Oral Answers to Questions

Matt Hancock Excerpts

Tuesday 8th June 2021 Commons Chamber

[Andrew Bowie (West Aberdeenshire and Kincardine) (Con)]

What steps his Department is taking to support the Scottish Government in their response to the covid-19 outbreak.

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

The UK Government work closely with the Scottish Government to provide a co-ordinated approach to the response to covid-19 for the benefit of people across Scotland and across the United Kingdom. For instance, the UK Government have provided the Scottish Government with £1.2 billion in Barnett funding in the 2021 Budget, procured more than 500 million vaccines for the whole of the UK and made sure that our testing programme reaches all parts of the UK. This is a partnership in which the people of Scotland benefit hugely from the reach and strength of the UK Government.

[Andrew Bowie]

It is becoming clear across the entire United Kingdom that our NHS is facing a huge challenge as we reopen society to deal with the thousands of procedures, treatments and operations that have been delayed due to lockdown. What steps is my right hon. Friend taking to ensure that the national health service in England, Scotland, Wales and Northern Ireland can work together as easily as possible, sharing resources and services to ensure that this truly national health service for our whole country will support delivery to support our constituents wherever in the United Kingdom they might live?

[Matt Hancock]

My hon. Friend is quite right. The NHS is one of Britain’s proudest achievements. It operates across the whole of Great Britain and co-operation is ingrained in the DNA of the NHS. I am absolutely determined, as the UK Secretary of State for Health and Social Care, to ensure that, wherever people live in this United Kingdom, they can access the very best of care. If a constituent of my hon. Friend’s in Aberdeenshire needs a treatment that is only available in England because it is so specialised, they should have absolutely every right to that treatment, in the same way that a constituent of mine in Suffolk or a constituent in north Wales should. We have one NHS across these islands, and it is one of the things of which this country is most proud.

[Dr Philippa Whitford (Central Ayrshire) (SNP) [V]]

I am sure the Secretary of State is well aware that the Scottish NHS has been separate since 1948 and has been under direct Scottish Government control for the last 20 years, so there are actually four NHSs. Perhaps I can ask him about some of his decisions that have made it harder for the Scottish and other devolved Governments to fight covid. Last September, he refused to follow Scientific Advisory Group for Emergencies advice for an urgent lockdown, and the six-week delay allowed the more infectious B117 Kent variant to emerge and spread across the UK, driving a second wave more deadly than the first. He has repeatedly claimed to follow the science, so can he explain why he did not follow scientific advice last September?

[Matt Hancock]

Just on this point, this attempt at division within the NHS is deeply regrettable. It is not what people want. It is not what people want in Scotland. It is not what people want anywhere across the country. The NHS is an institution we should all be very proud of. Of course it is managed locally—it is managed locally across parts of England and it is managed under the devolution settlement in Wales and Scotland, as are health services in Northern Ireland, and rightly so—but it ill behoves politicians to try to divide the NHS. It is a wonderful institution that should make us all proud to be British.

On the specific question that the hon. Lady asked, of course we are guided by the science and take all factors into consideration. These are difficult judgments based on uncertain data, and we make the best judgments that we can. That is still the process we are going through, in the same way that the Scottish National party Government in Scotland have recently opened up parts of the rules in terms of social distancing, despite the rise in cases.

We face a challenging decision ahead of 21 June, but that decision is made easier by—indeed, the decision to open up is only possible because of it—the UK vaccination effort. Today marks six months to the day since Margaret Keenan in Coventry was the first person in the world to receive a clinically validated vaccine—the same day as Scotland, the same day as Wales. Since then we have delivered—

[Mr Speaker]

Order. It is not a statement, but an answer that we require. I call Dr Philippa Whitford to ask her second question.

[Dr Whitford]

I think the Secretary of State would find that most people in Scotland were rather glad that their NHS did not come under the Health and Social Care Act 2012 fragmentation. Having ignored the Scottish Government’s call in February for all arrivals to undergo hotel quarantine, he then delayed adding India to the red list. This allowed the more infectious Delta variant, which one dose of the vaccine is less effective against, to enter and become dominant in the UK. Is he not concerned that, if he removes all social distancing completely in the near future, the variant will cause a covid surge among those who are not fully vaccinated?

[Matt Hancock]

As I was saying, Mr Speaker—

[Mr Speaker]

Maybe not.

[Matt Hancock]

Touché, Sir. In response to the hon. Lady’s question, I will say this. The opening up and the return of our freedoms is only possible because of the UK vaccination effort. In the six months to the day since we first vaccinated across these islands—yes, in Coventry, but also in Scotland, Wales and Northern Ireland—we have delivered 68 million vaccines across the whole UK and saved thousands of lives, and the whole United Kingdom has been set fair on the road to recovery thanks to the UK Government’s vaccination effort. I am very grateful to everybody in Scotland, Wales, Northern Ireland and England who has played their part in delivering it. That shows the benefit of the United Kingdom Union saving lives and working together for everybody on these islands.

[Karl Turner (Kingston upon Hull East) (Lab)]

If he will publish a timetable for adult social care reforms.

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[Mr Peter Bone (Wellingborough) (Con)]

What recent assessment he has made of the progress of the construction of new hospitals.

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

In October, the Prime Minister confirmed a £3.7 billion funding allocation over the next four years to support the delivery of 40 new hospitals by 2030, and I am delighted that that includes Kettering General Hospital. We have since confirmed that there will be 48 new hospitals built by 2030, and six of those projects are under way.

[Mr Bone]

I am delighted that one of the new Boris hospitals will be built on the site of Kettering General, starting with an accident and emergency department and with the whole hospital being finished by 2027. Unfortunately, there may well be a substantial delay to that because of red tape and bureaucracy. Will the Secretary of State use his great skills, bang some heads together, and get the pen-pushers and accountants to sort out the delay so that we can get on with this? Will he be kind enough to meet the three hon. Members who represent north Northamptonshire to discuss the issue?

[Matt Hancock]

Nothing gives me greater pleasure than making stuff happen, so I would be very happy to meet my hon. Friend and the nearby colleagues who represent the people served by Kettering General Hospital to make sure we can get this project moving as soon as we can.

[Mr Speaker]

You can rebuild Chorley hospital at the same time.

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[Dr Jamie Wallis (Bridgend) (Con)]

If he will make a statement on his departmental responsibilities.

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

I can tell the House that today, working with local authorities, we are providing a strengthened package of support, based on what is working in Bolton, to help Greater Manchester and Lancashire to tackle the rise in the delta variant that we are seeing there. The support includes rapid response teams, putting in extra testing, military support and supervised in-school testing. I encourage everyone in Manchester and Lancashire to get the tests on offer. We know that this approach can work: we have seen it work in south London and in Bolton, stopping a rise in the number of cases. This is the next stage of tackling the pandemic in Manchester and Lancashire. It is of course vital that people in those areas, as everywhere else, come forward and get the jab as soon as they are eligible, because that is our way out of this pandemic together.

[Dr Wallis]

Currently, all primary care providers in Wales remain on amber alert, which means that many of my constituents in Bridgend are unable to access necessary services unless it is an emergency. Will my right hon. Friend explain how this situation compares to his Department’s strategy to provide catch-up services as we come out of lockdown?

[Matt Hancock]

It is very important that, across the country, the UK is open, the NHS is open and that people can come forward and get treatment if they need it. As my hon. Friend knows, I work closely with the delivery of the NHS in Wales. The NHS there is of course the responsibility of the devolved Administration, but I am happy to take up his concern with the new Welsh Minister for Health and Social Services to see what we can do.

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

We have seen reports today of how exhausted NHS staff are. The Secretary of State for Environment, Food and Rural Affairs said in the media this morning that he was not sure what more the Government could do to support NHS staff. Obviously, the Government could give them a pay rise, but will the Secretary of State for Health and Social Care also commit today to extending free hospital car parking for NHS staff beyond the pandemic?

[Matt Hancock]

Of course, we have made hospital car parking free for staff during the pandemic. That is one of the many, many things that we have put in place to support staff. Staff wellbeing support and mental health support have also been incredibly important, learning, as we have done, from the support that we give to others in public service who go through traumatic episodes. The right hon. Gentleman is quite right that there is a wide array of things that we need to do to support NHS staff on the frontline.

[Jonathan Ashworth]

I wanted a commitment to extend the relief of hospital car parking charges beyond the pandemic.

The Secretary of State knows that waiting lists are at 5 million and that 432,000 people are waiting beyond 12 months. Once we are through this pandemic, the priority must be to bring those waiting lists down, but he is about to embark on a reorganisation of the NHS with his integrated care legislation. Local boards permit the private sector to have a seat on them. Virgin Care has just been given a seat on the integrated care system in Bath and North Somerset. He once promised that there would be no privatisation on his watch, so will he instruct that ICS to remove Virgin Care from its board?

[Matt Hancock]

The right hon. Gentleman is absolutely right that integrating the health service with services provided by local authorities, such as social care, is absolutely critical, and I know that he supports those proposals that have come from the NHS. When it comes to delivering services in the NHS, what matters to patients is that they get high-quality services, for instance, to deal with the backlog, and what matters is getting those services as fast as we possibly can. People care much less about who provides the service than they do about the service getting delivered, and that is the approach that I take, too.

[Mr Speaker]

I call the Chair of the Health and Social Care Committee.

[Jeremy Hunt (South West Surrey) (Con)]

Today, the Health and Social Care Committee published its report on NHS and social care staff burnout, which chronicles the emotional exhaustion and chronic fatigue felt by many frontline staff in the past year. Much support has been put in place; the 50,000 nurse target is welcome, the extra doctors and nurses hired during the pandemic extremely welcome, but still we have shortages in nearly every specialty, leading to a sense of despair. Will my right hon. Friend consider the recommendation that we make today that Health Education England should be given the statutory power to make independent workforce projections, rather as the Office for Budget Responsibility does for Budget forecasts, so that we can at least look doctors and nurses in the eye and say that we are training enough of them for the future?

[Matt Hancock]

I am very happy to work with the Select Committee on the forthcoming health and care Bill. The Committee has already had a huge amount of input into that Bill, and I am sure that, during its passage, we will be working together on making sure that this piece of legislation, which has cross-party support, can come through the House in the best possible state. I am very happy to look at the specific proposal, but what I would say is that we have been recruiting record numbers of doctors and nurses to try to make sure that the NHS is always there for all of our constituents and their families.

[Kirsten Oswald (East Renfrewshire) (SNP)]

The British Medical Association has warned that the freezing of the lifetime and annual pensions tax allowance until April 2026 could significantly impact the retention and overtime of health and care staff, with 72% of doctors that it surveyed saying that it would make them more likely to retire early. What consideration has been given to the BMA’s proposal of offering a tax unregistered scheme, similar to that of the judiciary, for those in the NHS?

[Matt Hancock]

We made very significant progress on this in the Budget immediately following the general election, as the hon. Lady will know. That has removed this problem for the vast majority of doctors who serve in the NHS. I am very glad that we were able to make that progress. I am always happy to look at suggestions from the unions and others, but I am glad to say that we have made a good deal of progress on this one.

[Mark Eastwood (Dewsbury) (Con)]

Despite the recent rise in infection rates, covid-related deaths and hospital admissions remain low across my constituency. Surge vaccinations and testing have been effectively rolled out in high-risk areas, and pop-up vaccination centres, such as the Darby and Joan Club in Clayton West, are doing a fantastic job. Given that, can my right hon. Friend assure the people of Dewsbury, Mirfield, Kirkburton and Denby Dale that there will be no need to introduce local restrictions in the future?

[Mr Virendra Sharma (Ealing, Southall) (Lab) [V]]

My constituents continue to be concerned that covid-19 is being used as an excuse to remove services from Ealing Hospital permanently. Accepting temporary suspensions for covid-19 is fine, but will the Secretary of State confirm that this public health crisis will not be used as an excuse to scrap services without following proper consultations and undertaking rigorous impact assessments?

[Matt Hancock]

Yes.

[Robbie Moore (Keighley) (Con)]

The Airedale General Hospital celebrates its 51st birthday this year, despite having a life expectancy of 30 years when it was originally built and 83% of it being built from aerated concrete, which is known for its structural deficiencies. My right hon. Friend the Secretary of State is well aware of my campaign to get a rebuild of the Airedale hospital, so that we can mitigate the risk of those structural deficiencies. Will he visit the hospital to meet me and Brendan Brown, the chief executive, so that we may discuss the plans in more detail?

[Mr Speaker]

I think the answer is yes.

[Matt Hancock]

Mr Speaker, not only has my hon. Friend made a compelling case for me to visit, but you have just told me to visit, so I have my marching orders. I look forward to my now forthcoming visit to Airedale hospital. I have not been yet, so I am very keen to come.

The Minister of State responsible for the hospital building programme has been heavily involved, and I have been looking at the paperwork. As my hon. Friend knows, on top of the 40 hospitals we announced—six of which are already being built—we have eight further slots to come, and Airedale hospital is very much on my radar for those slots. We will run an open competition and will make sure it is fair, but I will certainly visit.

[Stella Creasy (Walthamstow) (Lab/Co-op) [V]]

This week, the Prime Minister praised the major benefits of the private finance initiative companies that are part of the LIFT—NHS Local Finance Investment Trust—initiative running GP services. That is why I am sure that the Secretary of State will be disappointed to learn that here in Walthamstow, Community Health Partnerships, a PFI LIFT company that we estimate has made several millions of pounds of profit from the deal on top of its service charges, and which the Secretary of State is ultimately in charge of, has just handed our local toy library a business rates bill of £30,000 for during the pandemic. I hate to add to the Secretary of State’s busy diary, but will he meet me to discuss what we can do to ensure that such companies stop making major profits from our NHS services and that benefits such as a toy library are not lost due to their antics?

[Matt Hancock]

Yes, I will ensure that the Minister of State takes a meeting with the hon. Lady.

[Nickie Aiken (Cities of London and Westminster) (Con)]

I am sure that my right hon. Friend saw Fergus Walsh’s report on the BBC news last week on spinal muscular atrophy and the importance of the UK’s newborn screening programme. Surprisingly, the UK screens for only nine rare diseases in the heel-prick test, compared with other European countries such as Iceland and Italy, which test for 47 and 43 diseases, respectively. The sooner the diagnosis for a child with a rare disease the better, because it can change their life and their life chances. With that in mind, does my right hon. Friend agree that the UK should now consider expansion of the newborn screening programme? Will he meet, or ask a Minister of State to meet, me and campaigners on the issue?

[Matt Hancock]

Yes, absolutely, I 100% agree with my hon. Friend. We have the funding to expand that programme. She will have seen in our national genomics healthcare strategy that newborn screening is specifically highlighted. It is a personal mission of mine to make that happen. I am happy to meet her and Baroness Blackwood, the chair of Genomics England, who has been driving the project forward.

[Abena Oppong-Asare (Erith and Thamesmead) (Lab)]

Early diagnosis gives the best chance of survival, but a GP in my constituency has expressed serious concerns about delays in accessing urgent blood tests, which are critical to diagnose cancer. Will the Secretary of State ensure that local issues such as this do not worsen the already significant cancer backlog and put more people’s lives at risk?

[Matt Hancock]

Yes. The hon. Lady raises a very important issue, and if she writes to me with the full details, we will get right on it.

[Caroline Ansell (Eastbourne) (Con) [V]]

I am delighted to report back to my right hon. Friend that the University of Brighton, which has a campus in Eastbourne, has experienced a significant rise in the number of applications to study for careers in health professions. A shortage of training placements is the only real brake on the numbers of would-be students. I understand from having talked to the university that in the UK students must complete over 2,000 hours in placement. That is in contrast to Australia’s and New Zealand’s 1,000 hours. Is that seemingly high requirement under review with Health Education England so that we do not miss an opportunity to capture this new interest, build the NHS workforce of the future, open opportunities to all those who have the talent to succeed, and further secure my home town as a destination for studying?

[Chi Onwurah (Newcastle upon Tyne Central) (Lab)]

Many constituents have con, deeply concerned by Government proposals to grab, store and share GP health data. Can the Secretary of State tell me this: if I opt out of this data grab, will my health data be available to a hospital outside my home area should I have an accident, for example? If I do not opt out of it, how can I control how my data is shared, whether individually or in aggregate? I do not want to have to choose between privacy and my health.

[Matt Hancock]

The hon. Lady is quite right, and if she was in the Chamber earlier, she would have heard the Under-Secretary of State, my hon. Friend the Member for Bury St Edmunds (Jo Churchill), say that we are going to delay the deadline for this programme, including the opt-out, which is currently scheduled to end on 23 June. That has already been welcomed, while we have been in here, by the Royal College of General Practitioners and the British Medical Association, and then we will work through these issues. Everybody agrees that data saves lives. We have to make progress in this area, and it is very important that we do it in a way that brings people with us and resolves exactly the sorts of issues that she raises.

[Jason McCartney (Colne Valley) (Con)]

Although covid cases remain above the national average across Kirklees, thankfully hospitalisations and deaths remain low. Locally, my constituents are getting vaccinated and tested. Can the Health Secretary please confirm that he will not reintroduce local restrictions?

[Matt Hancock]

I am really glad to say that in Bolton and other parts of the country where we have sent in a big package of support, including surge testing—as we have done in Kirklees—we have seen a capping-out of the increase in rates without a local lockdown thanks to the enthusiasm of people locally and, of course, the vaccination programme. That is our goal. Our goal is that England moves together. That is what we are putting these programmes in place to do, and we are seeing them work.

[Gareth Thomas (Harrow West) (Lab/Co-op)]

Northwick Park Hospital, which serves my constituents, was the first to be hard hit by covid last year. At the height of the second wave in January, its remarkable staff were looking after some 600 patients. It needs investment in intensive care and recovery services. When Ministers receive the business case, can I ask them to look particularly sympathetically at it?

[Matt Hancock]

Yes.

[Greg Smith (Buckingham) (Con)]

Macmillan estimates that the current backlog of people awaiting a first cancer treatment across England stands at 39,000 people. What plans can my right hon. Friend outline to bolster cancer services so that those people get the treatment they need?

[Matt Hancock]

Recovering the backlog that has been caused by the pandemic is a huge task for the NHS, and was raised by the right hon. Member for Leicester South (Jonathan Ashworth) from the Opposition Front Bench, quite rightly. The backlog has unfortunately been increased as a consequence of the pandemic. We have put in extra money—an extra £1 billion this year—and we are seeing cancer services running at 100% of their pre-pandemic levels, and in some cases above 100%, in order to get through the backlog. The most important thing for the public watching this and for my hon. Friend’s constituents is to make sure the message gets out loud and clear that the NHS is open, and that if they have a problem, they should please come forward.

[Jonathan Edwards (Carmarthen East and Dinefwr) (Ind)]

Diolch, Mr Speaker. What recent discussions has the Secretary of State had with the Home Office regarding the successful clinical trials in the use of psilocybin in helping to deal with depression? It is a natural chemical found in fungi.

[Matt Hancock]

That is not something that has yet come across my desk, but I will make sure that the relevant Minister writes to the hon. Gentleman with as much detail as we know.

[Paul Maynard (Blackpool North and Cleveleys) (Con)]

Community defibrillators are vital potential life savers, and many community groups fund investment in them. However, it is concerning to hear that members of the public are denied access to defibrillators when they are on private land. What can Ministers do to ensure that access is presumed rather than subject to permission?

[Matt Hancock]

What my hon. Friend says is absolutely right. Of course if someone puts a defibrillator on private land, access to it should naturally be open to anybody who needs it. I will look into the exact legal status, but let us set aside the legal status for a minute. If there is a defibrillator on private land that could save somebody’s life, the landowner should of course allow access to it for anybody who needs it.

[Jessica Morden (Newport East) (Lab)]

As current Government investment in motor neurone research is not the targeted funding that is needed, will the Minister meet charities, researchers and patients to examine this discrepancy and commit to additional funding of £10 million a year for five years for a virtual motor neurone disease research institute, with a specific focus on helping us to get a world free of MND?

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[Mr Mark Harper (Forest of Dean) (Con)]

Mr Speaker, I am very grateful that you could fit me in at the end.

Yesterday during the statement the Secretary of State did not have the information to hand on the efficacy of the covid vaccines in reducing serious disease and hospitalisation. He made a commitment, rightly, to set them out today at Health questions at the Dispatch Box; and I am delighted, with this question, to give him the opportunity to do so.

[Matt Hancock]

First, I can say that a single dose of the Pfizer or AstraZeneca jab offers protection of 75% to 85% against hospitalisation, while data on two doses, which is currently available only for Pfizer, indicates 90% to 95% effectiveness against hospitalisation and 95% to 99% effectiveness at preventing death. However, my right hon. Friend also asked specifically about the delta variant, and I said that I did not have the figure in my head for the reduction in hospitalisations. I do not know whether I should be glad, but I can report to him that the reason is that there is not yet a conclusive figure. This morning I spoke to Dr Mary Ramsay, who runs this research at Public Health England, and she told me that the figure is currently being worked on. The analysis is being done scientifically and should be available in the coming couple of weeks. This is obviously an absolutely critical figure and I will report it to the House as soon as we have it.

[Mr Speaker]

I will now suspend the House for a few minutes to enable the necessary arrangements to be made for the next business.