Coronavirus
Debate between Jonathan Ashworth and Mark Harper(2 years, 11 months ago)
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Jonathan Ashworth
Well, the Secretary of State needs to explain whether we should or not. Will we be supporting the installation of proper ventilation systems? We have known about the importance of ventilation in dealing with respiratory viruses since the days of Florence Nightingale. Countries such as Belgium are now providing premises and buildings with CO2 monitors to improve their air quality; will we be doing that?
The other thing about this virus is that, even when we vaccinate people—of course I want to see us meet the various vaccination targets—we know that some people will still be at more severe risk than they would be from flu. There will be people who will develop long covid symptoms. For some people, those symptoms are beyond achiness and tiredness. We have seen people lose hair, lose teeth. In some people it presents as depression, anxiety—even psychosis in some circumstances. So Ministers must explain exactly what “living with this virus like flu” means.
There is something else that they should explain to us. What are we going to do in the winter? It did not come up in the earlier exchanges; I thought that it might. Perhaps the Secretary of State, or the Minister in responding to the debate, can tell us whether the Secretary of State, the Minister or departmental officials are putting together plans for restrictions this winter, and whether the Secretary of State has developed or discussed those plans with any colleagues in Whitehall. I shall be grateful if the Secretary of State or the Minister would tell us about that.
Jonathan Ashworth
We do accept it but we do not glibly accept it, because year by year we are looking for improvements in vaccinations, therapeutics and medicines to push infection rates down as low as possible. Even though we are grown-up enough to be aware that sadly some people will die from flu and pneumonia, we do all we can to avoid it. That is what we will have to do with this, but I do not want to see it done by some of the wider restrictions and lockdowns that we have heard about. That is why I would be interested to know whether the Department has developed plans for restrictions this winter and whether the Secretary of State has been discussing that with Whitehall colleagues.
Mr Harper
On the point about the restrictions, I know that those discussions are going on because I have seen documents from within Government with very detailed suggestions about what measures may continue. I asked the Secretary of State about this when he was in the Commons earlier this week, and he did not rule out bringing in restrictions this winter. That is partly why some Conservative Members are very concerned and why we are not going to vote for these regulations today. However, I want to take the right hon. Gentleman back to his comments on what Chris Hopson said about the fact that the NHS is very busy at the moment. There is a danger here. I am very sympathetic to colleagues who work in the NHS, who have done a fantastic job, but we cannot get to a point where we restrict and manage society in order to manage NHS waiting lists. That is not the right way round. The NHS is there to serve society. If we need to enable it to do that, we have to think of a way of doing it other than putting restrictions on the rest of society. That is not a sustainable or a desirable position, but it is the logical consequence of what Chris Hopson was saying earlier this month.
Jonathan Ashworth
Even though we will find ourselves in different Lobbies this evening, I think there is more in common between us than perhaps one might expect. I do not want restrictions to remain in place for any longer than they need to. I want to move to a system where we are trying to push down covid infection rates by, yes, rolling out vaccination as far and as fast as possible to everybody, but also putting in place the proper framework so that those who are ill or a contact of someone who has been ill with covid is able to isolate themselves.
We still have a culture in this country of soldiering on; the Secretary of State has referred to it in the past. I dare say that it is true of many of us in this Chamber. I have certainly done it in the past 20 years of my working life. I have gone into work with a sore throat or feeling under the weather, thinking I will just have some paracetamol and get on with it. Things like this have got to change, because although that sore throat may well have been fine for me, we now understand in great detail that it could have been very dangerous for others. We have to change our attitudes. However, there will still be a lot of people who have to go to work because they cannot afford to stay at home, so we need decent sick pay sorted out. One of the things that was revealed in this morning’s Politico email was the leak of a Government document that said that the isolation system is still not effective. That is because we still do not pay people proper sick pay. This is going to become more of an issue because presumably Test and Trace is to stay in place for the next year or so, as my hon. Friend the Member for Rhondda (Chris Bryant) indicated. People who have had two jabs and are asked to isolate themselves will ask themselves, not unreasonably, “If I have had two jabs, why do I need to isolate myself?” This is going to become much more of a challenge and we will need proper sick pay in place.
Let me finish dealing with the point made by the hon. Member for Winchester. I want us to control the virus by doing things such as proper sick pay, proper ventilation support, and investing properly in public health systems and local primary care systems. One of the things we know about this virus is that, like flu, it disproportionately hits the poorest and the disadvantaged because they are the people who have to go to work or the people in those communities where significant long-term conditions such as diabetes and chronic obstructive pulmonary disease tend to cluster. That often makes those people more vulnerable to these types of respiratory viruses.
Health and Social Care
Debate between Jonathan Ashworth and Mark Harper(4 years, 4 months ago)
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Jonathan Ashworth
I give way first to the right hon. Member for New Forest West (Sir Desmond Swayne) and then I will make some progress because I know that many Members want to speak.
Jonathan Ashworth
We have long argued for a cap on care costs, but of course the Government, as the right hon. Gentleman says, dropped their support for this policy.
On the issue of social care, the Prime Minister said at the Dispatch Box yesterday that he wanted cross-party talks, although in his BBC interview the day before he said that he had a plan that he would bring forward in the next 12 months. The Government want a consensus. I say to the Government that the Labour party has proposed free personal care. We have a version of free personal care in Scotland. There is a similar version of it in Northern Ireland. There is a version of it in Wales. The House of Lords Economic Affairs Committee, which includes Thatcherites such as Michael Forsyth and Norman Lamont, alongside the former Labour Chancellor, Alistair Darling, has proposed free personal social care. There already is a political consensus. It is the Secretary of State and the Prime Minister who stand outside that consensus. If the Secretary of State wants to engage with us on that basis, then my hon. Friend the Member for Worsley and Eccles South (Barbara Keeley) is happy to do so. I will now take the intervention from the former Chief Whip.
Mr Harper
Given that the hon. Gentleman’s party is undergoing a leadership election and that will clearly mean—[Interruption.] No, I am trying to say this helpfully. If the Secretary of State has made a commitment to start the process of cross-party talks within the next 100 days, that will obviously be before that leadership election is concluded. So my serious point is that if we wish to engage on a cross-party basis on whether to implement the Dilnot proposals, as my right hon. Friend the Member for New Forest West (Sir Desmond Swayne) mentioned, or on the basis that the hon. Gentleman just said, is he in a position to start that engagement with the support of his current party leader so that we can make progress urgently? The social care problems in the country are not going to wait, frankly, for another Leader of the Opposition to be elected. That is meant as a really serious and cross-party point.
Jonathan Ashworth
It is a serious point, and I am grateful for the way in which the right hon. Gentleman has put it. Of course, we are very happy to engage. My hon. Friend the Member for Worsley and Eccles South, who sits in the shadow Cabinet and leads on social care, is happy to sit down with Ministers at any point.
I am suggesting to the Secretary of State, rather gently, that there is a degree of political consensus on free adult personal social care. The House of Lords Committee, which includes Michael Forsyth and Norman Lamont, not socialists red in tooth and claw by any means, alongside Alistair Darling, has proposed it. We, as a Front-Bench team, have proposed it. There are forms of it in some of the devolved nations. It is the Secretary of State who is standing outside that consensus. If he wants to engage with us on those terms, and on the point about a cap as proposed by Dilnot, then of course we are prepared to have those levels of engagement.
There is also a degree of consensus around the need for better integration between health and social care, and better co-ordination of health and social care. That is why we are intrigued by the Secretary of State’s proposal to consult on the NHS Funding Bill.
NHS and Social Care Funding
Debate between Jonathan Ashworth and Mark Harper(7 years, 4 months ago)
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Jonathan Ashworth
My hon. Friend has had one bite of the cherry, so if he does not mind I shall make a little progress and then I will do my best to get as many people in as possible.
Does the Secretary of State agree—
Jonathan Ashworth
I will give way in a few moments.
Does the Secretary of State agree that the four-hour standard is a reasonable proxy for patient safety? Does he agree that every breach of the four-hour standard can be regarded as a potentially elevated risk?
Jonathan Ashworth
I pay tribute to the hon. Lady for the work she is doing on tackling loneliness. I know that all Labour Members very much appreciate the work she is doing on that, along with my hon. Friend the Member for Leeds West (Rachel Reeves). The Government amendment is conspicuous in not referring to all patients.
The Secretary of State did distinguish between “urgent” and “minor”—[Interruption.] The hon. Member for Beverley and Holderness (Graham Stuart) says I should get a haircut. Did he say that? No? I beg his pardon, but he heckles so much it is sometimes difficult to hear what he is saying. Can the Secretary of State tell us how he would define the difference between urgent and minor care for instances relating to this four-hour standard? Can he tell us what will be the minimum severity of physical injury or other medical problem which will be needed for a patient to qualify for access to an A&E? How will we determine these new access standards? How quickly will they be available? Will patients with visible injuries be exempt from a new triage system? If so, which injuries will qualify? If the Secretary of State is not moving away from this four-hour standard, he needs to clarify matters urgently, because the impression has been given that he is doing so. [Interruption.] Not by me, but by his own remarks in the House on Monday. If he is not moving away from that standard, will he guarantee that he will not shift away at all from it throughout this Parliament and that it will remain at its current rate?
Mr Harper
I, too, was in the Chamber on Monday and I listened carefully to the Secretary of State then. He was challenged by the right hon. Member for Exeter (Mr Bradshaw) on the target and was asked whether he was watering it down. He said explicitly that “far from watering down” he was recommitting the Government to it. He was generous to the Labour party in saying that it was one of the best things the NHS did. I think that was very clear.
Jonathan Ashworth
Let me say to the former Chief Whip that the Secretary of State said that
“we need to be clear that it is a promise to sort out all urgent health problems within four hours, but not all health problems, however minor.”—[Official Report, 9 January 2017; Vol. 619, c. 38.]
The Secretary of State did not need to come to the House to make those remarks and set these various hares running, so the right hon. Member for Forest of Dean (Mr Harper) should make his objections not to me, but to the Secretary of State—