Julian Lewis debates involving the Department of Health and Social Care during the 2019 Parliament

Wed 20th Jan 2021
National Security and Investment Bill
Commons Chamber

Report stage & 3rd reading & 3rd reading: House of Commons & Report stage & Report stage: House of Commons & Report stage & 3rd reading
Thu 26th Nov 2020
Mon 19th Oct 2020
Tue 7th Jul 2020
Coronavirus
Commons Chamber
(Urgent Question)
Tue 5th May 2020
Mon 23rd Mar 2020
Mon 9th Mar 2020
Coronavirus
Commons Chamber
(Urgent Question)
Wed 26th Feb 2020
Thu 6th Feb 2020

National Security and Investment Bill

Julian Lewis Excerpts
Report stage & 3rd reading & 3rd reading: House of Commons & Report stage: House of Commons
Wednesday 20th January 2021

(3 years, 3 months ago)

Commons Chamber
Read Full debate National Security and Investment Bill 2019-21 View all National Security and Investment Bill 2019-21 Debates Read Hansard Text Read Debate Ministerial Extracts Amendment Paper: Consideration of Bill Amendments as at 20 January 2021 - (large version) - (20 Jan 2021)
Julian Lewis Portrait Dr Julian Lewis (New Forest East) (Con)
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On Second Reading both of this Bill and of the Telecommunications (Security) Bill, it was mentioned that in 2013, the Intelligence and Security Committee first recommended measures to prevent high-risk vendors such as Huawei from penetrating our critical national infrastructure in future. It is always the way: you wait seven years for a Bill to protect against infiltration and takeover, then two come along together.

Given that background, the ISC naturally welcomed the introduction of this legislation, and we greatly appreciated the contact that we have had with the Minister, my hon. Friend the Member for Stratford-on-Avon (Nadhim Zahawi). Not only did he keep his promise to write to us about the points made by Committee members on Second Reading, during my period of self-isolation, but he dealt with ISC concerns at the Committee stage and reached out before today’s debates as well. That is precisely the type of constructive engagement that we should like to have with the Government. If I do not secure the concessions that I want after all of that, I shall be very disappointed!

The issue on which I shall focus is parliamentary oversight. Normally, that would be straightforward. As the future arrangements laid down by the Bill will depend on the input of the new investment security unit, and as that unit will be housed in the Department for Business, Energy and Industrial Strategy, one would normally expect that general scrutiny could be conducted by Parliament as a whole and specialised scrutiny by the Select Committee on Business, Energy and Industrial Strategy. Unfortunately, that does not work in this case: much of the work of the investment security unit will depend on input from intelligence and security agencies and similar sensitive sources that cannot and must not be made public.

Furthermore, on Second Reading, the then Business Secretary, my right hon. Friend the Member for Reading West (Alok Sharma), made crystal clear how central secret material would be to the practical application of the provisions of this legislation. He stated that

“the whole point of the Bill is for it to be narrow on national security grounds”.

He also said:

“These powers are narrowly defined and will be exclusively used on national security grounds. The Government will not be able to use these powers to intervene in business transactions for broader economic or public interest reasons”.—[Official Report, 1 November 2020; Vol. 684, c. 206-210.]

It follows that the very areas in which the BEIS Committee would be perfectly qualified to scrutinise policy are specifically excluded from the application of the powers conferred by the National Security and Investment Bill.

That scrutiny gap was addressed, also on Second Reading, by the shadow Business Secretary, the right hon. Member for Doncaster North (Edward Miliband), who said:

“Given the sensitive nature of the issues involved in this Bill, I do think there needs to be a way…for this House to monitor how this is working in practice.

I do not speak for it, but we have a special Committee of the House—the Intelligence and Security Committee—that can look at these issues. I would like to raise the question with the Secretary of State whether it could play a role in scrutinising the working of the regime and some of the decisions being made, because there are real restrictions on the kind of transparency there can be on these issues…The ISC is in a sense purpose-built for some of these issues.”—[Official Report, 17 November 2020; Vol. 684, c. 214.]

It is hard to disagree with that, although I hasten to add that the Committee has not the slightest wish gratuitously to add to its workload, overburdened as we are due to our delayed reconstitution and the fact that we cannot operate virtually, where sensitive material is concerned, during periods of lockdown. Nevertheless, Parliament should be enabled to scrutinise the implementation of the powers given to Government by this legislation, which explicitly puts national security material at the heart of future decision making. It is obvious that there will be potential conflicts between encouraging business on the one hand and safeguarding national security on the other. In 1994, the ISC was established specifically for circumstances such as these—namely, to examine matters that Parliament could not because they were too sensitive for public disclosure and debate.

It has been suggested that the ISC cannot undertake this role this time because the organisation concerned, the new investment and security unit, is based in the Department for Business, Energy and Industrial Strategy, rather than Departments like the Home Office or the Cabinet Office, which traditionally handle national security matters. Yet this is fundamentally to misunderstand the legal basis under which the ISC functions.

There are two interlinked documents: the Justice and Security Act 2013 and the memorandum of understanding between the Prime Minister and the ISC for which that Act provides. The long title of the JSA makes it quite clear that it provides not only for scrutiny of MI5, MI6 and GCHQ, but for

“oversight of…other activities relating to intelligence or security matters…and for connected purposes.”

Section 2(1) of the Act refers to those three intelligence agencies specifically, but section 2(2) spells out our Committee’s wider remit:

“The ISC may examine or otherwise oversee such other activities of Her Majesty’s Government in relation to intelligence or security matters as are set out in a memorandum of understanding.”

Section 2(5) explains that that MOU can be altered by agreement between the ISC and the Prime Minister. All that is required, therefore, for a Government activity in relation to intelligence or security matters to be added to the existing list in the memorandum of understanding is a simple exchange of letters between the ISC and the Prime Minister agreeing to do so.

In other words, the 2013 Act and associated memorandum were designed exactly for circumstances such as these, where evolving intelligence and security arrangements create sensitive new functions and/or new units which need Parliamentary scrutiny to be within the same circle of secrecy as the long-established Agencies. To put the matter beyond all doubt, consider finally this extract from paragraph 8 of the MOU about our remit:

“The ISC is the only committee of Parliament that has regular access to protectively marked information that is sensitive for national security reasons: this means that only the ISC is in a position to scrutinise effectively the work of the Agencies and of those parts of departments whose work is directly concerned with intelligence and security matters.”

Inserted at the end of this sentence is a notation for the following footnote which explains:

“This will not affect the wider scrutiny of departments such as the Home Office, FCO and MOD by other parliamentary committees. The ISC will aim to avoid any unnecessary duplication with the work of those Committees.”

Indeed, having chaired the Commons Defence Committee in the previous two Parliaments, I can confirm there was never the slightest friction, overlap or intrusion from the then ISC into the work of the Defence Committee. The ISC looked at defence intelligence and offensive cyber, as set out in its MOU, and the Defence Committee continued to scrutinise everything else.

It really should not be necessary, every time a new unit is set up inside a Department not normally associated with national security or intelligence issues, to spell out in black and white, as I have done today, how and why the framers of the 2013 Act deliberately created the flexible memorandum of understanding arrangement that incorporated its role on the face of that legislation. It was, of course, to deal with exactly the sort of situation facing us today, where the intelligence and security battle in what is increasingly known as the grey zone of conflict mutates and moves into areas of responsibility far beyond traditional boundaries, as Deborah Haynes’ admirable new podcast illustrates so convincingly. That is why Business Ministers, rather than Defence or Security Ministers, are having to grapple with today’s legislation.

Following a constructive discussion with my hon. Friend the Minister yesterday, I was cautiously optimistic that the Government would recognise that the 2013 arrangements provide the correct basis for scrutiny on which to proceed. Of the 14 amendments tabled for today, there is one—new clause 7—that recognises the scrutiny gap in this legislation and proposes that a special report containing the relevant classified national security material should be prepared for, and provided to, the Intelligence and Security Committee. This Opposition amendment has much to commend it, and, as ISC Chairman, I would be minded to support it if it were the only available option. However, an undertaking by the Minister today that the Government will bring forward their own amendment in the upper House to close the scrutiny gap satisfactorily in a more streamlined way would be even better.

In his appearance before the Public Bill Committee, former chief of MI6 Sir Richard Dearlove had the following exchange with the Minister, who referred to the annual report to be prepared for Parliament as a requirement of this legislation. The Minister asked:

“What is your view on balancing transparency and ensuring Government can take national security decisions sensitively? Where does that balance lie in terms of our ability to be as transparent as we can without harming sensitivities around these decisions?”

Sir Richard replied:

“My view would be that the annual report has as much transparency as possible, but you are probably going to require a secret annexe from time to time.”––[Official Report, National Security and Investment Public Bill Committee, 24 November 2020; c. 21.]

Whether we go down that route of a classified unpublished annexe to send to our Committee or follow the model used in the ISC’s own reports, which are prepared in full with subsequent redactions made and marked in the main body of the text, such an approach would be the least burdensome for the Department to prepare and for the ISC to scrutinise. Either method would effectively close the scrutiny gap and get this valuable and necessary legislation off to the best possible start.

Chi Onwurah Portrait Chi Onwurah (Newcastle upon Tyne Central) (Lab)
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It is a great pleasure, as always, to follow the Chair of the Intelligence and Security Committee, the right hon. Member for New Forest East (Dr Lewis), and I support many of his remarks.

Let me start by saying that the Opposition’s approach to this Bill is one of constructive support. That should not surprise the Minister: already at Committee stage we tabled nearly 30 targeted amendments and half a dozen new clauses to strengthen protections of our national security, although, regrettably, the Minister did not choose to accept any of them. As the Minister is also responsible for vaccine roll-out, he may have been distracted. I want to thank everybody—all the members of the Committee and the House staff involved in the Committee stage of the Bill—and confirm that we intend to continue that constructive support.

We support the Bill, because it is a Bill demanded by Labour. The problems it tackles are ones that have been highlighted by Labour, and the Government’s action, only after years of delay, seems to be a result of being constantly reminded by Labour. Reminded this Government have been, not least by their failures again and again. They were reminded in 2012, when they let the Centre for Integrated Photonics, a prize British research and development centre, be taken over by Huawei, an event that our recent head of the National Cyber Security Centre said we would not want to happen with hindsight: national security outsourced and British interests relinquished to the market.

The Government were reminded again in 2014 when they let our foremost artificial intelligence firm, DeepMind, be acquired prematurely by Google: national security interests outsourced again on account of blind market faith. They were reminded twice this time when the Government let our world-leading semiconductor firm Arm be taken over first by SoftBank and now by Nvidia. Again, an intelligence expert told our Committee that the UK had limited freedom of choice in this key strategic technology and that the deal undermined our own ability: our national interest outsourced yet again by Ministers prioritising market zeal over British security.

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On top of that, new clause 7 would create additional reporting requirements to the Intelligence and Security Committee. While I very much understand the grounds for seeking such reporting, and I was grateful for the discussion with the Chair of the Intelligence and Security Committee, my right hon. Friend the Member for New Forest East, the Government are unable to accept this amendment. I wish instead to welcome and encourage the ISC’s security-specific expertise and its review of the annual report when it is laid before Parliament. Indeed, there is no restriction on the Secretary of State providing further information in the annual report, should it be appropriate, to the ISC.
Julian Lewis Portrait Dr Julian Lewis
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For the sake of clarity, the annual report that will be supplied to Parliament will not have any security-sensitive information in it. The Minister says that we could request further information. The only information we want to request is the information of a security-sensitive nature that will routinely have played a part in leading to these decisions. I do not want to tell any tales out of school. All I can say is that the Minister seemed very receptive when I put forward the idea of an annexe to the report, which would come to the Committee, or alternatively there could be an unredacted or redacted version of the report. Is he saying that the Cabinet Office is declining to do that? If so, it would appear that the malign influence of one Mr Cummings is not entirely eliminated from that Department.

Nadhim Zahawi Portrait Nadhim Zahawi
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I am grateful for my right hon. Friend’s intervention. What I was saying is that there are no restrictions. His Committee will be able to invite the Secretary of State to give evidence to it, and it will also be able to ask for further information, which the unit will be able to provide.

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Julian Lewis Portrait Dr Lewis
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Is this what the Minister wants? Every year, the Committee will request to have a comprehensive explanation of the security sensitive information that has underlain the different decisions that the unit has taken. All he is saying is that we can request this ad hoc every year and we will get it—I will believe that when I see it. If that were to be the case, there could be no possible objection to incorporating this in the legislation now so that it is not at the whim of a future Minister to either give us what we need or deny us what we need.

Nadhim Zahawi Portrait Nadhim Zahawi
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I am grateful to my right hon. Friend for his intervention and his powerful argument, but I just repeat that there are no restrictions on his Committee requesting that information.

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Julian Lewis Portrait Dr Julian Lewis
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Mr Deputy Speaker, may I begin this short contribution by warmly endorsing what you had to say by way of congratulations to the new Secretary of State? He is genuinely one of the most popular Members in any part of the House, and I am sure that his delayed but nevertheless entirely merited accession to the Cabinet was greeted with wide acclamation.

The best must never be allowed to be the enemy of the good. This is a good Bill, but there are, as the right hon. Member for Doncaster North (Edward Miliband) said, opportunities for it to be improved further in another place, which I hope will happen. It is never good form to repeat from the lengthier preliminary stages what one has said in any detail in the final Third Reading debate, so I will just quote one small extract from the memorandum of understanding between the Prime Minister and the ISC, which the Secretary of State may not have heard me read earlier. Paragraph 8 of the memorandum of understanding says:

“only the ISC is in a position to scrutinise effectively the work of the Agencies and of those parts of Departments”—

meaning other Departments such as his—

“whose work is directly concerned with intelligence and security matters.”

On Report, the Under-Secretary of State for Business, Energy and Industrial Strategy, my hon. Friend the Member for Stratford-on-Avon (Nadhim Zahawi), said that it will be open to the ISC to request the secret information that cannot be published. That is a great step forward, and I thank him for it genuinely, because previously there were remarks to the effect that the ISC’s writ did not run anywhere near the Department for Business, Energy and Industrial Strategy. That appears to have been dropped, and that is a big step forward.

The reason why it is necessary to recognise this is not that we want to make extra work for ourselves. It is because we entirely agree with the Government that the security threats constantly change, morph and spread themselves out into different areas of activity and, inevitably therefore, into different areas for which different Departments have responsibility. We cannot possibly do our job of inspecting and scrutinising those parts of security issue information that have to be classified if we are not allowed to go into those Departments only in so far as that type of information has spread with a new threat into a different Department. If the Government are saying—and I see some nodding heads on the Front Bench—that it is now accepted that the ISC can ask the Department for Business, Energy and Industrial Strategy for this sort of information, that is a huge step forward, and we thank the Government for it. We still believe that it would be better for it to be formalised in the way that Sir Richard Dearlove suggested in Committee.

I will conclude with a message that I would like the Ministers to take to their colleagues in the Cabinet Office. The Cabinet Office seems to have a strange sort of fear of the Intelligence and Security Committee, because every time we try to do our job, it seems to want to push back. The message I wish to give to them is this: “Friends, colleagues—comrades, even—of the Cabinet Office, the ISC is not your enemy. We are your constructively critical friends. You know what? Sometimes we get it right: we got it right over Huawei. It would have been good if successive Governments had listened a bit earlier over Huawei, but they got there in the end. If you lock us out, you are simply shutting off a safety valve and a mechanism for correcting mistakes that you need not make. Don’t make that mistake again. Apart from that, congratulations on a very good Bill indeed.”

Covid-19 Update

Julian Lewis Excerpts
Thursday 26th November 2020

(3 years, 5 months ago)

Commons Chamber
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Matt Hancock Portrait Matt Hancock
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I hope that, partly through this measure and the increase in the national living wage that the Chancellor confirmed yesterday, we can improve the pay and conditions of staff across social care. The proportion of people in social care who work in a number of settings and work in agency and less secure work is, in my view, something we should tackle together. I hope we can use what has obviously been put in place, as the hon. Lady rightly says, for public health infection control reasons also to improve employment standards across social care. That is, of course, directly contracted by local authorities, rather than by central Government. Nevertheless, this is an area that I think we all know we need to work to improve as a nation.

Julian Lewis Portrait Dr Julian Lewis (New Forest East) (Ind)
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I am sure my right hon. Friend appreciates that many elderly people die with serious illnesses, such as prostate cancer, but not from those illnesses. How certain is he that statistics showing the number of people dying with covid-19 are not being presented or misinterpreted as people dying from covid-19?

Matt Hancock Portrait Matt Hancock
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The statistics on the number of people dying with covid-19 are the best estimate that the statistics authorities, both in Public Health England and the Office for National Statistics, come up with. It is one of the widest definitions, which countries use internationally. Therefore, as my right hon. Friend implies in his question, it does include people who may have died of something else, but with covid. Nevertheless, each of these deaths we should work to avoid. The best measure, according to the chief medical officer, is the total number of excess deaths compared with this time of year last year. That is elevated now and we need to get it down.

Matt Hancock Portrait Matt Hancock
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Again, I am going to come to the defence of my right hon. Friend the Chancellor, who has put in these support packages on a scale that has never been seen before. The right hon. Lady is right to raise the concerns of those in her constituency, but the combination of all the schemes that are available to businesses is something of a scale that this country has never had.

Julian Lewis Portrait Dr Julian Lewis (New Forest East) (Ind)
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How many separate covid vaccines are undergoing trials at present in the United Kingdom, and what is the planned duration of the trial period for each?

Matt Hancock Portrait Matt Hancock
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There are three vaccine trials under way in the UK: the AstraZeneca trial, which is frequently discussed; the Imperial College trial; and a trial of the Novavax vaccine. The period of the trial is dependent on the clinical results and on the data. Of course, of those three, the AstraZeneca trial is the most advanced and is in phase 3 trials. We are closely in contact with all of them to ensure that they get the support they need.

Covid-19 Update

Julian Lewis Excerpts
Tuesday 8th September 2020

(3 years, 7 months ago)

Commons Chamber
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Matt Hancock Portrait Matt Hancock
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Well, of course I am improving the public health responses by bringing together different organisations. I am not sure that the hon. Lady is doing anything other than—[Interruption.] Well, I am not going to query her motives, because we have worked together, at the start of this crisis especially. On her question about the Wirral, absolutely, we are vigilant in looking at the Wirral. That will be reconsidered in the Joint Biosecurity Centre silver meeting tomorrow and in the JBC gold on Thursday. Part of the improved data that we have now, compared with a few months ago, means that we will be able to pinpoint where the problem is and, working with the council, make recommendations on what action needs to be taken.

Julian Lewis Portrait Dr Julian Lewis (New Forest East) (Ind)
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Can my right hon. Friend explain to the House exactly what are the main reasons behind the fact that although the level of infection often continues to rise, the numbers of deaths is now so absolutely small?

Matt Hancock Portrait Matt Hancock
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My right hon. Friend asks an important question, and the first answer is that there is a lag between people catching the disease and the statistics for new cases and those who sadly die. The second is that this most recent rise has been predominantly, although not entirely, among younger people, who are much less likely to die. However, the danger is that they will pass it on to others and it will spread more broadly into the community. So it is important to act on these cases even though, thankfully, the current number who are dying is small.

I will try to give a better answer. Let me put it this way. If we were to wait until we saw the number of deaths rising before we took action, there would already be many people who had caught the disease and who would end up hospitalised and unfortunately die of coronavirus. We have to act before that happens and before the disease spreads to those who may die from it, because the alternative is that we will inevitably see the number of deaths rise.

Coronavirus

Julian Lewis Excerpts
Tuesday 7th July 2020

(3 years, 9 months ago)

Commons Chamber
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Urgent Questions are proposed each morning by backbench MPs, and up to two may be selected each day by the Speaker. Chosen Urgent Questions are announced 30 minutes before Parliament sits each day.

Each Urgent Question requires a Government Minister to give a response on the debate topic.

This information is provided by Parallel Parliament and does not comprise part of the offical record

Matt Hancock Portrait Matt Hancock
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Yes. Our strategy is to drive the virus right down, and as I said in my opening statement, the latest figures show just 352 new cases recorded in the previous 24 hours. We have been working closely with the Scottish Government, and giving them as much support as we can, for instance to get testing up and running. I am glad that right across the UK, we are succeeding in ensuring that the virus is increasingly under control.

Julian Lewis Portrait Dr Julian Lewis (New Forest East) (Con)
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Will my right hon. Friend give any encouragement that beauty salons will be allowed to open in the reasonably near future? Does he share my concern and disappointment that even though campsites are allowed to reopen, the company in charge of those in the New Forest is threatening to keep them closed until spring next year?

Matt Hancock Portrait Matt Hancock
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My right hon. Friend the Secretary of State for Business, Energy and Industrial Strategy is working closely with the beauty industry regarding how it can open in a covid-secure way, taking into account clinical advice. We have, however, been able to change some advice to allow for the reopening of camp sites. I am very pleased about that, and it will help lots of families to enjoy summer safely. It is disappointing to hear of the blanket approach taken to not having any camping in the New Forest—I went camping there as a child, and enjoyed it very much. On a campsite people must be particularly careful of shared facilities, and ensure that they are cleaned properly, but there is a way to open campsites safely and securely, and doing that in the New Forest, and elsewhere, will help people to enjoy summer safely.

Covid-19 Update

Julian Lewis Excerpts
Tuesday 5th May 2020

(3 years, 11 months ago)

Commons Chamber
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Urgent Questions are proposed each morning by backbench MPs, and up to two may be selected each day by the Speaker. Chosen Urgent Questions are announced 30 minutes before Parliament sits each day.

Each Urgent Question requires a Government Minister to give a response on the debate topic.

This information is provided by Parallel Parliament and does not comprise part of the offical record

Matt Hancock Portrait Matt Hancock
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We have considered all the different potential apps being used by different countries around the world. I am confident that any such concerns about international travel can easily be addressed, not least by the potential of someone having two different apps on their phone if they need to travel internationally.

Julian Lewis Portrait Dr Julian Lewis (New Forest East) (Con) [V]
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My right hon. Friend has proved himself to be a brilliant multi-tasker, so will he kindly turn some of his attention to a firm in my constituency that has access to a network of manufacturers in southern China that believes it can supply a million items of gowns, visors, masks and other PPE equipment per week if only someone from Government would get in touch? I am very happy to text him the details directly, but I have been trying for three weeks and still Government have not got in touch with this firm.

Matt Hancock Portrait Matt Hancock
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Yes, of course; if I get the details, I am very happy to do that. I would also be very happy to know where my right hon. Friend had his hair cut, because it is extraordinary. No one else has such smart hair. Everyone is looking increasingly bushy.

A& E Departments: Staffing

Julian Lewis Excerpts
Monday 23rd March 2020

(4 years, 1 month ago)

Commons Chamber
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Chris Bryant Portrait Chris Bryant
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One of the things I have been so angry about over the past few days is the panic buying going on, with people virtually elbowing one another out of the way to get the last remaining courgette or tin of tomatoes. When I see that, I think to myself, what will happen when the poor person coming off their long shift at A&E at 8 or 10 o’clock at night finds that there is literally nothing left in the shop to buy? The person who was so greedy, hoarding and selfish will then turn up at A&E in two weeks’ time and be treated by somebody who was unable to get enough food. My fundamental premise is that we can only get through all this together, because in the end we achieve far more by our common endeavour than we do by going it alone.

Julian Lewis Portrait Dr Julian Lewis (New Forest East) (Con)
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In the presence of an appropriate Minister, can we urge the point that food supplies ought to be made available at the place of work for key workers? When they come off their unduly long shifts, they should not be in the position of not being able to get any food to take home.

Chris Bryant Portrait Chris Bryant
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That is an extremely good point. I wonder whether Tesco, Sainsbury’s, Morrisons and all the other supermarkets—once they have managed to recruit more delivery staff—should think about making deliveries specifically to hospitals and other care points, so that there is specific provision for key workers. That could make a significant difference.

What is essential to running a good accident and emergency department is, first, good, strong leadership. That means consultants who are well trained, and not just relying on locums who are on a part-time contract. It requires really strong teamwork. There is just as much value in a calm receptionist or a meticulous cleaner as a well-trained doctor, consultant or a nurse. We need resources and training to make an A&E flourish. We need people with an extraordinary set of skills, including the ability to make swift and yet very important, time-critical decisions. We need a wide range of disciplines that feed into the whole of the rest of the hospital. Those people have to be able to deal with strong emotions, from rage and anger to grief, anguish, upset, fear and love, all mingled in a very difficult situation. Unfortunately, they have to be able to deal with the particularly strange combination of adrenaline and alcohol, which sometimes makes an accident and emergency department—especially on a Friday or Saturday night—a very difficult place to be.

The truth of the matter is that we have a great number of shortages in our A&Es across the country. In terms of consultants, we are somewhere between 1,200 and 1,500 consultants short across the whole of the UK. There is a particular shortage at my local hospital, the Royal Glamorgan, which is why it has had to rely substantially on locums for the last year. That is not a sustainable model for the future, which is why I am determined to make sure that the local health board campaigns to recruit more consultants for local hospitals. Other countries have a much higher number of A&E consultants per 1,000 people than we do in the UK. We are aiming to get to one for every 7,000 people, and in most other countries it is one to every 4,000. We still have not reached one to every 7,000, so that is a problem. I would urge any doctor who is thinking of training now, or any young person who is thinking of going into medicine, to please think about being an A&E doctor. You will see over the next few months that we love our A&E doctors almost more than anybody else in the whole of the NHS.

Beds are another real issue. We have one of the lowest numbers of critical care beds in Europe, fewer than Spain and France, half of those in Italy, and only a fifth of what they have per 1,000 head of population in Germany. That puts us, as we will discover over the next few days, in a really difficult position. Some areas of the country will face even bigger challenges than others. The most rural parts of the country, where there is an older population and where there are significant health problems—in particular, in the south-west and in the semi-rural areas of the south Wales valleys—will face a particular difficulty, because they already have 83% to 90% occupancy of all their intensive care unit beds, and that is before anybody else comes in through the door.

Lots of hospitals have done an amazing job over the past fortnight, trying to turn other wards into intensive care units that can be used specifically for coronavirus patients, and recruiting additional staff who have previously retired to come back into the service. Hospitals are doing a phenomenal job in all of that, but the truth is that across the whole of Wales we have only 153 intensive care unit beds, and 90% occupancy. That will pose a phenomenal difficulty for my constituency, where we have a large number of people with chronic obstructive pulmonary disease, a large number of people with diabetes and many with the conditions that make them the most vulnerable—and an ageing population at that. The whole nation will have to think very hard about how, in the long term, that situation is sustainable, even if we do manage to struggle through the next few months. In a sense, in our NHS at the moment, intensive care needs intensive care.

On coronavirus specifically, I praise every single doctor, nurse, cleaner, decorator and builder who has been involved in the process of reshaping intensive care units and emergency departments. The turnaround has been remarkable. Sometimes they have had to devote hours to training to use PPE, and then they have discovered that the equipment is not easy to use, and they have used all the equipment that they had on training in how to put it on and take it off. They have been working at pace, and undoubtedly they have been working many, many more hours than they are contracted to do, and I think we would all want to say thank you to them for that.

I also want to praise all the staff who work in accident and emergency departments, because I know from talking to doctors over the past few days that they know they will have to make some very, very difficult and horrible decisions—decisions that none of us in this House would ever want to make. They know already—they have protocols that were put in place in 2009 when we were looking at the H1N1 strand—that they will have to make decisions about who they can provide ventilator beds for and who they cannot provide ventilators beds for. That will obviously be horrible for the families and the individuals concerned, but just think of the emotional stress and strain for each of the doctors and nurses who at some point over the next few months are going to have to say, on occasion, “I’m sorry, there is no bed for you, because you are not a priority.” That will hurt because that is not what anybody was ever trained to do when they became a doctor or a nurse. The trauma—the emotional trauma—of that for many people will be phenomenally difficult.

My heart is just full of praise for all those doctors, all those nurses, all the cleaners and all the other parts of the A&E teams. Madam Deputy Speaker, I know you know that I do not like clapping in the Chamber, and I am sure you do not like it either, but I think there are very exceptional moments when this House would like to thank people who do a phenomenal job on behalf of all of us, so if you could close your ears for a moment, I am going to applaud the A&E staff up and down the land. [Applause.]

--- Later in debate ---
Helen Whately Portrait Helen Whately
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I have been absolutely assured that the equipment being supplied to the frontline is appropriate and that it has been tested to make sure that it is fit for purpose.

Julian Lewis Portrait Dr Julian Lewis
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Quite a major distribution and logistics firm in my constituency has offered drivers and vehicles for the cause of fighting the virus. Is there some sort of central one-stop shop to which volunteers and offers of that sort can be directed, so that they can be put to best use? I appreciate that the Minister may not be able to answer me immediately, but if she cannot, perhaps she could inform me afterward.

Helen Whately Portrait Helen Whately
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One of the fantastic things we have seen over the last few days is the number of offers to help from all parts of society and the economy. There are some specific contact details for ways in which people can help, and I will be happy to share them with my right hon. Friend after the debate.

Coronavirus

Julian Lewis Excerpts
Monday 9th March 2020

(4 years, 1 month ago)

Commons Chamber
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Urgent Questions are proposed each morning by backbench MPs, and up to two may be selected each day by the Speaker. Chosen Urgent Questions are announced 30 minutes before Parliament sits each day.

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Matt Hancock Portrait Matt Hancock
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MHCLG is working on and leading on the first of those, which is very important, and the Treasury is leading on the second.

Julian Lewis Portrait Dr Julian Lewis (New Forest East) (Con)
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Does the wearing of gloves on public transport or in other public places make any difference to the dangers of acquiring or transmitting the disease?

Matt Hancock Portrait Matt Hancock
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I am tempted to give my right hon. Friend a clinical answer, but instead I will ask one of the chief medical officer’s team to write to him.

Coronavirus

Julian Lewis Excerpts
Wednesday 26th February 2020

(4 years, 2 months ago)

Commons Chamber
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Matt Hancock Portrait Matt Hancock
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Public health crises such as this are a UK-wide reserved matter, but we have had excellent working with all the devolveds, particularly the new Administration in Belfast. They join our weekly Cobras. We will have a Cobra this afternoon at which they will be present. Some matters—especially in the mitigate strand of work—are of course devolved, such as schools and healthcare. We work very hard on that, and I am sure that we will ensure that any financial consequentials are appropriately dealt with, too.

Julian Lewis Portrait Dr Julian Lewis (New Forest East) (Con)
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If someone starts feeling unwell on their journey home, what should they do when they arrive at the airport? Presumably, they ought to report to someone before travelling on public transport.

Matt Hancock Portrait Matt Hancock
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Yes; they should make themselves known to the public health presence at the port, and of course they can call 111 from mobiles, too.

Children’s Mental Health Week

Julian Lewis Excerpts
Thursday 6th February 2020

(4 years, 2 months ago)

Commons Chamber
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Preet Kaur Gill Portrait Preet Kaur Gill (Birmingham, Edgbaston) (Lab/Co-op)
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I am sure that my esteemed colleagues, including the Minister, will have already read my article concerning this important debate on the PoliticsHome website today. But I do understand the competition for parliamentarians’ time, so I have brought with me a hard copy that I am happy to share if anyone would like to read it. Those more digitally minded can find it on the website.

The mental health of thousands of children and young people has reached crisis point. This week is Children’s Mental Health Week, intended to shine a spotlight on the importance of children and young people’s mental health. The Mental Health Foundation has found that childhood determinants are the primary factor in future mental wellbeing, with over three quarters of all mental health problems emerging by the age of 20. The Government set out their ambition in their mental health Green Paper in 2017. However, does the Minister agree with analysis by Barnardo’s stating that the plans let down children and young people in three quarters of England who will see no improvement by the end of 2022-23?

I hope that everyone in the Chamber will agree with me that no child should have to reach crisis point to get help—but far too often, as we all know, that is the case. A crisis can come in many forms. It can be seen in the criminal justice system, where a staggering 95% of 15 to 21-year-olds in custody have been found to suffer from a mental health disorder. It can be seen in the tripling in the number of young people under 18 with a recorded diagnosis attending A&E since 2010. It can be seen in the 74% increase in suicide rates for 10 to 19-year-olds since 2010. It can also be seen in Local Government Association findings that social services were seeing more than 560 cases of children with mental health disorders every single day—an increase of more than 50% in four years.

Julian Lewis Portrait Dr Julian Lewis (New Forest East) (Con)
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I hope that I am not pre-empting what the hon. Lady is about to say, but does she feel that the explosion in social media and addiction to it among young people plays any part in the terrible increases that she is describing?

Preet Kaur Gill Portrait Preet Kaur Gill
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The right hon. Gentleman makes that point very well. A lot of research has been done on this by the Royal Society for Public Health. It is a contributing factor—one of which there are so many.

Looking after our children and young people requires children’s and young people’s mental health services to be properly resourced. At the moment, this is simply not happening. Almost a quarter of NHS child and adolescent mental health wards were rated as inadequate or requiring improvement by the Care Quality Commission in 2019. We also know that we have a huge shortage of mental health professionals, with a workforce that has hardly grown since 2010. According to the Royal College of Psychiatrists, we need an additional 4,370 consultant psychiatrists to meet current Government commitments. A recent British Medical Association survey revealed that almost two thirds of nurses said that on their last shift there was a shortage of one or more nursing staff. So can the Minister tell me how these shortages will be addressed?