and treatment got delayed. That has left us with a situation today where 110,000 people are waiting beyond 12 months for treatment, compared with just 1,600 in January; 3 million people are waiting for breast, bowel or cervical screening, and more people are waiting for treatment.

My worry is that we will end up building a greater backlog in treatment if we do not act. General and acute beds are filling up. We have a number of hospitals cancelling electives already. Bradford has just suspended non-urgent surgery. Birmingham is talking about suspending non-urgent surgery. It is happening in Nottingham. We know that Merseyside is under considerable pressure; the Secretary of State outlined it. It has just been revealed in the Health Service Journal that we are heading into this winter with 2,000 fewer beds than we had last winter. Today the Royal College of Emergency Medicine has warned that over half of A&Es across the country are caring for patients in corridors due to the lack of beds—and we are not even in winter yet. Our overcrowded A&Es are not ideal at the best of times, but during a covid pandemic it is obviously highly dangerous to be treating patients in corridors of A&Es. The president of the royal college, Katherine Henderson, has pointed out that this situation

“will put more lives at risk than it ever did before.”

If the Government really want to drive down infections, suppress the virus and ensure that general and acute beds are not overwhelmed and more operations are not cancelled, then they have to seriously consider what steps they need to take to go further. Unless the Secretary of State or the Minister is going to get up at the end of this debate and say, “Actually, we’re going to do a circuit breaker over half-term next week”, I accept that the Government have probably missed that window of opportunity now, but at some point they will have to take further action.

We could have avoided much of this if test and trace had been more effective. The Secretary of State is spending £12 billion on this programme. Twelve billion pounds is a colossal amount of money. Some of it is going on consultants who earn £7,000 a day, but where on earth is the rest going? We are throwing around figures in this covid debate, and we are becoming quite complacent and relaxed about them, but £12 billion is an extraordinary amount of money; we could probably run the NHS for a month or so on that. We learn today that the system is contacting only 59.6% of contacts, which is the equivalent of failing to contact 101,000 people. That is not world beating; it is a world-beating shambles. I really hope that the Government look at stripping all the failing private outsourcing firms, such as Serco, of these contracts and putting local public health teams in charge. That would be much more effective.

[Rachael Maskell (York Central) (Lab/Co-op)]

I want to pick up a point about the app. It is telling people to self-isolate, but it does not give them the code that they need for the process, so they cannot claim their £500. That is creating chaos across local authorities. Does my hon. Friend agree that the Government need to get on top of this quickly?

[Jonathan Ashworth]

Absolutely. There have been problems with the app. When I am in Leicester, it tells me that I am in an area that is both medium and high alert. Leicester has been under lockdown for 100 days, so how can the app say that in the part of Leicester where I live?

[Matt Hancock]

I thought that the hon. Gentleman’s comments were very thoughtful until we got to the unnecessary political knockabout. I want to make a couple of factual points about the app. It only takes the first two segments of someone’s postcode, some of which spread over two different alert levels, so that is why it describes the situation in Leicester as it does. When it comes to making sure that people press the button on the app to access the £500 self-isolation payment for the low-paid, that button is there on the app.

I want to leap to the defence of Test and Trace, because in the past fortnight the number of contacts and cases that have been reached has doubled. In slightly more than the last month, the distance travelled to get a test has halved, and the turnaround time for tests that are sent to care homes—those tests are critical for saving lives—has come down. More than 50 statistics on Test and Trace are published every Thursday, and of course the hon. Gentleman can look through them, find a couple that are going in the wrong direction and complain about them, but I think it is better to have a balanced opinion.

[Jonathan Ashworth]

That was a spirited defence, but the statistics have been bad every week. The Secretary of State knows that, because I have raised it with him every week.

[Matt Hancock]

What happens is that every week, the hon. Gentleman looks through the 50 statistics and finds the ones that are not going in the right direction. I am merely pointing out that the system is doing much more than it ever has. One place where the huge amounts of money that we are putting into Test and Trace go is into the record amount of testing capacity, which is now more than 370,000. I think he should stand up and thank all the people who are delivering on this colossal effort.

--- Later in debate ---

[Jonathan Ashworth]

I am very happy to thank the people who are working in Test and Trace.

[Matt Hancock]

U-turn.

[Jonathan Ashworth]

That is not a U-turn. Thanking the staff is not a U-turn. The Opposition are on the side of the workers; the Secretary of State is on the side of the bosses. Of course we are happy to thank the staff who are working on Test and Trace, but he cannot seriously look at the statistics and tell us that the system is effective. The Chancellor of the Duchy of Lancaster did not defend it. When he was asked about the statistics on “The Andrew Marr Show” on Sunday, he said that

“any test and trace system of whatever kind has less utility”

when the virus is accelerating. If the Secretary of State thinks that there is a good set of statistics, perhaps he should send it to the Chancellor of the Duchy of Lancaster, who took a different line on Sunday.

Let me come to a conclusion, because I know that many people want to speak in this debate. [Interruption.] The Secretary of State tells me to leave out the knockabout, but he is the one who started it off. The problem is that we went into this pandemic with an underfunded NHS, public health cut back and less resilience as a society. This will not be the only pandemic that we have to deal with. Climate change, urbanisation and deforestation mean that we are likely to see more viruses jump from animals to humans. The big challenge for us as a society when we come through this pandemic, as we will, is that we have to start building the health security to protect us for the future, because unfortunately, all of us across the House will be dealing with more of these pandemics in the years to come.

Covid-19 Restrictions: South Yorkshire

Jonathan Ashworth Excerpts

Wednesday 21st October 2020 Commons Chamber

[The Minister for Health (Edward Argar)]

With permission, I would like to make a statement on coronavirus, further to the statement made by my right hon. Friend the Secretary of State for Health and Social Care last night.

This virus remains a serious threat, and over a million people have tested positive for coronavirus in Europe over the past week. Here in the UK, we recorded 21,331 positive cases yesterday—one of the highest recorded daily figures. Average daily hospital admissions in the UK have doubled in the past 14 days, and yesterday we recorded the highest number of daily deaths, 241, since early June.

We must keep working hard, together, to keep this virus under control. We have been vigilant in monitoring the data and putting in place targeted local measures so that we can bear down hard on the virus wherever we see it emerging. We have seen how local action can help flatten the curve, for example in Leicester and Bolton. This targeted local approach, supported by our local covid alert level system, means we can have different rules in places like Cornwall, where transmission is low, from those in places where transmission is high and rising.

I would like to update the House specifically on the discussions we have been having with local leaders in South Yorkshire. The situation in South Yorkshire remains serious. There have been more cases in South Yorkshire so far in October—over 12,000—than in July, August and September combined. The number of patients with covid-19 in intensive care beds has reached over half the number seen at the height of the pandemic earlier this year, and the latest data suggests that the numbers of patients on mechanical ventilation will soon be comparable to the first peak in March. We need to act now to prevent the epidemic in South Yorkshire from continuing to grow.

I am pleased to inform the House that, following discussions this week, the Government have reached an agreement with South Yorkshire on a package of measures to drive down transmission. That means that South Yorkshire—so the city of Sheffield, Barnsley, Rotherham and Doncaster—will be moving to the local covid alert level “very high”, taking effect at one minute past midnight on Saturday morning. That includes the baseline measures to the very high alert level which were agreed by the House earlier this month.

As well as this, and as agreed with local leaders, unfortunately, casinos, betting shops, adult gaming centres and soft play centres will also have to close, and while gyms will remain open classes will not be allowed. On that point, the Liverpool city region and my hon. Friend the Member for Southport (Damien Moore) have also requested to bring their region into line with those measures. So gyms will be open and soft play centres will close in the Liverpool city region.

We know that some of the measures I have announced today are challenging and will have a real impact on people and businesses in South Yorkshire, so we will be putting in place substantial support. That includes the job support scheme, which ensures those affected by business closures are still paid. Once topped up with universal credit, those on low incomes will receive at least 80% of their normal income. The agreement also includes additional funding of £11.2 million for the local area for local enforcement and contract tracing activity. As well as that, we are putting in place extra funding so that local authorities in South Yorkshire can continue to support businesses through this period.

From the Dispatch Box, I would like to thank all the local leaders in South Yorkshire for the collegiate and constructive way in which they have approached the negotiations. I would like to thank all hon. Members representing constituencies in the region as well. We have worked across party lines to reach an agreement that will protect public health and the NHS in South Yorkshire, while also supporting those who need it most. I know those local measures will be hard and entail further sacrifice, but through bearing down hard on the virus, wherever and whenever we see it emerge, we can help to slow the spread of this virus and protect our loved ones and our local communities. The agreement will help us to protect lives and livelihoods in South Yorkshire and I commend the statement to the House.

[Jonathan Ashworth (Leicester South) (Lab/Co-op)]

I thank the Minister of State for advance sight of his statement. Today, we have another great swathe of the north put into lockdown. Sheffield went into tier 2 restrictions last Wednesday, so did Ministers make the wrong judgment a week ago or has new evidence come to light that was not apparent last Wednesday? How many other areas in tier 2 today are facing the same fate as Sheffield, such as those areas in tier 2 that neighbour South Yorkshire, such as North East Derbyshire or Nottinghamshire?

The Secretary of State could not answer yesterday the question of how long Greater Manchester will be in lockdown, or what the criteria will be for leaving lockdown, so can the Minister of State today tell us how long South Yorkshire will be in lockdown? Does the nationwide R number need to fall below 1, as the Prime Minister suggested last week, or just the regional R number? Or, if an area such as Doncaster gets the R below 1, will it be able to leave lockdown?

The Prime Minister at the Dispatch Box earlier talked about hospital admissions, so could the Minister tell us what level hospital admissions need to come down to for an area to exit lockdown?

As I said yesterday, my dad worked in casinos in Salford and my mum worked in bars. I know people will want to do the right thing and will understand that further measures are necessary to contain the spread of the virus, but families should not face financial ruin. The Minister wants congratulations for the package he has allocated to South Yorkshire, but why is contact tracing funding subject to the negotiations and deals? The virus is out of control because of the failures of the £12 billion test and trace system. If local areas had been given the resources months ago to put in place effective contact tracing, we would not be in this situation now. Those failures on contact tracing are having a direct impact on people’s lives.

This afternoon, families across South Yorkshire who work in hospitality—whether in Doncaster, Sheffield, Penistone, Rother Valley or Don Valley—will be asking why, if it was fair to pay 80% of wages in March, they should now be expected to get by on just two thirds of their wages in the run-up to Christmas. This matters to families everywhere, because we know that further restrictions will be needed. Indeed, according to sources briefing Times Radio, plans are being developed for a three-week lockdown more widely next month. Perhaps the Minister could confirm that his officials are now working on plans for a three-week national lockdown next month.

The Communities Secretary said this morning that there was now a national formula for areas under local lockdown, but Ministers say they want a targeted local approach because circumstances vary. Yet when an area such as Greater Manchester, which has had restrictions since July, says, “Our circumstances are different,” the Prime Minister says, “Tough. Hard luck. You can’t be treated any differently,” and vindictively refuses Greater Manchester just £5 million extra to get a deal over the line. This is playing politics with people’s jobs and people’s livelihoods. We cannot defeat this virus on the cheap, nor should it be broken on the backs of the lowest paid. Public health restrictions must go hand in hand with economic support, because as night follows day, falls in employment lead to rises in chronic illness. The Chancellor must pay out to help out, and deliver a fair deal to support jobs and livelihoods under lockdown.

[Edward Argar]

I am grateful to the hon. Gentleman, my constituency neighbour up in Leicestershire. He was, as usual, typically reasonable and measured, until almost the last moment, when I am afraid the only person playing politics was him.

To address the hon. Gentleman’s points, we are taking these steps now, at the right time, as the infection rate has continued to go up. In respect of other tier 2 areas or neighbouring tier 2 areas, it is only this announcement that we are planning to make at this point. It is the only move that has been announced and that is currently being considered.

The hon. Gentleman asked about criteria, essentially— a number of his questions were, “How long for?” and, “How will it be judged?”, which are fair questions. Areas will remain in tier 3 or tier 2 for as long as necessary to protect the health of the local people and the NHS in that region. He asked about the sort of things that will be relevant to when an area enters and comes out. These include infection rates per 100,000, the impact on the NHS in terms of hospital capacity and how full hospitals are, and hospitalisation rates, as well as relying on local knowledge and listening to local public health officials, as he would expect us to.

The hon. Gentleman touched on contact tracing and how that is working. What we have in this country is a blended system, which brings together the scale of a national approach with the local knowledge provided by local public health teams. He has seen in his own city of Leicester how effective that can be and how both parts are absolutely vital.

The hon. Gentleman finished by talking, I think reasonably, about the need for economic support for those affected by this. As I set out in the statement, the job support scheme, coupled with universal credit for those eligible, will ensure that people receive at least 80% of their wages. On his broader point about the big picture of economic support, I would remind him that this Government and the Chancellor have provided an unprecedented package of economic support over recent months to businesses and individuals. The Government are very clear in our commitment to protect the health of this nation and the economic health of this nation.

Covid-19 Update

Jonathan Ashworth Excerpts

Tuesday 20th October 2020 Commons Chamber

[Jonathan Ashworth (Leicester South) (Lab/Co-op)]

As always, I thank the Secretary of State for advance sight of his statement, but I am afraid that tonight people across Manchester, the boroughs of Greater Manchester and towns such as Stockport, Leigh and Bury, where I grew up, will be watching the news in disbelief and they will be worried if they are affected by these closures. They will be asking, “Why was it right to cover 80% of wages in March and then now, in the run-up to Christmas, to cover just two thirds of wages in October?” What happened to that Chancellor who plastered across social media soft-focus selfies boasting that he would support jobs and incomes and do “whatever it takes”? Tonight, that Chancellor is forcing people on the national minimum wage to live on just £5.76 an hour. He has gone from “whatever it takes” to now taking from the lowest paid. How does he expect families to pay the bills and the rent, to put food on the table and to pay for school lunches when a third of their income has been snatched away, literally overnight? Where is the Chancellor? He should be here to defend the consequences of his decisions, which will mean a winter of hardship across the north.

I grew up in Greater Manchester. My dad worked in casinos in Salford and my mum worked in bars in Manchester. I know that across Manchester people will want to do the right thing, but they will not be able to if a third of their income is stripped away. The leaders of Greater Manchester were prepared to compromise. They offered to settle for £65 million to support jobs and livelihoods, but the Government insisted on £60 million. Rather than finding the £5 million extra, the Prime Minister pulled the plug on negotiations and then this afternoon took £38 million off the table. What a petty, vindictive, callous response in a national crisis. The Prime Minister may think he is punishing the politicians, but in fact he is punishing the people of Greater Manchester. This is the Prime Minister who has blown £150 million on face masks that were not suitable for frontline NHS staff, blown £130 million on testing kits that turned out to be unsafe and had to be recalled, and is spending £7,000 a day on consultants as part of his failing £12 billion Test and Trace programme.

Given that Test and Trace is broken and the virus is out of control, I have always accepted that greater containment measures are needed, but for measures to be effective they need to command the consent of the people impacted and people need to know how long these measures will last. The Secretary of State did not tell us that in his statement.

Yet these restrictions have been called into question by the chief medical officer, who said that they will not enough, and they are restrictions that the Prime Minister admitted last week give us only “a chance” to bring the national R down. So how will the sacrifices that the Prime Minister is forcing on the people in the north bring down infection rates in the south?

The Secretary of State knows that, to bring the R below 1, further measures will be needed. He knows that more areas are likely to go into tier 3. This is about so much more than Greater Manchester. People will watch tonight and say that if the Government are prepared to inflict this level of harm on their people in the middle of a pandemic in one part of the country, they will be prepared to do it to people in all parts of the country. The result will be a winter of hardship for millions of people. This is not a game; it is about people’s lives. People need proper financial support. This is a national crisis and we will not defeat this virus on the cheap.

[Matt Hancock]

I regret that the hon. Member, who so often is so reasonable, is choosing to play political games with political rhetoric tonight. As I said in my statement, the offer of support is on the table. To the people of Greater Manchester, I say that the offer of the same support as was agreed with the Labour leadership of the Liverpool city region, and I commend them for their work, and the leadership of Lancashire, and I commend them for their work, is and remains on the table. I look forward in the coming days to working with the local councils right across Greater Manchester and, of course, the Mayor, if he is willing to come back to the table, to make sure we have that package of support for businesses in place.

Crucially, it is incumbent on us all to send the same public health messages to our constituents, wherever we represent around the country, but in particular in areas where cases are rising, as in Greater Manchester, to ensure that we are clear about the part that everybody needs to play to keep this virus under control. The public are looking for that sort of public health messaging, rather than political games, in these difficult times.

Covid-19 Update

Jonathan Ashworth Excerpts

Programme motion
Monday 19th October 2020 Commons Chamber

[The Secretary of State for Health and Social Care (Matt Hancock)]

I would like to make a statement on coronavirus. As winter draws in, the virus is on the offensive: 40 million coronavirus case have now been recorded worldwide. Weekly deaths in Europe have increased by 33% and here in the UK, deaths have tragically doubled in the last 12 days. The situation remains perilous.

While the disease is dangerous for all adults, especially with growing evidence of the debilitating consequences of long covid, we know it is especially dangerous for older people. Cases continue to rise among the over-60s, who are most likely to end up in hospital or worse. I am very worried that the cases per 100,000 among the over 60s is 401 in the Liverpool city region, 241 in Lancashire and, in Greater Manchester, has risen over the past week from 171 to 283. That is why the Government have been working so hard to act, and I am very glad that we have been able to agree, across party lines, the necessary measures in Liverpool and Lancashire, and we are working hard to reach such an agreement in Greater Manchester.

We are doing everything in our power to suppress the virus, support the economy, support education and support the NHS until a vaccine is available. That is the right strategy, charting a path that allows for the greatest economic and social freedom while protecting life. The director general of the World Health Organisation said last week:

“Allowing a dangerous virus that we don’t fully understand to run free is simply unethical.”

I agree. I know that this is difficult and I know that it is relentless, but we must have resolve, see this through and never stop striving to support the science that will one day make us safe.

I was at Chelsea and Westminster Hospital this morning meeting NHS colleagues who are caring for patients with such dedication, as they always do. I heard from them how important it is for everyone to support the NHS by keeping the virus down so that the NHS is not overwhelmed by covid patients and it can deliver all the essential non-covid care that people need. I am glad to report that the number of people experiencing a long wait for cancer treatment has been brought down by 63% since its peak in July. I want to thank all the cancer teams who are working so hard to ensure people get the cancer screening, diagnostics and treatment that they need, even in these difficult circumstances, but the best way to protect cancer treatment and all the other treatments in the NHS is to keep the prevalence of coronavirus down.

In doing this, of course, we are taking as localised and targeted a way as possible. Our local code alert level system means that we can have different rules in places such as Cornwall, where transmission is low, and Liverpool, where transmission is high and rising. On Thursday, I updated the House about several areas of the country that we are moving into the high alert level and today I would like to inform the House at the earliest possible opportunity that Lancashire has now moved into the very high alert level. Infection rates in Lancashire are among the highest in the country and are continuing to rise rapidly, including in the over-60s as I mentioned. Both the number of cases and the number of hospital admissions are doubling almost every fortnight, and the number of covid patients in intensive care beds in Lancashire has already reached nearly half the number seen at the height of the pandemic earlier this year. So we knew we had to take rapid action to suppress the epidemic in Lancashire.

We have always said that we stand side by side with any local area that agreed to move into this third tier and offer substantial support to local authorities, including for testing, tracing, enforcement and business support. I would like to thank local leaders in Lancashire who have been working with us so constructively, and I am sure that their willingness to put politics aside in the national interest, and in the interests of the people whom we serve, will save lives and protect livelihoods at this difficult time.

Following the successful introduction of measures in Liverpool and Lancashire, talks continue this afternoon with Greater Manchester, led by my right hon. Friend the Secretary of State for Housing, Communities and Local Government. This week, further discussions are planned with South Yorkshire, West Yorkshire, Nottinghamshire, the north-east and Teesside.

Sadly, over the weekend, we have seen very directly the impact of this disease. I was shocked to learn on Saturday of the sad death from coronavirus of Bill Anderson, the brother of Liverpool Mayor Joe Anderson. My heart and, I am sure, the sympathies of the whole House go out to the Anderson family and the people of Liverpool, who have lost a brother. All our thoughts are with our colleague, the hon. Member for Bolton South East (Yasmin Qureshi), who is in hospital with pneumonia after testing positive for covid-19. We wish her a speedy recovery and send all our support to the NHS in Greater Manchester, which is caring for her and so many others.

I would also like to provide an update on testing—another vital line of defence. We are testing more people than any other country in Europe. We are now doing over 300,000 tests a day, up from 2,000 a day in February, and we have opened over 500 test sites, including new walk-in centres in Dundee on Friday, in Edinburgh on Saturday and in Newcastle this morning.

Alongside that important work, we are working hard to discover and evaluate new testing technologies that are simpler, faster and cheaper. Some of these tests can produce a result as quickly as in 15 minutes, and we will make them available to local directors of public health as part of our strategy for local action, starting with areas in the very high alert level. We are rolling them out across hospitals and care homes, to test patients and residents yet more regularly and keep people safe, and for schools and universities, so that we can keep education open safely through the winter. These tests have shown real promise, and we are both buying them now and ramping up our ability to produce them at scale here in the UK. We will stop at nothing to support this extraordinary scientific and logistical endeavour, which can give us hope on the path back to normal life.

Finally, I would like to inform the House that on Friday, we laid regulations to support the roll-out of both the flu vaccination and any covid vaccination. While, of course, no vaccine technology is certain, we must be prepared to deploy a vaccine as soon as one is safely available. The new regulations provide for a wider range of clinically qualified people to administer vaccines and for the Medicines and Healthcare Products Regulatory Agency to grant a UK licence for a vaccine before the end of the transition period, should that be necessary. We wish all our scientists well in this vital work, and we will give them all the support they need.

We are once again at a decisive moment in our fight against coronavirus. While our scientists work round the clock on the solutions that will finally bring this crisis to an end, we must all play our part, come together and work together to keep people safe, suppress the virus and save both livelihoods and lives. I commend this statement to the House.

[Jonathan Ashworth (Leicester South) (Lab/Co-op)]

May I start by sending my party’s condolences to Joe Anderson for the sad loss of his brother from this horrific virus? I also send our best wishes to my hon. Friend the Member for Bolton South East (Yasmin Qureshi) for a speedy recovery.

As always, I thank the Secretary of State for advance sight of his statement. The virus continues to grow nationwide. The R rate is between 1.3 and 1.5. An increasing number of care homes across the country have seen outbreaks, with 214 in the last week. Admissions to critical care continue to rise nationwide—yes, at a slower rate than in the first wave, but at this stage in the first wave, critical care admissions were starting to fall because of the lockdown. They currently continue to rise.

We welcome the progress that is being made on saliva testing and LAMP—loop-mediated isothermal amplificationn —testing. It will allow us to introduce wider mass testing, which is a vital tool in taking on this virus. I pay tribute to the universities that are developing great testing innovations, such as Southampton University, and Leicester University in my constituency. What is the timescale for the advances in testing that the Secretary of State is talking about? Is the plan still for millions of tests a day? There was speculation back in September that his plan was for 10 million tests a day by February, so can he tell us what the daily testing capacity will be by the end of the year? We have seen delays in the pilots. Salford was supposed to be testing 250 people a day using saliva testing, but that has now been refocused. It is vital that testing of all frontline healthcare workers is now introduced to help the NHS get through the winter, so will the Secretary of State urgently speed up the validation of pooled polymerase chain reaction testing in the Lighthouse labs? It is not yet happening in those labs, and we really need it to be.

This virus spreads with speed, so testing must be quick, yet results are still not turned around in 24 hours. Again, when will they be turned around in 24 hours? Contacts must be traced quickly, and those who are traced must be given support to isolate, yet we have—to be frank—a badly designed system that is failing to trace sufficient contacts, costing £12 billion and paying consultants £7,000 a day. The Chancellor of the Duchy of Lancaster and Minister for the Cabinet Office, the right hon. Member for Surrey Heath (Michael Gove) justified these failings yesterday on “The Andrew Marr Show”, saying that when the virus is accelerating,

“any test and trace system of whatever kind has less utility”.

After spending £12 billion, Ministers now just shrug their shoulders and say, “Well, the virus is accelerating, so contact tracing is less useful.” It is simply not good enough. The country is facing further restrictions because test and trace failed, so again, I urge the Secretary of State to fund local public health teams to do contact tracing everywhere and follow international best practice, such as Japan’s, where they focus on investigating clusters using retrospective contact tracing. We need that backward contact tracing everywhere, not just in the places that are hotspots.

This virus exploits clustering and social interaction, and I have always accepted that socialising in closed spaces, especially with poor ventilation, is a driver of transmission. However, for interventions to be effective, the consent of local people is needed and economic support is vital, yet we are now in a situation where the Bishop of Manchester—a bishop, for goodness’ sake—describes Liverpool as “feeling cheated”, Lancashire as “feeling bullied”, and Manchester as “angrily determined”. If the Secretary of State is seeking to impose greater restrictions on Greater Manchester, surely it needs financial support so that people’s livelihoods are not put at risk, so can he tell the Chancellor to spend less time admiring himself on Instagram and instead deliver a financial package to safeguard jobs across Greater Manchester?

The Prime Minister has promoted the tier 3 restrictions because they mean that, in his words, “there is a chance” to bring the R number down, but how do these restrictions in the north arrest growth in the virus across the rest of the country? The R number across the south-east is 1.3 to 1.5; across the south-west, it is 1.3 to 1.6; and across the east of England, it is 1.3 to 1.5. Cornwall, Devon, Suffolk, Somerset and Ipswich have recorded covid rates per 100,000 in recent days that are higher than the average rates across Greater Manchester when it went into lockdown in the summer, so to get the national R number below 1, more intervention will be needed than is currently proposed. Is it not in the national interest to now follow the advice of the Scientific Advisory Group for Emergencies, and adopt a two to three-week circuit break?

Last week, when asked about a circuit break, the Prime Minister said, “I rule out nothing”. He also said that he “stands ready” to apply those measures if necessary. However, the Minister for the Cabinet Office yesterday ruled out a circuit break, so for clarity, have the Government now completely ruled out a circuit break in all circumstances? The cost of delay could be a deeper, longer, fuller lockdown. Is the Secretary of State now ruling that out?

I say to the Secretary of State that we have a window of opportunity. For much of the country, it is half term next week. If it is politically easier for him, he does not have to call it a circuit break: he can call it a firewall or a national moment of reset. Whatever he calls it, we need something, because the longer the Prime Minister dithers, the harder it becomes to take back control of this virus, protect the NHS and save lives. We urge him to act before it is too late.

[Matt Hancock]

I absolutely will address the questions that the hon. Gentleman raised. On the first set of questions about testing, I might have missed it, but I think he omitted to support and congratulate the work of everybody involved in getting more than 300,000 tests a day delivered—on track to a capacity of more than half a million tests a day by the end of this month. He rightly asked about batch testing, which is currently being trialled.

The hon. Gentleman asked us to fund local contact tracing everywhere. We have put those funds into each local authority, but of course we put the most support into the areas that need it most. The Government’s approach of targeting the support and measures on the areas where they are needed most is at the core of how we—as he put it—retain the consent of people while we go through these difficult actions.

To be truthful, the hon. Gentleman is far closer to and more supportive of the Government’s position than he feels able to express at the Dispatch Box, not least because he asked for economic support. Let me just leap to the Chancellor’s aid and defence. The Government have put in unprecedented economic support to help people through these difficult times—billions of pounds of aid and further aid forthcoming. The hon. Gentleman asked in particular for economic support when an area goes into tier 3, which is exactly what I announced in respect of Lancashire. That is of course part of the discussions that we have with local authorities when further actions are needed.

So, there absolutely will be more economic support from the Government, yes; more work with local authorities to deliver the local approach that is needed, yes; and more testing capacity, yes. These are all the things that the Government are delivering and it behoves the hon. Gentleman to acknowledge and support them, as clearly we are all trying to deliver the same thing, which is to suppress the virus and save lives.