Coronavirus

Matt Hancock Excerpts

Monday 9th March 2020 Commons Chamber

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

(Urgent Question): To ask the Secretary of State for Health and Social Care if he will update the House on the coronavirus outbreak.

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

The coronavirus outbreak continues to advance around the world. The number of cases in China and South Korea keeps rising but at a slowing rate, but the outbreak in Iran, Italy, Switzerland and now France and Germany is growing. In Italy alone, we have seen 1,492 more cases overnight and 102 more deaths. Here in the UK, as of this morning, there were 319 confirmed cases. Very sadly, this now includes four confirmed deaths. I entirely understand why people are worried and concerned, and we send our condolences to the families.

The UK response is guided by our four-point action plan: we continue to work to contain the virus, but we are also taking action to delay its impact, to fund research and to mitigate its consequences. Throughout, our approach is guided by the science; that is the bedrock on which we base all our decisions. Our plan sets out what we are prepared to do, and we will make the right choice of which action to pursue at the right moment. The scientific advice is clear that acting too early creates its own risks, so we will do what is right to keep people safe. Guided by science, we will act at the right time, and we will be clear and open about our actions and the reasons for them. These are the principles that underpin the very best response to an epidemic such as this.

On research, I can report to the House that we have made available a further £46 million to find a vaccine and develop more rapid diagnostic tests, and we will continue to support the international effort. Here at home, the NHS is well prepared, with record numbers of staff, including nurses and doctors. I thank all those involved for their work so far. The number of calls to NHS 111 has increased—we have now added an extra 700 people to support that effort—and 111 online is now dealing with more inquiries than the voice calls.

To date, Public Health England has tested nearly 25,000 people, and the time taken to test is being reduced, as we are bringing in a new system for faster results, but of course responding to coronavirus will take a national effort; everyone must play their part. Of course, that means Government, and it also means everyone washing their hands more often and following public health advice, but there is much more we can all do, through both volunteering and supporting the most vulnerable. We will shortly introduce legislative options to help people and services to tackle the outbreak. The Bill will be temporary and proportionate, with measures that will last only as long as necessary in line with clinical advice. I can also report that over the weekend, we initiated action to help 120 passengers on the Grand Princess cruise ship off the coast of California to return home.

We will stop at nothing to get our response right.

[Jonathan Ashworth]

Our thoughts are naturally with the loved ones who have sadly died of covid-19. Let me also record, again, our thanks and gratitude to our hard-working NHS and Public Health England staff.

May I press the Secretary of State a little further? He will know that we have called repeatedly for an emergency funding package for our NHS, he will know that the NHS is short of 100,000 staff, and he will know that critical care beds were at 81% capacity during the week for which the latest figures are available. The Chancellor has said that the NHS will receive whatever it needs. Does the Secretary of State agree that in this Wednesday’s Budget we need to see significantly more resources for the NHS, not just rhetoric?

Scaling up and freeing up capacity in the NHS is now urgent. What is being done to scale up intensive care beds in the NHS, what is being done to expand access to the oxygen and ventilation machines that will be needed, and what is the current capacity of extra corporeal membrane oxygenation beds? We welcome the distribution of personal protective equipment to NHS staff, but does the Secretary of State agree that GPs and social care staff also need access to that equipment?

Those in receipt of social care are some of the most vulnerable, and could be affected extremely badly by this virus. Indeed, many who work in social care are low paid, and if they have to go on sick leave there are huge implications for the delivery of social care. What advice has been given to social care providers and, indeed, local authorities to ensure that the most vulnerable are protected, and what plans are in place to protect staff and increase the number in the social care sector?

Public health directors are expected to play a leading role in local preparations. They need to make decisions about deploying staff—Public Health England, for example, has asked for staff to be seconded—yet they still do not know their public health allocations for the next financial year, which will start in three weeks’ time. We are begging the Secretary of State: please tell local directors of public health what their Budget is for this coming April.

We are still officially in the containment stage. At some point, we presume, we will need to move into the delay stage, when we understand that social distancing measures will be necessary. Many of our constituents are now asking—and I think it would benefit the House if the Secretary of State could explain to them—why we are not yet considering more home working, whether we should be asking those over 65 to isolate themselves, whether we should be cancelling larger events, and whether those returning from northern Italy, for instance, should be quarantined. I think it would help our constituents if the Secretary of State ran through the medical advice, although I understand why he has made the decisions that he has made.

Can the Secretary of State also confirm that once we move into the phase in which measures of this magnitude are proposed, he will come to the House, explain why that has happened, and allow Members to question him? He has hinted, or suggested, that we will need emergency legislation for the mitigation stage. As a responsible Opposition, we would like to sit down with him in order to understand the content of that legislation, because we want to work on a cross-party basis; but let me leave him in no doubt that we also want statutory sick pay for all from day one. Asking people to wait five weeks for universal credit is not a serious solution.

Will the Secretary of State update the House on food supplies and the conversations that he has had with supermarkets? Can he reassure us that our constituents do not need to be panic-buying, as we saw people doing on social media in some parts of the country over the weekend? Finally, does he agree that whatever happens, we must find a way for Parliament to continue to hold Ministers to account so that we can ask questions on behalf of our constituents? However, we continue to offer to work constructively with the Government, because the public health interest and the safety of our constituents must always come first.

[Matt Hancock]

Let me start by concurring with what the hon. Gentleman said about the legislation. It should be taken through on a cross-party basis. I should of course be happy to talk to him about the proposals in that legislation, and also to ensure that the clinicians are able to explain why they are necessary and proportionate. I am grateful for the tone that he has taken throughout, recognising that our responses are led and guided by the science.

The hon. Gentleman asked about the NHS and its preparedness. There are record numbers of nurses and doctors, as I said. The 8,700 increase in the number of nurses over the past year is welcome in this context. We are, as he said, scaling up intensive care beds, and making sure that we have as much availability of ventilation equipment and, crucially, the skilled and trained people to use it, because ventilation equipment, without trained people, is dangerous. On that subject, we are making sure that we have the oxygen needed to go into those ventilation kits, working with oxygen suppliers to make sure that that is available.

The hon. Gentleman also asked whether GPs would have access to the protective equipment that they need, and the answer is yes. We have stockpiles of protective equipment and, again, we will release it at the right time. I am working closely with NHS England to make sure that that happens.

The hon. Gentleman asked about social care. He is absolutely right to draw attention to the importance of making sure that the staff in social care are well enough supported, including if they are sick and, critically, because many people in residential social care are some of the most vulnerable. Those living in the community in receipt of social care are likely to be vulnerable, whether because of prior health conditions or because they are elderly, or both. That is an area of significant attention, and we will update the existing guidance this week with further information for social care providers.

The hon. Gentleman asked about public health budgets which, of course, are going up. He also asked about home working and the cancellation of large events. We are not at this stage proposing the cancellation of mass events, because we are following the scientific advice that that is not what is proposed at this stage. Home working and flexible working are things that, in many cases, are advocated anyway. People will make their own decisions as to when that is appropriate. What we are saying from the Government point of view is that people should follow the public health advice so that, for instance, if they are returning from an affected area and they have symptoms they should stay at home, and that means home working. Over the weekend we added northern Italy to the list of places to which the Foreign Office does not recommend travel except in exceptional circumstances. We recommend that people returning from northern Italy self-isolate if they are symptomatic.

The hon. Gentleman asked about the food supply. We are confident that food supply will continue, even in our reasonable worst-case scenario. We have been talking to the supermarkets for some time about this scenario. I appreciate that on Friday there was discussion about whether every single supermarket executive had been involved in those talks. If any further supermarket executive wants to be involved in those conversations they should get in contact, but those conversations have been ongoing, and it is important, especially as we ask more people to self-isolate and stay at home, that we can ensure that we get supplies that are needed to the people we are asking to stay at home.

The hon. Gentleman asked about statutory sick pay, and I can confirm that we are proposing to put changes to statutory sick pay in the legislation, and I am happy to go through the details with him in the talks that I mentioned at the beginning of my response.

Finally, on Parliament, of course, this is a matter for the whole House. I know that the Commission met this morning, and I think that parliamentary scrutiny of decisions of the magnitude that we are having to take in response to coronavirus and their novel nature is incredibly important, and I will do all that I can to ensure that Parliament remains open.

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

I commend the Health Secretary for the way in which he is handling the crisis and ask him to reflect on what we now feel we have learned from the situation in China, given that yesterday was the first day when reported new cases in the UK exceeded reported new cases in China. The chief medical officer told the Select Committee that he hoped that a smaller proportion of the population in the UK would get the virus, given what we can learn from what happened in China, but one of the reasons for growing concern among our constituents is that the only number out there is the 80% reasonable worst-case scenario. Is it not time for the Health Secretary to share his central estimate of what proportion of the UK population he thinks will get the virus, even though we would all understand that that estimate might change over the passage of time?

[Matt Hancock]

I pay tribute to the Chair of the Select Committee for the way in which he has handled this—for instance, in demonstrating the need for transparency in the questioning of the chief medical officer last week. I will take away his point on the need for a central estimate. The figures out there relating to the proportion of people who will get the virus are a reasonable worst-case scenario. On the central estimate, there are still things that we do not know about the spread of the virus through China—in particular, whether the degree to which the slowing of the increase in cases in China is because the virus has reached a large proportion of the population and there is a large proportion who are not symptomatic, which would mean that the mortality rate was lower than otherwise thought; or whether the significant measures that the Chinese have taken are having a significant effect, and that therefore, as and when they are lifted, the virus will continue to spread. Either of those options is possible, and we do not know which one it is, but whichever it is, the approach that we are taking in the UK is the right response to both of those scenarios.

[Martyn Day (Linlithgow and East Falkirk) (SNP)]

There seems to have been some media confusion in reports that the move from the contain phase to the delay phase will involve an instant flick-of-the-switch moment. Will the Secretary of State assist us by confirming that that is not the case and that any move will involve a phased transition? Another area of particular vulnerability is the UK prison system, which is extremely short-staffed and stretched. What measures will he be taking following reports of riots and deaths among inmates in Italy’s prisons to ensure that our prisons remain under control during what will be a period of heightened tensions and frustrations as restrictive measures are introduced? Will he also confirm that he is aware of the latest workplace advice from Health Protection Scotland, which was published today and which urges routine cleaning of phones and keypads and says that food should not be left open for people to share? Will his Department be making a similar recommendation for England?

[Matt Hancock]

The hon. Member is absolutely right to suggest that the transition to the delay phase is indeed that: it is a transition. We will not give up hope of containing this disease while we can still take containment actions, and many of the actions that are needed to contain it are also effective for delaying. Of course, the primary action is that everyone should wash their hands, but there is much more than that. He asked about the advice from Health Protection Scotland. We are working very closely with HPS, and Public Health England will shortly be bringing forward further updated guidance that we have been working on over the weekend, not just on social care, as I mentioned earlier, but more broadly, including for businesses, employees and others.

[Sir Oliver Heald (North East Hertfordshire) (Con)]

I thank the Secretary of State for his statement. He will know that the number of cases in Hertfordshire is now into double figures, and that it is a county with some very large businesses with an international footprint, as well as many commuters going into London. Has the time come for discussions with those large businesses on how to reduce the number of international visits that are made, perhaps through more teleconferencing, and also on how to allow more people to work from home when possible and to reduce the number of visits backwards and forwards that might be affecting the spread?

[Matt Hancock]

An awful lot of companies and other employers are taking these steps. Teleconferencing is usually cheaper and also better for the environment than travel, so there are good reasons to use it anyway.

[Ms Harriet Harman (Camberwell and Peckham) (Lab)]

The Secretary of State made it clear in his answer to the urgent question that parliamentary accountability is fundamental—that is evidenced by so many Members on both sides of the House rising to raise myriad issues —yet despite that acknowledgment we are hearing reports that after Easter the House might be suspended until September. Will he give an undertaking that that will not be the case? Will he recognise that, as a big organisation of 650 MPs and thousands of staff, we can play our part in containment without opting for the nuclear option of closing down accountability altogether? Other measures could be considered, such as using Westminster Hall on a UQ basis, so that we have continuous accountability for what the Government are doing through Parliament, albeit in a different form.

[Matt Hancock]

I have not seen those specific reports, but I know that the House of Commons Commission met this morning. Parliamentary accountability is incredibly important. I will be doing all that I can to ensure that Parliament stays open through this process, and that we follow the clinical advice on how that can happen so that we keep that parliamentary accountability. It is a decision for the House, but my position and that of the Government is clear.

[Dr Andrew Murrison (South West Wiltshire) (Con)]

The Government are absolutely right to be putting a lot of public money into research on a possible vaccine, but the Secretary of State will know that research is no good unless we can produce vaccine at scale, and this country is not great at doing that. What can he do to ensure that we grow indigenous capacity very quickly so that the public, and particularly key workers in our health service, do not have to wait in line when a vaccine becomes available?

[Matt Hancock]

My right hon. Friend raises an important point. We do have significant vaccine capabilities, and not only in research, where we are world-class, but in some production, for instance in Hamilton in Scotland. The broader point is that investment in the whole production chain and not just research is critical.

[Liz Saville Roberts (Dwyfor Meirionnydd) (PC)]

The Government have outlined emergency legislation that will extend new powers to the Welsh Government. Council representatives I have spoken with are concerned that there are currently legal obstacles hindering the swift deployment of emergency staff, for example in relation to vehicle insurance and limits on working hours. That applies particularly to social care staff, of whom there is a shortage in Wales and, I believe, across the UK. What discussions has the Secretary of State had with the Welsh Government to ensure that there are clear guidelines for emergency implementation in the care sector?

[Matt Hancock]

We have ongoing discussions with the Welsh Government. For instance, the Welsh Government joined the Cobra meeting this morning—in fact, they have been present at all the Cobra meetings—and we have had very good engagement on the Bill. I will look into the two specific points that the right hon. Lady has raised and will talk to my Welsh colleagues about them.

[Dr Caroline Johnson (Sleaford and North Hykeham) (Con)]

May I thank the Health Secretary for the way he is managing this crisis, and for how frequently he has come to the House to answer questions? Pregnancy is a time of great joy, but in the context of coronavirus it can also be a time of great worry. Is there any specific advice from the chief medical officer for ladies who are expecting or who are considering starting a family?

[Matt Hancock]

I am glad to say that the evidence so far indicates that there is not a particularly raised concern. Nevertheless, I entirely understand the level of worry that getting coronavirus might cause somebody who is pregnant, so we are researching this very carefully.

[Hilary Benn (Leeds Central) (Lab)]

A study of 52 critically ill patients at Jinyintan Hospital in Wuhan has found that more than two thirds required invasive breathing support, and last Monday, as the Secretary of State will know, the World Health Organisation urged all countries to stock up on ventilators. Given that around 5% of those with coronavirus might require critical care, what is his current best estimate of the number of ventilators that would be required to meet that demand, bearing in mind his earlier point about having sufficient staff to operate the ventilators?

[Matt Hancock]

I am very happy to write to the right hon. Gentleman with the specific answer to his question, but the general answer is more, and, frankly, as many as possible. We are buying ventilators—we have a commercial strategy on that—and, of course, we are training people to use them.

[Stephen Metcalfe (South Basildon and East Thurrock) (Con)]

As my right hon. Friend knows, vaccines are the long-term solution to tackling the virus. Can he give the House a bit more detail on what work is being done and on the potential timings for new vaccines and home tests? More importantly, will he keep under active review the balance between the efficacy and safety of vaccines and the public health impact they could have?

[Matt Hancock]

The critical point about vaccine development for coronavirus is that if we cannot be sure that a vaccine is safe, we cannot put it into large numbers of people for a disease with a mortality rate of around 1%. This is different from a disease like Ebola, where the mortality rate of around 70% is so high that it is worth taking the risk.

The broader point about the response to this virus is that it is very different from Ebola. It spreads in a different way and its mortality rate is very different, so it is very important that we fight this disease rather than fighting the last war.

[Martin Docherty-Hughes (West Dunbartonshire) (SNP)]

The other day, the Prime Minister said on morning television,

“perhaps you could take it on the chin, take it all in one go and allow the disease to move through the population without really taking as many draconian measures.”

Can the Secretary of State advise the House that that is not the Government’s official position?

[Matt Hancock]

No, it is not the position. The Prime Minister was explaining why we have taken the decisions that we have.

[Chris Grayling (Epsom and Ewell) (Con)]

This is obviously a particularly worrying time for our elderly population who are, by all accounts, more likely to suffer badly from the disease. What advice would the Secretary of State and, indeed, the chief medical officer give to the elderly, their families and their neighbours about how best to protect them? What actions should they take to ensure they are not exposed to this disease?

[Matt Hancock]

That is a really important point, and the advice now is, as for everybody else, that they should wash their hands, follow the public health advice and catch sneezes and coughs. We do not rule out changing that advice to advising measures that help protect either the elderly or more vulnerable people who have pre-existing health conditions, because an approach that treats them differently is appropriate given that the disease treats them differently.

[Several hon. Members rose—]

[Mr Barry Sheerman (Huddersfield) (Lab/Co-op)]

May I press the Secretary of State on this matter? Yes, it is very important that we follow good science, but we also need good management. It is all right having a national Cobra, but what about local Cobras? Every community and every local authority has to deliver on the ground as this gets worse, and that needs partnership across health, the police and local authorities. Is he sure that is in train?

[Matt Hancock]

Absolutely. This is a national effort, and a national effort involves the Government, the NHS, every single individual, local authorities, local resilience fora and local police. It is a national effort.

[Sir Desmond Swayne (New Forest West) (Con)]

Can we have net figures that take account of recoveries? It is very alarming simply to be given cumulative deaths and cumulative cases.

[Matt Hancock]

Yes, very shortly.

[Chris Bryant (Rhondda) (Lab)]

It is not just coronavirus and dealing with it that needs parliamentary scrutiny. The Government cannot continue levying income tax unless we have another Finance Act, and they will not be able to use emergency powers under the Civil Contingencies Act 2004 for longer than 28 days, so Parliament will have to keep on sitting, won’t it? The Secretary of State is wrong, as it is not for the House authorities to decide whether this House sits. The only person who can table a suspension of Parliament is a Government Minister, so will he just rule it out now?

[Matt Hancock]

As I said, we see no purpose for suspending Parliament, and parliamentary accountability is very important, as is the legislative power of Parliament.

[Greg Clark (Tunbridge Wells) (Con)]

On the day Carillion collapsed, all the UK banks, through UK Finance, agreed forbearance on the loans and overdrafts of small businesses affected. Has Cobra obtained the same assurance from the banks in respect of businesses affected by the coronavirus?

--- Later in debate ---

[Matt Hancock]

Those sorts of discussions are going on, led by the Treasury and the Department for Business, Energy and Industrial Strategy.

[Ms Angela Eagle (Wallasey) (Lab)]

Millions of people in this country live alone, and many elderly people rely on their relatives visiting them to keep them able to live in their own homes. This activity may well be disrupted if people get ill or have to be isolated. How then will those vulnerable people, who rely on outsiders to be able to live, get their food delivered and be looked after, possibly cope?

[Matt Hancock]

This is an extremely important consideration, because in keeping people safe from coronavirus we also need to support people to live their normal lives. Many people rely on support from others who come to them, whether through social care in the formal system or, as in many cases, through informal care and support. We may need to see more of that, but it will have to be done properly in order also to protect the people involved from the coronavirus.

[Dehenna Davison (Bishop Auckland) (Con)]

Last week, I met officials from Durham County Council, and part of our discussion turned to council preparations for coronavirus. Will my right hon. Friend confirm that he is working with the Ministry of Housing, Communities and Local Government and with local authorities to ensure that we are fully prepared?

[Matt Hancock]

Yes, we are working with all the local resilience forums and the local authorities, which are crucial parts of them.

[Daisy Cooper (St Albans) (LD)]

The director general of the World Health Organisation has called on all Governments to develop all-of-society and business continuity plans. What is the Minister doing in respect of two groups: the street homeless, and the staff and volunteers who work in homeless shelters; and small businesses? Specifically, in a worst-case scenario, would the Government, under contingency plans, underwrite the three biggest costs facing small businesses—staff, rent and business rates?

[Matt Hancock]

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

[Dr Julian Lewis (New Forest East) (Con)]

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]

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.

[Kate Green (Stretford and Urmston) (Lab)]

On Friday, I met the chief executive of my local council, where four cases have been identified. She told me that the council is not able to obtain information from Public Health England about where those four individuals are self-isolating, and that is a concern in managing community relations and information. Of course we appreciate the need to protect patient confidentiality, but will the Secretary of State discuss with colleagues the need for information to be shared with specific council officials, on a need-to-know basis, so that they can manage the protection of the whole public?

[Matt Hancock]

Yes, absolutely. There should not be data protection problems here, but sometimes there are perceived to be, so cracking through those is important as well.

[Mr Tobias Ellwood (Bournemouth East) (Con)]

May I echo the concerns about suspending Parliament? Whatever the threats and the challenges we face in this country, Parliament must continue to do its business and do its duty. The Secretary of State has a responsibility, and the Government have responsibility for the people in the UK and for those overseas. How is he working with the Ministry of Defence on the support it might provide, both domestically and internationally, in looking after our citizens abroad?

[Matt Hancock]

I agree with my right hon. Friend wholeheartedly on the first point. On the second, it is absolutely true that the MOD is working alongside the Department for International Development, and of course the Foreign Office, to support Brits overseas.

[John Cryer (Leyton and Wanstead) (Lab)]

Returning to the issue of statutory sick pay, can the Secretary of State confirm that all the relevant Departments are in agreement that SSP should be paid to self-employed people who are told to self-isolate?

[Matt Hancock]

We are all in agreement that nobody, including those who are self-employed, should be penalised for doing the right thing. How we get that support to them is a different question, because SSP is paid by the employer and the self-employed do not have an employer. We will bring forward a solution to that particular policy conundrum.

[Richard Fuller (North East Bedfordshire) (Con)]

The Grand Princess cruise ship will finally dock in Oakland today, allowing 140 Britons, including at least four of my constituents, to disembark. My right hon. Friend mentioned a few messages about the support that will be given. A lot of the Brits on the ship feel that the UK has not responded as strongly as the Americans. Will he use this opportunity to say a little more, or will he perhaps get the Foreign Office to contact constituents on the ship directly?

[Matt Hancock]

The Foreign Office will be putting out more information, because it leads in that policy area. We will be repatriating the Brits and we are working with the Americans to ensure that we can get them home safely. We have full confidence that the American public health system will be able to help those individuals off the ship and on to planes to come home.

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

Is the Secretary of State aware that services and advice may not be accessible to those for whom English is not their first language? Will he ensure that the Government make instructions and advice available in a range of languages, including Braille?

--- Later in debate ---

[Matt Hancock]

Yes.

[Karen Bradley (Staffordshire Moorlands) (Con)]

Members of the Procedure Committee are, like many in the House, concerned about how we make sure that we properly represent our constituents if either Members of Parliament or their staff have to self-isolate. The Committee is meeting regularly this week to discuss the changes that might be needed to our procedures in that event. Will my right hon. Friend confirm that the Government will work with us to ensure that all parliamentarians are able properly to represent their constituents?

[Matt Hancock]

Yes, that would be a pleasure.

[Rachel Reeves (Leeds West) (Lab)]

To follow up on the question from my hon. Friend the Member for Leyton and Wanstead (John Cryer), there are 4.7 million self-employed people, and currently they will not be entitled to statutory sick pay or contributory jobseeker’s allowance. The company Hermes, working with the GMB, has already said that it will offer support to its workers who cannot come to work because they have to self-isolate; other companies have not. What pressure are the Government putting on businesses such as Uber, Deliveroo and DPD to ensure that the people who deliver their services will be able to self-isolate?

[Matt Hancock]

I urge all companies, especially the large companies that, as the hon. Lady said, use an awful lot of self-employed workers to deliver their services, to look at what Hermes has done and appreciate that their part of the national effort is to help everybody to make sure that they can go home and stay at home if they need to stay at home to keep themselves and others safe.

[Dr Luke Evans (Bosworth) (Con)]

I have a practical question for the Secretary of State. Many of my colleagues who work in the health service are keen to come forward and do their best. Their big concern is: should schools close, who would care for their children when they run forward to help in the NHS? Are the Government considering any plans to support frontline workers?

[Matt Hancock]

We absolutely are, not only in terms of any measures that we take and how they might have to be amended for key workers, but also because, critically, when it comes to school closures, one reason why closing schools is not a cost-free option is that it takes away some of the very staff whom we need to be able to respond to the crisis.

[Seema Malhotra (Feltham and Heston) (Lab/Co-op)]

I have been approached by some parents who want to know what option they may have to withdraw their children from school for a short period, perhaps prior to the Easter break, if they wish to do so, and agree with the school an arrangement for a period of home study. Is the Secretary of State working with his Department for Education counterparts on any contingency plan should home schooling become necessary?

[Matt Hancock]

The most important thing is to follow the advice from Public Health England. We now have in place well-established routes to ensure that all headteachers get the appropriate advice. Ultimately, it is headteachers who are currently responsible for such decisions.

[Caroline Nokes (Romsey and Southampton North) (Con)]

Home working is all but impossible in the early years sector, in which employers tend to be small and medium-sized enterprises and employees tend to be women. I have been contacted by nursery owners in my constituency who are extremely concerned that the advice they are getting from Government helplines is not consistent. I urge the Secretary of State to make sure that the information provided to these essential businesses in a crisis is consistent and kept up to date.

[Matt Hancock]

Yes, absolutely, and if my right hon. Friend could bring the individual concerns to my attention, I would be very happy to look into them.

[Ronnie Cowan (Inverclyde) (SNP)]

My constituents of Inverclyde are expecting 80 visits from cruise ships during the sailing season, which starts in April, including from the Regal Princess, which is due in on 10 May. What plans do the UK Government have in place should there be an outbreak on a cruise ship in UK waters?

[Matt Hancock]

We are, of course, working with Public Health England on making sure that we have the right answers should this happen. Looking into what happens on cruise ships and what advice will be given with respect to people going on future cruises is a critical piece of work that we are undertaking.

[Bill Wiggin (North Herefordshire) (Con)]

Today, we had the first acknowledgement that there was a case in Herefordshire and yet I am still waiting to hear from the Government about the 70 children who are planning to go to northern Italy to ski. Can we make sure that airlines are giving these parents their money back?

[Matt Hancock]

We advise against all but essential travel to northern Italy, and I do not regard skiing as essential.

[Lilian Greenwood (Nottingham South) (Lab)]

The adult intensive care unit at Nottingham University Hospitals Trust was at over 100% capacity on 76 occasions in the past year. An expansion of critical care will add a further eight beds. What is the Secretary of State doing to expedite this expansion? How many additional intensive care beds does he believe can be created and how soon?

[Matt Hancock]

We are working very hard right across England and I know that my Scottish and Welsh counterparts are working right across Scotland and Wales to ensure that we get that expansion of critical care beds as much as is possible.

[Anthony Mangnall (Totnes) (Con)]

I thank the Secretary of State and his team for their help for all patients who have been diagnosed with covid-19 in the south-west, but, as he knows I have a highly rural community. Can he please just elucidate as to how he will be able to provide further action and help for those in rural communities?

[Matt Hancock]

This is a very important point. One thing we will be doing during this period is encouraging people who need to see their GP or to have an out-patient appointment for something that is not to do with coronavirus to do so via Telemedicine if it is both clinically and practically possible. That is even more important in rural areas, and absolutely critical for reducing the amount of infection through GPs.

[Karin Smyth (Bristol South) (Lab)]

Before I entered this place, I worked as an emergency planner for the NHS. I would like to pay tribute to my former colleagues and to say that I am pleased that the Secretary of State is following their expert advice. Most people will not go into hospital or go to their GPs; they will be supported in the community. Critically, they will be supported by the wider services of local government and the voluntary sector. Will the Secretary of State expand on what conversations he is having with his counterpart in the Ministry of Housing, Communities and Local Government to support the wider public health and social care provision of local government?

[Matt Hancock]

We have extensive work under way to provide exactly that support. It is also available through the Office for Civil Society, and through volunteers as well. It is very important that we offer the opportunity for people to volunteer in these difficult circumstances, but we have to do so in a way that the voluntary efforts can then plug in and add to the professional efforts that are, as the hon. Lady says, providing a great service to this country.

[Jane Stevenson (Wolverhampton North East) (Con)]

I was deeply saddened to find out that the fourth case has died in my constituency in Wolverhampton North East. I offer condolences to the victim’s family and friends. Our thoughts also have to be with the staff at New Cross Hospital. I ask my right hon. Friend whether there is any special advice for those with relatives in New Cross Hospital or the attending staff members, because I know that people are greatly concerned.

[Matt Hancock]

I add my condolences to the family and loved ones of the patient who has died at New Cross Hospital. I want to thank the staff at the hospital who have acted in an exemplary way and to reassure other patients at the hospital that the steps that are necessary to ensure that the hospital is safe have, of course, been taken and that my hon. Friend’s constituents can be confident that her local NHS has risen to this task.

[Kevin Brennan (Cardiff West) (Lab)]

On the point about people who have booked holidays and cruises and who are perhaps doing the right thing by considering not going on them, I have to say that, even though they are insured, they are not always covered to do so unless they have been specifically told not to travel to that country. What are the Government doing to assist people in that sort of situation?

[Matt Hancock]

We constantly keep travel advice under review, and have made covid-19 a notifiable disease. Both those measures will help with the circumstances outlined by the hon. Gentleman.

[Andrew Griffith (Arundel and South Downs) (Con)]

On behalf of those who have already been affected in West Sussex, may I thank all those who have been working extremely long hours to deal with this crisis? Will the Secretary of State remind everyone involved that this is a marathon, not a sprint, and that pacing is incredibly important in dealing with any crisis? I urge him to use the innovation, capacity and capability of business as we move through this situation.

[Matt Hancock]

Yes, I agree with all of that. This is a marathon, not a sprint. Critically, as the scientists have advised us, getting the timing of the interventions right is crucial for getting the best possible response as a nation.

[Mr Deputy Speaker (Mr Nigel Evans)]

If Members continue to be pithy, we will get everybody in.

[Alison Thewliss (Glasgow Central) (SNP)]

Last week I asked the Secretary of State about the advice given about coronavirus to DWP decision makers. We were not particularly reassured by the answers given by Department for Work and Pensions Ministers this morning, and that advice has still not appeared in our inboxes. Can he please follow that up?

[Matt Hancock]

Yes.

[Felicity Buchan (Kensington) (Con)]

My local authority of Kensington and Chelsea has eight confirmed cases—the most of any local authority in London. We have a lot of international visitors. My constituents are very concerned that people are continuing to arrive from north Italy, and they are only being told to self-isolate if they have symptoms, but we all know that the symptoms can often come late. Will my right hon. Friend think about testing at airports or mandatory quarantining?

[Matt Hancock]

We are increasing the amount of information that is available at airports, but the evidence from other countries that have tried temperature testing at airports shows that it is not effective and can actually be counterproductive to the effort because it leads to lots of false positives.

[Clive Efford (Eltham) (Lab)]

Industries such as the hospitality industry employ people on zero-hours contracts, and I know of one major hotel that has laid off a number of people. What can the Secretary of State do to ensure that people are not left in financial difficulties due to their employers taking these decisions?

[Matt Hancock]

This is a matter that the Chancellor is considering ahead of the Budget.

[Jason McCartney (Colne Valley) (Con)]

I thank my right hon. Friend and his team for the way in which they are being guided by the science and medical advice. My constituents in the Colne and Holme valleys, and Lindley, are keen to do the right thing and to do their very best to contain the outbreak. What specific advice would the Health Secretary give my constituents who are organising community events over the Easter period and over the May Day weekend, particularly events that will have large attendances from those who are most at risk—the elderly?

[Matt Hancock]

We are not currently advising the cancellation of mass events, but we are considering closely providing further advice and strengthening advice to those in the vulnerable and elderly groups.

[Helen Hayes (Dulwich and West Norwood) (Lab)]

King’s College Hospital in my constituency has the highest level of debt of any hospital trust in the country. It also has a new 60-bed intensive care unit, which has been much delayed in its opening. Can the Secretary of State confirm what additional resources will be made available to King’s to ensure that those beds can open—fully staffed and fully equipped—as soon as possible, and to ensure that this challenged NHS trust has all the resources necessary to deal with the additional needs presented by coronavirus?

[Matt Hancock]

I am very happy to look into that specific example.

[Edward Timpson (Eddisbury) (Con)]

In May and June millions of pupils, including in Eddisbury, will be sitting important public exams. Although I accept that my right hon. Friend is doing the right thing by following the scientific evidence, may I encourage him to do everything possible to ensure that those exams go ahead, and to put in place clear contingency plans in the event that they do not?

[Matt Hancock]

Yes, of course. This is a lead for the Education Secretary, but he and the Schools Minister are working very hard on it.

[Jim Shannon (Strangford) (DUP)]

Churches in my constituency took precautions yesterday. Those who need to self-isolate are having food supplies delivered, and are receiving regular phone contact to stave off the feeling of being alone. Does the Minister accept that the ability for churches to meet for fellowship and prayer is essential for a lot of people’s mental health and spiritual welfare, and that churches remaining open for as long as possible is as essential as schools remaining open?

[Matt Hancock]

I emphatically agree. I should, of course, have added churches and other religious groups to the long list of organisations that can—and I hope will—participate in this national effort, so that the country can get through this situation as well as possible.

[Aaron Bell (Newcastle-under-Lyme) (Con)]

Good communication is obviously key, so, first, may I thank my right hon. Friend for his regular updates? Secondly, will he join me in praising the staff and management at Royal Stoke University Hospital, who have treated a case recently and have communicated very clearly with the local community in Stoke and in Newcastle-under-Lyme?

[Matt Hancock]

Yes, all the staff at the Royal Stoke have done a brilliant job. I worry that they will no doubt have more cases to deal with, but the work they have done so far is something that we should all praise.

[Dame Diana Johnson (Kingston upon Hull North) (Lab)]

The Secretary of State has called for a national effort on a number of occasions. What is his take on the request from the TUC, which has called for a joint emergency taskforce between trade unions and businesses to make sure, for example, that statutory sick pay issues are addressed as well as keeping public services afloat?

--- Later in debate ---

[Matt Hancock]

Of course trade unions have an important role to play in this as well, and that is something we absolutely should consider.

[Ben Everitt (Milton Keynes North) (Con)]

The Secretary of State is no doubt aware that one of the four deaths that he referred to in his statement was an elderly patient with underlying health conditions in Milton Keynes University Hospital. What steps is he taking to ensure that hospitals like Milton Keynes University Hospital and others are open, safe and clean?

[Matt Hancock]

All of the hospitals that have so far dealt with cases—and, indeed, the four confirmed deaths—have protocols in place to ensure that the hospital remains a safe place to treat everybody else. The evidence so far is that that has worked well, but of course we keep working at it.

[James Murray (Ealing North) (Lab/Co-op)]

Many careworkers are on zero-hours contracts and work for multiple providers. This means that they may struggle to prove that they are eligible for statutory sick pay, forcing them to choose between protecting their clients and paying their bills. The Secretary of State mentioned statutory sick pay earlier. What is he planning to do to help care staff who are not eligible for statutory sick pay or who might struggle to prove their eligibility?

[Matt Hancock]

I am working very closely with the Work and Pensions Secretary to address this exact point.

[Neil O’Brien (Harborough) (Con)]

Over the weekend, Leicestershire had its first confirmed case of coronavirus, while a number of European countries moved to ban large public events. Will the Secretary of State explain why the timing of such social distancing measures is so crucial, and at what point and on what basis he will decide if they are necessary?

[Matt Hancock]

The first question we must ask is, “How effective is this measure—is it effective?”, and the second is, “Are we going to get unintended consequences from people acting differently in a way that actually hinders the overall effort?” It is for the scientists best to explain the reason why they have scientifically come to this advice. But it is clear that there are other measures that we can take that are more effective and have fewer negative side-effects.

[Mr Philip Hollobone (Kettering) (Con)]

My constituents in Kettering are struggling to understand why we are not banning flights from quarantined areas of north Italy.

[Matt Hancock]

The reason is that there are many UK citizens in that area who may want to come home. Also, crucially—this is very important—the evidence shows that banning flights from affected areas does very little to protect us. Indeed, Italy was the only country in Europe that banned flights from China earlier in the progress of this disease: it did not work, and now Italy is the epicentre of the European outbreak.

[Stuart Anderson (Wolverhampton South West) (Con)]

We have just heard about the death in Wolverhampton. I have had a lot of constituents talk to me about safety in schools. The Secretary of State has updated the House on this, but there are hundreds of school trips planned over the next three months all over the UK and Europe, so what is the advice around that?

[Matt Hancock]

The advice around school trips is to follow the Foreign Office travel advice—so, as of this weekend, not to take a school trip to north Italy, and otherwise to follow the travel advice.

[Rob Butler (Aylesbury) (Con)]

As a former journalist, I know the temptations of a dramatic headline, but does my right hon. Friend agree that in this case there is an onus on the media to report responsibly and not engage in scaremongering?

[Matt Hancock]

I strongly agree. I would say that largely the media have been responsible, but there have been a couple of exceptions. I hope that the media play their part in this national effort in reporting the facts and what the Government are thinking of doing, especially with the transparency that we are providing, but do so responsibly and thoughtfully as to the consequences of the way that this virus is portrayed.

[Danny Kruger (Devizes) (Con)]

If large numbers of elderly and vulnerable people have to self-isolate, the statutory system will simply not be able to provide them with all the support they need at home. May I urge the Government to work with not only local authorities but civil society groups, to ensure that people get the social and practical support they need?

[Matt Hancock]

I emphatically support the call for civil society groups to play their part in the national effort. My hon. Friend knows more than most about the work that they do and can do, and I would be grateful to work with him on how to ensure that this is best done.

Coronavirus

Matt Hancock Excerpts

Tuesday 3rd March 2020 Commons Chamber

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

With permission, Mr Speaker, I shall make a statement about the Government’s coronavirus action plan.

The situation facing the country is increasingly serious. Globally and at home, the number of cases continues to rise. As of 9 am today there were 51 confirmed cases in the UK, and it is becoming more likely that we will see widespread transmission in this country. Our approach is to plan for the worst and work for the best. Yesterday I attended a Cobra meeting chaired by the Prime Minister, during which we finalised our four-part action plan to contain, delay, research and mitigate the virus. The plan has been jointly agreed by the UK Government and the devolved Administrations. Copies have been sent to Members of both Houses, and made available in hard copy.

The plan is driven by the science and guided by the expert recommendations of the four UK chief medical officers and the Scientific Advisory Group for Emergencies. It sets out what we know so far about the virus and the disease that it causes, what long-term planning we have undertaken to prepare for a pandemic, what actions we have taken so far in response to the current outbreak, and, crucially, the role that the public can play in supporting our response, both now and in the future.

The UK is well prepared for infectious disease outbreaks of this kind. The international data continue to indicate that for most people, this disease is mild and the vast majority recover fully. We have responded to a wide range of disease outbreaks in the recent past, and the NHS has been preparing for a pandemic virus for well over a decade. We have world-class expertise to make sense of the emerging data, we have a strong base on which to build, and, while covid-19 is a new virus, we have adapted our response to take account of that fact.

Our plan sets out a phased response to the outbreak. Phase 1 is to contain, and it is the phase that we are currently in. Contain is about detecting the early cases, following up close contacts, and preventing the disease from taking hold in this country for as long as is reasonably possible. That approach also buys time for the NHS to ramp up its preparations. The scientific advice is that if the number of global cases continues to rise, especially in Europe, we may not be able to contain the virus indefinitely.

At that point, we will activate the delay phase of our plan. Delay is about slowing the spread, lowering the peak impact of the disease, and pushing it away from the winter season. We are mindful of scientific advice that reacting too early or overreacting carries its own risks, so, subject to the primary goal of keeping people safe, we will seek to minimise social and economic disruption.

The third part of the plan is research. Research has been ongoing since we first identified covid-19, and I pay tribute to the scientists at Public Health England who were among the first in the world to sequence its genome. Research is not just about the development of a vaccine, which we are actively pursuing but which will be many months away at the earliest. It is also about understanding what actions will lessen the impact of the coronavirus, including what drugs and treatments—existing and new—will help those who are already sick.

The fourth phase is mitigate. We will move to this phase if the virus becomes established in the UK population. At that point it would be impossible to prevent widespread transmission, so the emphasis will be on caring for those who are most seriously ill, and keeping essential services running at a time when large parts of the workforce may be off sick. Our plans include not just the most likely case, but the reasonable worst case.

We will identify and support the most vulnerable. If necessary, we will take some of the actions set out in today’s plan to reduce the impact of absentees and to lessen the impact on our economy and supply chains. We prepare for the worst and work for the best. We commit to ensuring that the agencies responsible for tackling this outbreak are properly resourced and have the people, equipment and medicines that they need, and that any new laws that they need are brought forward as and when required.

This is a national effort. We need everyone to listen to and act on the official medical advice. We need employers to prioritise the welfare of their staff. And the single most important thing that everyone can do to help—I make no apologies for repeating this—is to use tissues when they cough or sneeze, and to wash their hands more often. That is in their interest, their families’ interest and the national interest.

We will get through this, and everyone has a part to play. I commend this statement to the House.

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

May I apologise to you, Mr Speaker, and to the House for being a few minutes late? I had a problem with my printer when I was trying to print the Secretary of State’s statement. I thank him for advance sight of the statement, and, indeed, for advance sight of the action plan this morning. Let me also record my thanks for the briefing that the Leader of the Opposition and I received yesterday from departmental officials, the chief medical officer and the Government Chief Scientific Adviser. I believe that the chief medical officer will brief parliamentarians later today, and I think that that is a very welcome initiative.

The Government’s strategy to contain then delay, research and then mitigate has our endorsement, but may I ask the Secretary of State for some specific clarifications? The first relates to containment and self-isolation. The Prime Minister said today—as, indeed, the Secretary of State has said before—that workers who self-isolate are considered to be on sick leave. Can the Secretary of State confirm that those who need to self-isolate will not need to visit a GP to obtain a sick note, given that the Government’s advice is not to visit a GP? As he will know, 2 million workers on low pay or insecure contracts in the gig economy do not even qualify for statutory sick pay. He will also know that those who are receiving benefits are often asked to physically attend appointments. Can he guarantee that no financial sanction will be imposed if they are asked to self-isolate?

Does the Secretary of State accept that people should not be forced to make a choice between their health and avoiding financial hardship? We are told that he is considering emergency legislation. Will he introduce legislation to remove the barriers to self-isolation so that all workers can receive the sick pay that they deserve? That is in the interests of public health. If he introduces such legislation, we will help him to get it on to the statute book quickly. He could do it this week or he could do it next week, and we will support him. Let us give all workers the security that they deserve, so that they do not have to put their health ahead of their financial interests or vice versa.

More broadly on the NHS and social care, I want to look at the response of the NHS and the support that it will be given through the containment and mitigation phases. We know that around 80% of critical care beds were occupied last week. We know that the NHS is short of 100,000 staff, and we also know that staff working in the NHS, particularly those on the frontline such as GPs, need to be protected as well. Even if we take at face value the Government’s insistence that they have provided the NHS with the resources to deliver the commitments of the long-term plan—we obviously disagree on this, but that is a debate for another time—we can surely all accept that covid-19 is going to lead to increased demand on trusts and the wider NHS. Every trust that sends a sample for testing has to pay for it to be couriered. Trusts are likely to take on more agency staff. If retired staff are encouraged to return to practice, the wage bill will increase. By the way, on retired staff, can the Secretary of State reassure us that protections and oversight will be in place, particularly around returning staff who, as we understand it, will not need to go through a revalidation process for their licence?

The Government have recognised that, as we move into the mitigation phase, non-urgent care may be delayed. I assume that means that trusts will be looking at cancelling elective surgery, which will result in waiting lists growing. Again, this will impact on trusts’ finances. Will the Government provide an emergency funding increase for the NHS resource budget to support the NHS through this next challenging period? Directors of public health still do not know their public health allocations for the next financial year, which starts next month. This means that directors of public health could be cutting the nurse workloads they are responsible for commissioning at a time when those very nurses will be needed to deal with covid-19 cases. Will the right hon. Gentleman announce the public health allocations as a matter of urgency?

On social care, we know that many who are at risk from the virus are the elderly and those with chronic conditions. Social care is responsible for and has a duty of care to many of the people who are most vulnerable to the outbreak. What advice does the Secretary of State have for social care providers, and will extra resources be announced for social care services? On the emergency powers that he has briefed about, will he sit down with us and other Opposition parties to discuss the contents of that legislation?

On the global efforts to contain the virus, we know that disease knows no borders. We cannot build a wall or an iron curtain around these islands. Why, then, are the Government apparently walking away from the EU early warning and response system, which plays such a vital role in pandemic preparations? We have been led to believe that No. 10 has overruled the Secretary of State on this. Also, to contain the virus internationally, countries with weaker health systems need to be supported as well, otherwise, we will not contain the virus. Can the Secretary of State update us on what help he is offering to the World Health Organisation on that front?

This is a serious time. Our constituents will be concerned, and many will be frightened. We will raise our concerns responsibly, but we offer to work constructively with the Government, because the public health interest and the safety of our constituents must always come first.

[Matt Hancock]

I am grateful to the hon. Gentleman for the constructive approach he has taken from the start, and I will seek to address all the questions that he has raised. His first point was about statutory sick pay. For those who need to self-isolate for medical reasons to protect others, that counts as being off sick. They do not need to go to a GP, because there is a seven-day allowance for self-declaration. I hope that that addresses that point directly—[Interruption.] We keep all matters on this under review because, broadly, I agree with him on the principle that he has set out. On the NHS, he asked about resources. We have already increased resources to the NHS and we stand ready to do so if that is necessary.

The hon. Gentleman asked about doctors and revalidation. In legislation, we are proposing to make revalidation simpler. We will bring forward those measures, and of course we will engage with the Opposition on the potential measures as and when that is necessary.

On public health allocations, we have already been clear that the public health grant is going up in aggregate. As my right hon. Friend the Communities Secretary set out last week, we have seen a 4.4% real-terms increase in local authority budgets this year, and the social care budget is going up by £1 billion. I think that that takes into account the issues that the hon. Gentleman raised.

The hon. Gentleman also raised engagement with the World Health Organisation We have supported the WHO with extra funding. On engaging with the EU, I have regular engagement with colleagues from across Europe, and some of the reports I have seen in the newspapers are not accurate, because the questions of engagement with the EU on matters of health security are a matter for the negotiations, as set out on Thursday in the negotiations document.

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

I would like to commend the Health Secretary for the calm way in which he has been dealing with this crisis and for his very clear public messaging. He called me last Friday to tell me that there had been a coronavirus outbreak in my constituency. I would like to thank the staff at the Haslemere health centre for their extraordinary commitment in working over the weekend so that the health centre could be open again on Monday morning. This shows, however, that some of the people at greatest risk are our frontline health workers. One study in China showed that 7% of the people who got the virus in Wuhan were health workers. Will the Health Secretary confirm whether hospitals, GP surgeries, care homes and nursing homes have enough face masks, gloves and hand gel, and will he outline any other measures he is taking to ensure that NHS staff are kept safe?

--- Later in debate ---

[Matt Hancock]

My right hon. Friend raises an incredibly important point, and the answer to the question is yes. We are putting out further advice and guidance to the health system, to the NHS, to GPs and to hospitals today. That will go out from Keith Willett in the NHS.

On the point about the kit needed to keep health workers safe: yes, we are putting in place the actions to ensure that it is available at the right moment when it is needed. There are some GP surgeries that do not have that equipment yet, but we are putting in place the actions needed to ensure that they have it as and when it is needed. As my right hon. Friend knows, the number of cases right now is relatively small. It is 51, as of 9 o’clock this morning. The protective equipment is there, so that for each of these cases we can get right on to them, but if the virus becomes more widespread, of course more and more NHS settings right across the country are going to need that sort of equipment.

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

I welcome the plan, although I have to say that I would have welcomed receiving the briefing yesterday that the shadow Secretary of State mentioned, which I did not receive. The plan lays out a reasonable worst case scenario, and it is clear about the three time phases. Research is of course ongoing, but this will help to prepare the public for decisions that may have to be made down the line. At the moment, containment is based on self-isolation of cases, contacts and those who have travelled to risk areas, but with the spread elsewhere in the world, it is becoming harder to define risk areas. With regard to north Italy, the chief medical officer talked about those with underlying conditions perhaps interpreting the advice more stringently and not travelling, so will the Government either discuss with insurance companies or even consider legislation to make underlying conditions an acceptable reason to cancel a holiday, so that people can get their money back rather than putting themselves at risk?

I agree with the Secretary of State regarding asymptomatic workers and sick pay, but there are staff who have no sick pay in their contract, and some protection has to be given to them. He referred to the seven-day period for self-certification, but isolation is for 14 days, and we do not want people turning up at their GP surgery halfway through that period. Can that be looked at? One issue that I have come across is an employer telling a member of staff returning from a holiday in Tenerife that they should not come to work for two weeks, but the employer does not wish to pay them for that period. We need to look at that, even if it is not health advice but an employer stipulation expecting people to have no income.

As we move into delay, we see that children are not particularly vulnerable to catching this. However, as with other coronaviruses, they may well spread it. Do we have evidence for how much they contribute to transmission, as that will affect decisions on school closures?

What preparations are being made for the long haul? Previous coronavirus outbreaks have lasted not just for a few months but for over a year, so we could be dealing with this next winter. If we move into mitigation, the situation will reverse and it will be about protecting the vulnerable and early discharge to home care. That might require the changing of staff from hospitals and care homes to work in the community, so are the Government in negotiations on such matters as legal responsibility and liability?

The Secretary of State quite rightly talked about what the public should be doing, but should we not already be thinking about stopping shaking hands and about working from home, if possible, without an economic impact? That would also help the climate emergency. Containment moves into delay without a border, so should we not be thinking about trying to get ahead of the curve?

[Matt Hancock]

We have been briefing colleagues as much as possible. Clearly, the CMOs’ time is incredibly valuable at the moment. We have worked with the Scottish Government on this plan; it was signed off by both the First Minister and the CMO for Scotland. In fact, it has been developed with the Scottish Government, the Welsh Government and the Government of Northern Ireland, so ultimately it is a multi-party plan.

The hon. Lady made the point about seven-day certification. That is indeed the sort of reason why we are holding this area under review and there is work ongoing, including on the points she has raised. She also asked about shaking hands. The medical advice is that the impact of shaking hands is negligible; what really matters is washing hands. Our public health advice will remain clear and based on the science—what matters, more than anything else, is that people wash their hands for 20 seconds or more, using soap and preferably hot water. That is the core of the public health advice.

The hon. Lady mentioned working from home. There is an incredibly important point about timing written into the plan. There are actions that we may need to take in future that it would not be appropriate to take now. We are not advising people to work from home now, but we do not rule out doing so in future if that might be more effective clinically, given the disruption it could cause.

[Several hon. Members rose—]

[Dr Luke Evans (Bosworth) (Con)]

With regard to the impact that coronavirus can have, the Secretary of State is right to balance the difference of health and the economy and I welcome his caution in that regard. I want to raise a point about small businesses. If coronavirus does become a more significant problem, are the Government considering making emergency loans available to otherwise good businesses? If not, will he ask other Departments whether they might consider that?

[Matt Hancock]

We are considering that; it is being led by the Department for Business, Energy and Industrial Strategy, in conjunction with the Treasury. The Chancellor will be making a statement today, ahead of the Budget on 11 March.

[Rosie Cooper (West Lancashire) (Lab)]

The Secretary of State will know that there is a system whereby those who are immunosuppressed are not required to sit in crowded waiting rooms in hospital or A&E. That is in normal conditions, never mind the situation with covid-19. Yesterday evening, I attended Aintree Hospital with a patient who had just finished her first round of chemotherapy. Despite the chemo-aware system, she was told by the receptionist to sit in a very crowded waiting room, for a five-hour wait, because there was nowhere else to go. I stood in a corridor, between the front door and some sliding doors, to ensure that she was not subjected to that. How will the Secretary of State ensure that frontline staff who are not necessarily clinicians understand the increased danger to those individuals? Does each A&E and each hospital have a place where those people could wait safely? This is not good enough.

[Matt Hancock]

The answer is yes. Each A&E now has a pod in front of it, which we have funded since the outbreak of the virus, so that suspected cases do not need to go into the main A&E. That is to address exactly the sorts of problems that the hon. Lady raises.

[Sir Graham Brady (Altrincham and Sale West) (Con)]

Does contingency planning include steps to secure additional capacity in private hospitals, which often would lend themselves better to isolation of infectious patients?

[Matt Hancock]

The question of how we deliver and who delivers NHS services is a matter for the NHS, and making sure that we use all the health facilities available is of course something that the NHS is considering.

[Ms Angela Eagle (Wallasey) (Lab)]

Does the Secretary of State agree that, in order for self-isolation to work, no individual, whatever their circumstances, should be out of pocket for doing the right thing? As my hon. Friend the Member for Leicester South (Jonathan Ashworth) said, currently, millions of people who work in the gig economy and do not qualify for sick pay would be out of pocket for doing the right thing. Does the Secretary of State agree that solving this problem and giving people the confidence that they need to do the right thing by self-isolating is one of the most important things that he can do in the next few days, to ensure that we can continue with containment?

[Matt Hancock]

There is a huge number of things that we need to do in the next few days and, as I have said, this area is under review.

[Caroline Nokes (Romsey and Southampton North) (Con)]

Across Government, in different Departments, there are many people with healthcare experience and professionalism. For example, the Department for Work and Pensions has 3,000 trained professionals working on assessments. What conversations is my right hon. Friend having with other Secretaries of State to understand whether there could be access to those individuals so that they too could be on the frontline?

[Matt Hancock]

That is something we are absolutely willing to look at.

[Layla Moran (Oxford West and Abingdon) (LD)]

Last week I asked the Secretary of State about the preparedness of NHS 111. In answer to a written question, the Department said that it does not have the numbers for current staff. I understand that Dudley call centre alone is asking to recruit 150 new call handlers. How many call handlers are we looking for in addition to the current staffing levels for NHS 111, and when does he expect them to be fully trained and online?

[Matt Hancock]

We have increased the number by 500 already, and there are plans for more to come, as and when that becomes necessary.

[Dr Caroline Johnson (Sleaford and North Hykeham) (Con)]

An increasing number of people are self-isolating, but they still require routine care. Are GPs providing that routine care, and what advice is being given to GPs on whether they should wear masks, and whether they should visit a patient at home or get them to come to the surgery and so on?

[Matt Hancock]

We do not want people who suspect they have coronavirus to go to their GP; we want them to do this via NHS 111. Further to my earlier point about being able to self-validate for sick pay for seven days, they can of course then do that by phone and get an email confirmation, should they need to, to extend that to the full 14 days. Of course, as well as tackling coronavirus, the NHS must do business as usual. We are increasing the amount that people can do over the phone, Skype and other forms of telemedicine. That could be increasingly important if there is widespread concern about communicable diseases.

[Judith Cummins (Bradford South) (Lab)]

What steps is the Secretary of State taking to ensure continuity of social care, both in care homes and for care given at home, given the problems and workforce implications arising from coronavirus?

[Matt Hancock]

We have a huge amount of work under way, including looking at what we can do to ensure that people can get support in care homes. It is not just about the staff, of course; elderly people in care homes are, according to the data, among those most vulnerable to the disease. The care home element of our plan is incredibly important and we will be providing more details in the coming days.

[Greg Clark (Tunbridge Wells) (Con)]

It is very important that both the resolution and the management of the crisis are based on the best possible science, and I join the Secretary of State’s tribute to the UK scientists, who are among the most experienced and best qualified in the world. Have UK scientists been part of the World Health Organisation teams deployed to Iran and China? Does the Government’s chief scientific adviser attend the Cobra meetings? Can the Secretary of State update me on the question, about which I wrote to him on Thursday, of when we can expect a bedside test to be deployed in this country and made available around the world?

[Matt Hancock]

We are, of course, involved in the World Health Organisation missions and in some direct bilateral missions. I have repeatedly signed off on support for more UK experts to go out around the world. The chief scientific adviser is, of course, at all the Cobra meetings on this, whether they are chaired by me or by the Prime Minister.

My right hon. Friend’s point on the bedside test is incredibly important. We are currently engaged with just over a dozen companies to try to come up with a bedside test, instead of having to take a swab from the back of your throat, Mr Speaker—should you have the misfortune to fall ill—having it sent away and brought back. Working with UK companies to get a bedside test that can be done on the premises is an incredibly important part of the diagnostic mission surrounding this disease.

[Ruth Cadbury (Brentford and Isleworth) (Lab)]

Will staff in community settings be issued with protective hazmat suits and masks?

[Matt Hancock]

We have extensive stockpiles of personal protective equipment. We are not distributing that at this moment because we have to distribute it at the right time. Each individual case can be dealt with at the moment, because they are relatively few, by those who are expert in using that kit. Of course community staff, as well as primary care staff and hospital staff, will be involved in the distribution of that equipment as and when appropriate.

[Robert Largan (High Peak) (Con)]

Last week there was a confirmed coronavirus case in Buxton, which led to the temporary closure of a medical centre and a school. Unfortunately, several national newspapers inaccurately reported that Buxton was a town on lockdown. Several local hotels have now reported booking cancellations as a result. Does the Secretary of State agree that the situation calls for responsible journalism and calm reporting of the facts? Will he join me in encouraging people to visit Buxton, Britain’s best spa town?

[Matt Hancock]

Yes. I do not have to check with the chief medical officer before telling you, Mr Speaker, that I love going to Buxton, which is a great place to visit. My hon. Friend makes a serious point. As I said in my statement, there is scientific advice against moving too soon or overreacting, as there is against moving too slowly or not reacting strongly enough. We need to take the measures that are necessary to protect the public.

On taking measures that do not protect the public, the advice is that all of us in a position of responsibility whose communications are heard widely, whether we are Members of this House or members of the media, have a duty of responsibility, because how this is communicated will have a direct impact on how well we as a country cope with this outbreak.

[Nick Smith (Blaenau Gwent) (Lab)]

Hospital cleaners and porters keep us safe, so will the Government increase SSP to full pay for all staff forced to self-isolate? Low-paid workers in our NHS should not be financially penalised for doing the right thing.

[Matt Hancock]

As I said, we are keeping the rules on SSP under review. As we directly employ people in the NHS, I am having a conversation about it with the chief executive of the NHS.

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

The Secretary of State will know there are two confirmed cases in Gloucestershire, and I put on record my thanks to the public health professionals who have dealt with those cases in a professional, calm and considered manner.

My specific question is about the action the Department for Work and Pensions will take for those members of the public who, whether because of business downturn or because of self-isolation, have to access the benefits system. Will frontline DWP staff and systems accommodate the fact that self-isolation, as the Secretary of State says, should be treated as an illness and that no inappropriate sanctions should be applied?

[Matt Hancock]

We are absolutely clear that that is the rule, and I frequently talk to the Secretary of State for Work and Pensions about this matter.

[Matt Rodda (Reading East) (Lab)]

Following the outbreak at Willow Bank Infant School, will the Secretary of State update the House on the work he is undertaking with the Department for Education, local authorities and schools to help contain the outbreak?

[Matt Hancock]

The broader point is that it is very important that schools do not close if they are not advised to close. Again, it is about following the medical advice. If there is no epidemiological reason to close, a school should not be closing.

As of 11 am today, I understand that 10 schools are closed. Seven of the 14 schools that were reported yesterday as having closed are now open, so this is a dynamic situation. The DFE is doing a fantastic job, and I pay tribute to my right hon. Friend the Minister for School Standards, who has been working night and day to make sure that, where possible, children are at school.

[Alec Shelbrooke (Elmet and Rothwell) (Con)]

My right hon. Friend will recall that I raised the issue of motorway service stations a couple of weeks ago. Coming down this week, I still did not see any signage about the health precautions that can be taken. May I urge him to investigate whether he can buy up advertising space in lavatory areas to make sure the message is clear so that people understand the hygiene steps to take?

[Matt Hancock]

That is an important point. We are launching an enhanced communications programme tomorrow, and I will check with my team whether it includes adverts in motorway service stations.

[Liz Saville Roberts (Dwyfor Meirionnydd) (PC)]

Rural Wales has a high percentage of self-employed people, and data from the Office for National Statistics suggests that 23% of households in Gwynedd are self-employed, compared with a Welsh average of 16%. What provisions have the four Governments made to assure self-employed people that they will be compensated for lost income arising from the covid-19 outbreak?

[Matt Hancock]

I am working with both the Secretary of State for Work and Pensions and the Welsh Government, who have played their part with great care and responsibility in rising to this challenge.

[Stephen Hammond (Wimbledon) (Con)]

I thank my right hon. Friend for his statement and commend him for his handling of this outbreak. The public health advice has been absolutely clear during the contain phase. As we move into the delay and mitigate phases, will he make sure the advice on social distancing and longer isolation periods, particularly for vulnerable groups, is as fast and has the same clarity?

[Matt Hancock]

Yes. We are upgrading the communications activities tomorrow but, should we move into the mitigate phase, the communications will clearly need to be different and will need to be upgraded yet again.

[Meg Hillier (Hackney South and Shoreditch) (Lab/Co-op)]

We have known for years that people on outsourced contracts do not have access to sick pay. The coronavirus is now throwing up that problem for the wider community, yet we heard the Secretary of State for Business, Energy and Industrial Strategy talk about people going on to universal credit—he does not live in the real world if he thinks that is possible within three days—and the Secretary of State for Health and Social Care talk today about seven days’ isolation and, when pressed, about ringing the GP. Can he give very clear advice to those who have to choose between working and eating, so that we make sure they do not go to work when they are ill?

[Matt Hancock]

I have been absolutely clear about the legal position, and I have said that we are keeping the area under review.

[Craig Mackinlay (South Thanet) (Con)]

As cases escalate, and we have to assume they probably will, even a well-prepared NHS will become stretched, with health professionals likely to be affected. Self-help will become important, and we are already seeing a national shortage of hand-sanitising gel. Will my right hon. Friend work with the manufacturers to ensure basic products such as paracetamol, ibuprofen and cough medicines remain widely available on the high street?

[Matt Hancock]

My hon. Friend is completely right and, in fact, our no-deal planning and our no-deal stockpiles are playing an important part in making sure we are fully prepared and ready.

[Hilary Benn (Leeds Central) (Lab)]

On when to move to the delay phase, the Secretary of State said that he was

“mindful of scientific advice that reacting too early…carries its own risks”.

Could he set out for the House what those risks are?

[Matt Hancock]

I would highlight two. The first is that there is an economic and social impact of disruption; if an action has no medical benefit, there is no need for that disruption. The second is a medical risk. Behavioural science and experience from previous similar outbreaks shows that, if we ask people too early to do things that are disruptive to their normal life, they may try to return to normal earlier than they otherwise would. At the moment, the number of cases is relatively small. If we go into the reasonable worst-case scenario, it will rise sharply and be high for a number of weeks. We need to keep people doing the right, responsible thing over a period of weeks and, if we ask them to move too soon, they may question whether that advice was the right advice.

[Steve Brine (Winchester) (Con)]

Experience here suggests that these outbreaks are about cool heads and timing, and I suggest that the Secretary of State, his chief medical officer and his Public Health Minister have been exemplary in both those things. Does he agree that the media have a responsibility in this regard? You do not release everything in the locker at once. That is not about the Government being slow to this; it is about the Government having a plan. What they have set out today is a clear, strategic and staged plan to do what is needed, when it is needed, in the national interest.

[Matt Hancock]

I am grateful to my hon. Friend for what he says. We are trying to take exactly the approach that he sets out. It builds on my answer to the right hon. Member for Leeds Central (Hilary Benn) on getting the timing right as well as the decisions on the correct actions to take. We need to get both right. We will be guided by the science in supporting the public through what will be a difficult time.

[Yvette Cooper (Normanton, Pontefract and Castleford) (Lab)]

The Health Secretary will know that many people are caring for elderly relatives, sometimes just popping in every day to make sure they are fed or to get them up in the morning. If those people end up having to self- isolate or getting ill, what support will there be for them —they may not be getting any sick pay—and for the elderly relatives who depend on some urgent support and may not have any other relatives nearby to provide it?

[Matt Hancock]

We are very concerned about this issue. We will address precisely the issue that the right hon. Member raises in the communication that I indicated we will publish soon to social care providers. This is an important and difficult consideration for what we do in a reasonable worst-case scenario. Of course, all the time, we are working to avoid that scenario. One area that has been highlighted in public is making it much easier to onboard volunteers, but they are not the only part of the answer to this problem.

[Craig Whittaker (Calder Valley) (Con)]

GAMA Healthcare in my constituency is playing a vital role in China as part of a bundled approach to infection control of covid-19. Adrian Fellows, a scientist from GAMA, says that washing hands is vital, but his concern is that every handwash is being promoted as an effective intervention, even those that are cosmetic-based, and supermarket sanitisers without a log 4 reduction are running the risk of giving a false sense of security. Will my right hon. Friend ensure that Government advice on hand washing is thorough, so that people do not run that risk of having a false sense of security?

[Matt Hancock]

I will look into our guidance on the nature of hand sanitisers and make sure that it takes into account the very best scientific advice. There is a broader point here, which is that although sanitising one’s hands with hand sanitiser is good, it is not nearly as good as washing one’s hands for 20 seconds with soap and, preferably, in hot water. That is the best thing to deal with the virus.

[Lloyd Russell-Moyle (Brighton, Kemptown) (Lab/Co-op)]

I thank the chief medical officer for ringing me when we had cases earlier in the month in the city; it was very helpful advice. The advice that the Secretary of State has just given is that we need to wash our hands. So will the Government make moves to ensure that, when you enter any building in this country, there is a place for you to wash your hands? I am not just talking about advice; can we introduce health and safety guidelines to put a requirement on every employer, every restaurant and so on? If we are going to take this seriously, we need to up our game. Will the Government commit to that now?

[Matt Hancock]

I will look into the extent to which that can be done. Many public buildings do have sinks available. At the core of our response to the problem, which the hon. Gentleman reasonably raises, is getting the communications right, so that people can use existing sinks and soap to do what I know he wishes them to do.

[Anthony Mangnall (Totnes) (Con)]

I thank the Secretary of State and his team for keeping me informed yesterday of the two local confirmed cases of covid-19, but a number of schools decided to close their doors as a precaution. What message does he have for those schools and others across the communities as to how to deal with this issue?

[Matt Hancock]

I commend my hon. Friend for the responsible and calm way in which he has responded to the news in his constituency. The message to schools is clear: if you do not have both a positive case and the advice from Public Health England to close, you should not close. The Minister for School Standards, who is sitting next to me, reiterates that message. We have a hotline that schools can call to get that advice from Public Health England, and schools that close without the advice from PHE are contacted by the regional schools commissioner, who explains to them the position.

[Daisy Cooper (St Albans) (LD)]

There are now four confirmed cases of covid-19 in Hertfordshire, yet Hertfordshire has an unfunded burden in next year’s financial budget of £2.8 million from the cost of the pay uplift for nurses and health visitors under the “Agenda for Change” programme. I am told that potentially up to 30 directors of public health across this country are poised to have to cancel contracts and make school nurses and health visitors redundant if this money is not confirmed. With less than a month until the next financial year, can the Government confirm today, or within the next 24 hours, that the money for the “Agenda for Change” pay uplifts will be made available?

[Matt Hancock]

We have increased the public health grant and we have increased local authority spending power by 4.4% in real terms next year, which of course comes in at the start of April.

[Alan Mak (Havant) (Con)]

My constituency includes a number of semi-rural, coastal and isolated communities, where information on as local a basis as possible will be needed, not just the national picture. Can my right hon. Friend provide me with the relevant departmental and Public Health England contacts so that I can obtain this information in real time?

[Matt Hancock]

Yes, I would be happy to do that.

[Emma Hardy (Kingston upon Hull West and Hessle) (Lab)]

Can the Secretary of State confirm that claimants will not face benefit sanctions if they miss appointments because they are choosing to self-isolate?

[Matt Hancock]

Yes, that is absolutely our intention.

[Robert Halfon (Harlow) (Con)]

Will my right hon. Friend thank the Princess Alexandra Hospital in Harlow for dealing with a case and for all the work it does? May I bring him back to the issue of workers? In Harlow, at least 8,000 people are working in retail, food, customer service, front-of house, leisure, transport and accommodation services. Those people, who are often on lower pay, could lose their wages, especially if restaurants cut the number of staff, for one reason or another, in the event of a serious outbreak. Will the Government consider setting up an insurance scheme if things get much worse to ensure that individuals such as the workers I have mentioned do not lose their incomes?

[Matt Hancock]

As I have said several times, we are keeping this area under review. We are also looking into what we can do to support successful businesses that might have a short-term negative impact from some of the disruptions that have come with, and could come further with, coronavirus.

[Alex Norris (Nottingham North) (Lab/Co-op)]

Sick pay and statutory sick pay can be complex, but there is one simple truth within that system: the poorer someone is, the poorer their protections are. Those very worst-off at work want clarity from us that doing the right thing and following the Secretary of State’s guidance will not put them at a detriment. Nothing in the public conversation and, frankly, nothing we have heard today gives me confidence to say that to people in my community, so will he take this opportunity to say, from the Dispatch Box, that not one single person in this country who is following his advice will suffer a detriment to their terms and conditions?

[Matt Hancock]

I have already made it clear that we have a robust statutory sick pay system in this country, that self-isolation counts as illness within that system and that we are keeping the system under review. So people can have confidence that, if they are asked to self-isolate, that is exactly what they should do.

[Laura Trott (Sevenoaks) (Con)]

Sadly, it is healthcare professionals who are likely to be most exposed to the virus. What steps is the Secretary of State taking to make sure that we have sufficient numbers of healthcare professionals at work to deal with this crisis?

[Matt Hancock]

That is an incredibly important issue, not least because of the impact of the virus directly on healthcare workers in other jurisdictions—we have seen the impact here, too. We have a broad programme, led by the NHS, to make sure that we protect healthcare workers—not only clinicians but the non-clinicians mentioned by the hon. Member for St Albans (Daisy Cooper)—and have as much support in the NHS as possible, including from, for instance, recently retired people, and from volunteers, as mentioned earlier. If the virus becomes widespread, it will be all hands to the pump in the NHS, as with social care. We have extensive planning under way to make sure that the NHS can respond.

[Christian Matheson (City of Chester) (Lab)]

I have been contacted by a constituent who is a consultant in emergency medicine at the Countess of Chester Hospital, which the Secretary of State knows well. My constituent has expressed concern about the use of nebulisers for the delivery of medicines for respiratory illnesses, on the basis that there is evidence that they might enhance the spread of airborne viruses in a confined space. I have been in touch with Public Health England about the issue, and there is some debate as to whether it agrees with my constituent, but he has provided evidence from the 2003 SARS outbreak that demonstrates that his fears may be upheld. It is a technical point, but will the Secretary look into it and get his officials to check it out?

[Matt Hancock]

Yes, of course. I would not dare to pronounce on the science and medicine behind that, but I can ensure that the experts, including the deputy chief medical officer, who is an expert in these things and is in the Box, will respond.

[Stephen Crabb (Preseli Pembrokeshire) (Con)]

I commend the Secretary of State for the constructive way in which he has worked with the other Health Ministers in the devolved Administrations to get this plan ready for today, but may I remind him of the importance of continuing this approach as the situation unfolds in the days and weeks ahead, to ensure that there is a genuine, joined-up, UK-wide strategy to combat coronavirus?

[Matt Hancock]

Yes—I would say that this is an example of the devolved Governments and the UK Government working well together. The best example of that is the four chief medical officers. As my right hon. Friend well knows from his time as a Secretary of State, each devolved nation has its own CMO, and the forum of the four of them provides an extremely useful place to debate and then to agree, so that we can have a UK-wide answer even though some areas, such as NHS delivery, are devolved.

[Caroline Lucas (Brighton, Pavilion) (Green)]

In times of crisis, fear can foster discrimination. There is serious concern about reports of racism being linked to the coronavirus outbreak, with people being singled out and abused simply because of east Asian appearance, and some children being bullied. Does the Secretary of State agree that inaccurate terms such as “Wuhan coronavirus” should be avoided because they sadly reinforce racist views? Will he take steps to ensure that Government communications always use medically accurate terms? Will he ensure that the Cabinet acts to ensure that everything possible is done to stop the denigration and blaming of people in relation to this outbreak?

[Matt Hancock]

Yes—I agree with all those points.

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

I thank my right hon. Friend for his statement. Following on from the question by my right hon. Friend the Member for Preseli Pembrokeshire (Stephen Crabb) about working with the devolved Administrations, will my right hon. Friend the Secretary of State confirm that although the delivery is devolved, this is a whole-UK plan? There should be no confusion in any of the devolved areas of the United Kingdom: this is a UK-wide plan and the information published today is applicable to and the same for every part of the United Kingdom.

[Matt Hancock]

That is right; in fact, the document is badged with the emblems of the four nations. There are of course elements of it that are technically different in terms of delivery, but they are set out in the plan.

If I may take a step back, the deputy chief medical officer has already got a note to me to answer the question from the hon. Member for City of Chester (Christian Matheson). The expert committee NERVTAG —the new and emerging respiratory virus threats advisory group—has looked at the issue of nebulisers and does not consider their use an infection-prone procedure.

[Chris Bryant (Rhondda) (Lab)]

Unless something has changed overnight, the 111 service is not available in most of Wales. Most people in Wales would be far better advised to ring 0845 46 47, which is the NHS Direct Wales telephone number. My bigger anxiety is that so far, despite all the good things he has done, the Secretary of State has still not been able to answer the central question of people on zero-hours contracts. They include a large number of my constituents, who would want to do the right thing but, according to what he has said so far, would be financially out of pocket because there is no means of recompensing them. Surely we must put that right; otherwise, we have a massive hole in the plan.

[Matt Hancock]

As I have said many times, we have a robust SSP system and we keep it under review. On the hon. Gentleman’s point about 111, we have changed the system so that if someone dials 111 from Wales, they are automatically redirected to the NHS Direct number in Wales.

[Richard Graham (Gloucester) (Con)]

I welcome the Secretary of State’s clarification that schools should not close unless they absolutely have to—not least because if parents are having to look after their children, there may be fewer nurses and doctors who can get to hospitals. My right hon. Friend knows that the average age of hospital volunteers—including my fellow workers at the Gloucestershire Royal Hospital—is in the range that could be at risk of this virus, and they are often receptionists, so will he consider asking the NHS to give guidance to hospitals on whether such people should be on the frontline, with people still coming to hospitals thinking that the best thing to do is to be checked?

[Matt Hancock]

In the first instance, the best thing to do if you think you have coronavirus is not to go to a hospital or GP surgery but to ring 111, wherever you are in the UK. My hon. Friend is quite right on the other point he made.

[Alison Thewliss (Glasgow Central) (SNP)]

I am strongly in favour of getting the habitually clarty to wash their hands, so I am glad that the Secretary of State is reinforcing that message. May I ask him specifically about the advice to Department for Work and Pensions decision makers? What advice has been circulated within the DWP, and can all elected Members get a copy of it, just in case any of our constituents find that that advice is not being followed through?

[Matt Hancock]

I will take that issue up with the Secretary of State for Work and Pensions.

[Paul Holmes (Eastleigh) (Con)]

I thank the Secretary of State for his statement. I am sure he would agree that as the virus possibly spreads, members of the public will be worried about what they should and should not be doing, so will he confirm how he will specifically communicate with members of the public to prevent panic, particularly if we have to restrict public meetings and the use of public transport?

[Matt Hancock]

That is a very good question and it is important that we get that right. One reason why we have set out this plan, which includes measures that we hope not to take and may not take but are prepared to take if necessary, is that, should those measures be taken, it will not be a surprise to people—they are clearly part of a plan. I do understand—of course I do—that people are worried about this, and I also understand that some of the things we are proposing, and some that other countries are doing, are not the sort of things that a Government in a free country normally does. That is why we have taken this approach. It is quite unusual in Government to set out a plan of things that we might do; we normally set out what we are going to do. The reason we have done so is precisely in response to the concern that my hon. Friend wisely raises. We want to do everything we can to reassure people, while not over-reassuring and instead being totally transparent about our frank assessment, based on the science, of the situation that the country is in and what we can best do to get ourselves best through this and fight this disease.

[Dame Diana Johnson (Kingston upon Hull North) (Lab)]

For the trusts that host regional infectious diseases units, will the Secretary of State say what additional emergency money is going into them now and whether there are plans to extend those units to increase bed capacity?

[Matt Hancock]

We do have plans to be able to ramp up the bed capacity that can be used to deal with coronavirus patients, and, as I said earlier, we have already extended funding to trusts and are willing to consider that further if necessary.

[James Wild (North West Norfolk) (Con)]

People are understandably concerned, and I have been contacted by some of my constituents about potential treatments, including vitamin therapy, that are appearing on the internet. Will my right hon. Friend send a clear message from the Chamber that it is the NHS and the Government who will provide the authoritative advice on medical treatments? Will he work with social media companies to remove any misleading content?

[Matt Hancock]

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

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

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

[Matt Hancock]

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

[Jim Shannon (Strangford) (DUP)]

I thank the Minister for his diligence. There are some 11.8 million elderly people, which is 18% of the population, and some 4 million diabetics, which is 6% of the population. I declare an interest as one of those. Those who have had the flu jab to protect them from the flu may feel that they are okay. Will the Minister give guidance to this section of people—those with chronic diseases and the elderly who have had the flu jab?

[Matt Hancock]

Yes, we are paying particular attention to vulnerable people—the elderly and those with other health conditions that may make them either more susceptible or more at risk should they get this virus—and there will be additional advice in due course, guided by science, as all of us should be in tackling this disease.

[Vicky Foxcroft (Lewisham, Deptford) (Lab)]

The Secretary of State has been asked about this several times, and I am slightly worried that he just does not get it. Some working people do not get sick pay. We really need to know what his plans are for them.

[Matt Hancock]

As I have said, I have provided answers to that question a number of times, including that we are keeping this under review, and that the sick pay system is robust. I look forward to answering more questions in the same way. I cannot give a different answer to the one I have given to the same question when it has been repeatedly asked.

NHS Prescription Charges

Matt Hancock Excerpts

Tuesday 3rd March 2020 Written Statements

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

The National Health Service (Charges for Drugs and Appliances) (Amendment) Regulations 2020 (“the Amendment Regulations”) will be laid before Parliament to increase certain national health service charges in England from 1 April 2020.

This year we have increased the prescription charge by 15p from £9 to £9.15 for each medicine or appliance dispensed. The cost of prescription pre-payment certificates (PPC) will also be increased: three-month PPC increases by 55p to £29.65 and 12-month PPC increases by £1.90 to £105.90. The increase is in line with inflation. Charges for wigs and fabric supports will also be increased in line with inflation. Details of the revised charges for 2020-21 can be found in the table below:

Coronavirus

Matt Hancock Excerpts

Tuesday 3rd March 2020 Written Statements

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

The four UK Governments have today published an action plan that sets out how we have responded so far and how we intend to respond going forward to the novel coronavirus (COVID-19) outbreak, which I am pleased to present to Parliament today. Copies of the plan are on https://www.gov.uk/government/ publications/coronavirus-action-plan and will be e-mailed to Members of both Houses and deposited in the Libraries of both Houses.

[HCWS142]

Medicines and Medical Devices Bill

Matt Hancock Excerpts

2nd reading & 2nd reading: House of Commons & Money resolution & Money resolution: House of Commons & Programme motion & Programme motion: House of Commons & Ways and Means resolution & Ways and Means resolution: House of Commons
Monday 2nd March 2020 Commons Chamber

Second Reading

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

I beg to move, That the Bill be now read a Second time.

While the world grapples with the challenge of coronavirus, it is vital that we do not lose sight of the important long-term reforms that we must make. Medicines and medical devices are evolving faster than ever. Not long ago, we could only record an ECG with hospital-grade equipment; now we can do it at home with a cheap device linked to our phone. Already, artificial intelligence is being used to discover new drug compounds. Now that we have left the European Union, we need a regulatory system that is nimble enough to keep up with those developments while maintaining and enhancing patient safety. That is what this Bill will achieve.

The aims of the Bill are fourfold. First, it gives us the means to depart from EU rules and regulations in future, moving at a faster pace, if that is what we choose to do as an independent, self-governing nation. Secondly, it ensures that we can easily amend regulation through secondary legislation without having to bring a new Bill before the House every time we need to revise the rules. That means our system of regulation will be flexible and responsive, quick to adapt to innovation and quick to respond when a safety issue emerges. Thirdly, the Bill will strengthen patient safety by strengthening the Medicines and Healthcare Products Regulatory Agency, our world-class medicines and medical devices regulator. That includes giving it powers that were not available under the EU, including over registration of devices and disclosure. Fourthly, the Bill will ensure that we strike the right balance between capturing the benefits of innovation without compromising patient safety.

[Sir Desmond Swayne (New Forest West) (Con)]

All those objectives of the Bill require a level of investment to bring about the innovations that we seek. The Prime Minister made a commitment of £200 million in September. How much private sector money does the Secretary of State expect that to leverage? What is our ambition?

[Matt Hancock]

We do not have a figure for medicines and medical devices specifically. As a nation, we have a goal that we should reach 2.4% of GDP spent on research. We are increasing the medical research budget; for instance, we are doubling the budget for research into dementia. As my right hon. Friend rightly points out, the public budget for research is only one part of it. There is huge private sector and charitable sector investment —for instance, from the Wellcome Trust. The Bill will allow research money—whether it comes from the public sector, private sector or third sector—to go further and get medicines and medical devices to NHS patients faster, as well as supporting our life sciences sector.

[Steve McCabe (Birmingham, Selly Oak) (Lab)]

I recognise the Secretary of State’s support for innovative medical technology. I am interested in the registers to which he referred, covered in section 13 of the Bill, and in particular the need to ensure that we get the maximum benefit without their being too onerous. Will he give an assurance that there will be some kind of consolidation where there are multiple registers in the same field and that we will only collect information that is specific to the subject stated for the registers?

--- Later in debate ---

[Matt Hancock]

It is almost as though the hon. Gentleman has read my speech. That is the broad intent of that part of the Bill. I will come to it in more detail in a moment, and I am glad about the constructive tone that has been adopted across the House when discussing the Bill.

As I said, the fourth purpose of the Bill is to get innovation while not compromising patient safety—indeed, I would argue that we will enhance patient safety by being able to use modern techniques. It will do that by requiring the Secretary of State to have regard to the safety of medicines and medical devices; to the availability of medicines and devices, because sometimes getting availability as fast as possible is crucial for both innovation and patient safety; and to the attractiveness of the UK as a place to conduct clinical trials and bring medicines and medical devices to market. I will come on to clinical trials in more detail.

Let me turn to the main parts of the Bill. The first part, covering clauses 1 to 7, gives us the ability to update the law relating to human medicines—for example, to reflect changes in manufacturing methods or new types of product. We need that ability because coming down the track are cutting-edge personalised medicines that a hospital might literally have to assemble at the patient’s bedside. Those include gene therapies, medical gases and 3D-printed tablets—bespoke treatments so tailored to the individual that they will only be produced once, with a shelf life that might be measured in minutes. It is just not appropriate to regulate those kinds of treatment in the same way as a mass-produced factory drug, with mandatory batch numbers and packaging information. The Bill gives us the flexibility to respond to those developments. It also allows us to make changes to the regulation of clinical trials, ensuring that we are a globally attractive market to test new drugs and treatments.

But the Bill is not just about the latest science and innovation. It also means that we can update the rules on things such as labelling requirements—for instance, whether the leaflet in a pill packet should have a digital equivalent; rules on how online pharmacies ensure that medicines reach their intended customer; and rules on how the medicine brokerage market works.

We have said that we want to do more to boost the role of our brilliant community pharmacists, and the Bill helps us to do exactly that. It will allow us to remove the barriers to hub-and-spoke dispensing once EU rules no longer apply. Large companies such as Boots already do that, but the law as it stands prevents small, independent pharmacies from joining this kind of arrangement if the hub is not part of the same retail business as the spokes. That is an unnecessary barrier for smaller businesses in the pharmacy sector, and the Bill means that we can remove those barriers.

It also allows us to continue to add to the range of healthcare professionals who can prescribe medicines, which will relieve pressure on the frontline NHS, and it gives us the ability to make rapid changes to regulations to ensure the availability of and access to medicines in an emergency; I am sure we can all understand right now why that is important. Nothing in the Bill changes all the regulations immediately. Instead, it is about getting ahead of the game and giving us the power to make these changes as and when we need to, suitably scrutinised by Parliament.

The next part of the Bill concerns veterinary medicines. It broadly replicates the first part, giving us the ability to amend or supplement the Veterinary Medicines Regulations 2013. Changes could include, for instance, how veterinary medicines are supplied and the information that must be supplied with them. It sets out that, in making new regulations, we have an obligation to consider the safety of the medicines in relation to animals, humans and the environment. These are important matters, not least for me as the Newmarket MP. The Bill will ensure that we have a veterinary medicine system that is fit for purpose.

The third part of the Bill deals with the medical devices regulatory framework, covering everything from MRI scanners to embolisation coils and pacemakers to prophylactics. Like the first part, it allows us to fast-track a new diagnostic test in response to an emerging disease.

[Ben Everitt (Milton Keynes North) (Con)]

Is this not an example of how, having left the EU, we can now move at a much faster pace on a lot of regulatory things that are really important to our constituents?

[Matt Hancock]

Yes, that is right. This Bill empowers us to be able to move faster. Essentially, it empowers the UK to build a life sciences regulatory framework that is the best in the world—of course, working with EU partners, but also with partners from right around the world—and all with the intention of getting the most innovative products, as quickly as possible and as cost-effectively as possible, into the NHS. That is the goal of the entire Bill. It is a benefit of Brexit, but it is also worth doing in its own right.

The measures to strengthen innovation with respect to diagnostic tests again strengthen patient safety, because they strengthen the role of the Medicines and Healthcare Products Regulatory Agency. This includes, for instance, allowing us to legislate to create a comprehensive statutory register of medical devices in the UK. Such a register could be held by the MHRA, and we would make it compulsory to register a device along with information such as who manufactures and supplies it. This would mean that the MHRA could conduct post-market surveillance of devices in the UK, making it easier to trigger device recalls where a safety concern arises.

Indeed, we will enhance patient safety by giving the MHRA a new power to disclose to members of the public any safety concerns about a device. This was not possible while we were part of the EU. Previously, if an NHS trust raised a concern about a device and asked if similar reports had been received elsewhere, too often the MHRA was restricted in sharing that information; nor could it always routinely share information with the Care Quality Commission or other NHS national bodies. This Bill gives us the ability to share vital information about reporting patterns with the NHS family, and where necessary with the public, with enforcement powers that will be proportionate, transparent and suitably safeguarded.

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

I do not recognise the Secretary of State’s description that it was not possible to inform NHS bodies of concerns about machinery or devices. In my 33 years on the frontline, we received daily information about anything that was considered a danger or a failing, so I do not recognise that.

[Matt Hancock]

In some cases it was possible to share that information but not in all cases, and it will be possible now. I have no doubt that the hon. Member, like others on the frontline, will have received some information, but the MHRA is currently limited in the information that it can share with other NHS bodies. We are removing the limits on that information sharing, which of course needs to be done appropriately, but should not be set in primary legislation.

Our goal is this: we want the UK to be the best place in the world to design and trial the latest medical innovations. This Bill gives us the powers we need to make that happen. It will mean that the NHS has access to the most cutting-edge medicines and medical devices, with enhanced patient safety; it will help our life sciences seize the enormous opportunities of the 2020s, supported by a world-leading regulator; and it will help us pave our way as a self-governing independent nation. I commend the Bill to the House.

--- Later in debate ---

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

We do not intend to divide the House on the Bill this evening. We understand the need for the Bill because its purpose is for the UK Government to take the powers they need as a result of Brexit. In that respect, we broadly support the principles of the Bill, and we offer to work constructively with the Government on strengthening and improving aspects of it. I have a couple of remarks to make that are related to this, but not to the exact contents of the Bill.

May I start by saying that we all know, not least because of the coronavirus outbreak, that disease knows no borders and defeating disease cannot be done in isolation? International co-operation and research and development are vital and must be accelerated, not hindered. Will the Secretary of State—or indeed the Under-Secretary of State for Health and Social Care, the hon. Member for Bury St Edmunds (Jo Churchill), in her winding-up speech—explain or comment on the press reports today suggesting that the UK is not seeking to participate in the EU pandemic preparedness measures, which may obviously help in relation to coronavirus and other future outbreaks?

I am of course talking about the early warning and response system. It was suggested in The Daily Telegraph today that No. 10 had overruled the Secretary of State. Since then, a former Minister, Baroness Blackwood, has told Sky News:

“My advice while I was in there was that I thought it was absolutely appropriate that we should stay engaged with that system… I think this is something that the EU would want to maintain and we as Britain should seek to maintain.”

I agree with her. I believe it would be foolhardy to pull out of something like this at the best of times, but to do so at the time of an outbreak such as this is surely putting narrow dogma before the public health of the country. I would be grateful if the Minister responded on that.

Secondly, we also learned at the weekend that the UK will not participate in the unified patent court, which will make developing medicines here in the UK more expensive, not cheaper and easier, and it may make doing clinical trials here less attractive. The Government have done lots of briefing on this Bill, but over the weekend they slipped it out while briefing trade magazines that the UK will not be seeking involvement in the unitary patent system. Again, that is disappointing, and I would welcome some remarks from the Minister on that front when she sums up.

However, this Bill is important, and we do not want to see anything that undermines what has been built up over many years in the United Kingdom. We do have much to be proud of in the field of medical innovation. We have long history of taking a leading role in scientific advance and novel trial design. Indeed, the recent deal to give NHS patients early access to a new cholesterol treatment demonstrates that the UK is already a world-leading destination in which to develop cutting-edge treatments. We want to build on that, not undermine it.

Members across the House will be aware that our pharmaceutical industry is the single largest private sector investor in UK R&D and provides many jobs across the country for many of our constituents. We should be proud of that sector and of the contribution that life sciences make in providing access to the most cutting-edge treatments. We should be proud that they are vital to economic growth, enhance UK productivity and ensure prosperity for the future.

Yet while the opportunities before us to develop medicines and medical devices are transformative—both saving lives and radically improving the quality of life for those with the most debilitating of conditions—we also know that things can go wrong. There must never be any compromise on patient safety. Patients put their trust in practitioners, literally trusting them with their lives, and they rightly expect medicine and medical devices to be safe, yet too often in recent years the system has failed patients.

For many years, long before I acquired the health brief in my party, I worked closely with a constituent, Emma Friedmann, who has campaigned for justice for women whose children were impacted by sodium valproate. Members from across this House have spoken with passion and eloquence on behalf of women affected by Primodos. Equally, we have heard heartbreaking stories in this House about the surgical mesh scandal. My hon. Friend the Member for Washington and Sunderland West (Mrs Hodgson), the shadow Minister, has been one the leading campaigners on this issue, along with colleagues across the House. We eagerly anticipate the Cumberlege independent medicines and medical devices review, but there have been other scandals too—breast implants, hip replacements—that are not necessarily covered. We would welcome an update from the Minister about that review and some remarks on whether the Government expect to implement its findings.

My point is that a robust regulatory framework for medical devices to protect patients and users is paramount. We will be testing this Bill to ensure that it provides the safety standards that our constituents deserve, while at the same time ensuring it is forward looking enough to be the correct framework to capture the fast pace of innovation in this field, which the Secretary of State mentioned. However, I believe that the existing regulatory framework has become complex and, arguably, unwieldy.

The House will be aware that much of the regulatory landscape derives from EU directives that have been implemented in domestic legislation. At the end of the transition period, these frameworks will be preserved as retained EU law, but as I understand the Bill, the Secretary of State is proposing to take delegated powers to allow these existing regulatory frameworks to be updated without the need for primary legislation. The Bill requires the Secretary of State, as he said, to have regard to the safety and availability of medicines and medical devices, as well as to the attractiveness of the relevant part of the UK with respect to the life sciences sector. We argue that that attractiveness clause could benefit from some definition, and it would allay concerns if the Government accepted an amendment in Committee to indicate that the Secretary of State, or some other appropriate authority, would always prioritise safety.

The overall effect of the provisions is to confer on the Secretary of State an extensive range of delegated powers to make regulations that span the manufacture of medicines, marketing and supply, falsified medicines, clinical trials, fees, information and offences, and emergencies. That extensive range of powers risks inadequate scrutiny of what will become major policy decisions, and in Committee Labour will press Ministers to support time-limiting those delegated powers.

[Matt Hancock]

I am sure that this debate will continue in Committee, but for clarity, those delegated powers existed under the European Communities Act 1972. The Bill proposes to replace existing delegated powers from the 1972 Act with new powers to make such regulations under the new Act. This is not a new set of delegated powers; it replaces one set with another—indeed, the Bill replaces those powers with clearer safeguards on those matters to which the Secretary of State must have regard.

[Jonathan Ashworth]

That is a welcome clarification, but I am sure the Secretary of State will agree that it is important that decisions made in this field are properly scrutinised through the usual procedures. We are keen to ensure that by tabling an appropriate amendment in Committee.

We are leaving the EU, but Labour Members consider it essential that we stay closely aligned with it on medicine regulation. With that in mind, the Government should clarify their attitude to new EU regulations such as the in vitro diagnostic medical devices regulation, which is due to be implemented in 2022. As I understand it, that regulation will not automatically apply to the UK. Is it the Government’s intention to align with it? The EU tissue and cells directive is being reviewed. Do the Government intend us to align with it? To ensure that the UK remains a world leader in scientific research and discovery, it is vital that we align with guidelines on clinical trials. Otherwise, patients could miss out on participating in trials and the UK could find it harder to access funding.

Effective joint working with our European partners has been vital for the NHS over recent years on everything from infectious disease control to the licensing, sale and regulation of medicines. Patients in the UK can access EU-wide trials for new treatments and the UK has the highest number of phase 1 clinical trials across the EU, as well as the highest number of trials for rare and childhood diseases. It is vital for improving health outcomes in the UK and EU that the UK continues to access those networks. Otherwise, we run the high risk of patients with rare diseases being adversely impacted.

The Bill contains provisions to extend the range of professions that can prescribe medicines, thereby allowing additional health care practitioners such as paramedics and midwives to be given restricted prescribing rights. We welcome those provisions and, assuming that their competencies have been assessed in the same way as those of other prescribers and that equal safeguards are in place, we support that sensible and timely reform. Will there also be plans for a consultation on the future prescribing rights of physician associates and surgical care practitioners?

I will not say too much about part 2 of the Bill, other than to confirm that any measures that help in the battle against anti-microbial resistance have Labour’s support. Part 3 is about medical devices. I have already commented on the use of delegated powers, and as I said at the outset, patient safety must be the priority and we will look to strengthen regulation in that area. Unlike medicines and drugs, many surgical innovations can be introduced without clinical trial data or centrally held evidence. That is a clear risk to patient safety, and it undermines public confidence. Manufacturers are often in charge of testing their own products after faults have developed and they can shop around for approval to market their products without declaring any refusals.

Two years ago, freedom of information requests to the Medicines and Healthcare Products Regulatory Agency revealed 62,000 adverse incident reports that were linked to medical devices between 2015 and 2018, and more than 1,000 had resulted in death. Most devices are cleared through a pathway that allows new products to inherit the approval status of “substantially equivalent” products already on the market. In some cases, after lengthy chains of equivalence-based approvals, the new devices scarcely resemble the original version. Indeed, a study in The BMJ in 2017 found that the family tree of 61 surgical mesh products related to two original devices that were approved in 1985 and 1996. Unless we fix that and put patient safety at the heart of the regulatory framework, patients will suffer and lack confidence.

We know the Secretary of State is a great champion of and has promoted many health-based apps. We need a robust and sophisticated mechanism to evaluate app-based healthcare for use in the NHS, and in Committee we will look to strengthen the regulation of that. We welcome what appear to be plans for a devices register, and I took note of what the Secretary of State said in his interaction with my hon. Friend the Member for Birmingham, Selly Oak (Steve McCabe). We believe, however, that such a register must provide comprehensive data on who, where, how and why devices were implanted, and by whom, so that any recall could be quickly enacted.

To achieve that, we encourage Ministers to strengthen the Bill by reflecting provisions in existing EU regulation and to ensure there are unique device identifiers, such as serial numbers on medical devices that are labelled with tracking information, as well as the power to track the use of those devices, so that the NHS can find and notify affected patients if and when problems arise. By the same token, the Government must reassure us that with such a register it is practically possible to cover all devices, including everything from implants to bone screws, software, apps, mesh, medical cannulas, pacemakers and so on. That is an extensive list of different devices, and I would be keen to hear how such a register could be implemented practically.

Coronavirus

Matt Hancock Excerpts

Wednesday 26th February 2020 Commons Chamber

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

With your permission, Mr Speaker, I would like to update the House on covid-19, or coronavirus. As of this morning, 7,132 people in the UK have been tested for the virus. So far, 13 people in the UK have tested positive, of whom eight have now been discharged from hospital. We expect more cases here. As planned, 115 people left supported isolation at Kents Hill Park in Milton Keynes on 23 February. All tested negative for covid-19. On Saturday, 32 people from the Diamond Princess cruise ship were repatriated and taken to Arrowe Park, where they will remain in supported isolation. Four of those have tested positive and been transferred to specialist centres. British tourists are currently being quarantined in a hotel in Tenerife, and the Foreign Office is in contact with them.

We have a clear four-part plan to respond to the outbreak of this disease: contain, delay, research and mitigate. We are taking all necessary measures to minimise the risk to the public. We have put in place enhanced monitoring measures at UK airports, and health information is available at all international airports, ports and international train stations. We have established a supported isolation facility at Heathrow to cater for international passengers who are tested, and to maximise infection control and free up NHS resources.

The NHS is testing a very large number of people who have travelled back from affected countries, the vast majority of whom test negative. In the past few days, we have published guidance for schools, employers, first responders, social care and the travel industry on how to handle suspected cases. If anyone has been in contact with a suspected case in a childcare or an educational setting, no special measures are required while test results are awaited. There is no need to close the school or send other students or staff home. Once the results arrive, those who test negative will be advised individually about returning to education. In most cases, closure of the childcare or education setting will be unnecessary, but this will be a local decision based on various factors, including professional advice. Schools should be guided by the advice on the gov.uk website, and contact their regional schools commissioner in case of queries. I can tell the House that in the coming days we will roll out a wider public information campaign.

While the Government and the NHS have plans in place for all eventualities, everyone can play their part. To reiterate, our advice is for everyone to take sensible precautions, such as using tissues and washing hands more. Yesterday we updated our advice to returning travellers from northern Italy—defined as anywhere north of, but not including, Pisa and Florence—as well as from Vietnam, Cambodia, Laos and Myanmar. Those returning from Iran, the lockdown areas of northern Italy and the special care zone in South Korea should self-isolate and call NHS 111, even if they have no symptoms.

We are working closely with the World Health Organisation, the G7 and the wider international community to ensure that we are ready for all eventualities. We are co-ordinating research efforts with international partners. Our approach has at all times been guided by the chief medical officer, working on the basis of the best possible scientific evidence. The public can be assured that we have a clear plan to contain, delay, research and mitigate, and that we are working methodically through each step to keep the public safe. I commend this statement to the House.

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

I thank the Secretary of State for advance notice of his announcement and for sight of his statement. Again, all our thoughts must be with those who have been diagnosed with coronavirus—covid-19—in the UK and across Europe, and again we reiterate our support and put on record our thanks to all NHS staff and public health staff, as well as to the chief medical officer for the leadership he is showing.

The World Health Organisation has warned that countries are “simply not ready” for a pandemic. There has now been significant spread of the virus across the European continent—in Italy in particular, but other cases have been identified in Austria, Croatia and Switzerland. This is clearly now very serious. Yesterday there did appear to be a little bit of a discrepancy, if I may say so, between the travel advice from the CMO and the Secretary of State. Can the Secretary of State clarify for the House what exactly the travel advice is for those travelling or seeking to travel to northern Italy? I think that would be welcome.

We welcome the Secretary of State’s plans for Heathrow. Could he explain to the House why that facility is proposed only for Heathrow, and why similar facilities will not be in place at other major airports, particularly the bigger airports such as Manchester and so on. The Secretary of State mentioned the situation in Tenerife. We are all obviously very concerned about the situation there. Could he offer a little more detail about what advice and support are being offered to British nationals at this hotel?

I note what the Secretary of State says about schools, and I entirely understand it, but we do have several schools in England and Northern Ireland shut completely at the moment for a deep clean, after students and teachers returned from skiing trips. I understand that schools should check relevant websites and get local advice, but does the Secretary of State expect advice to be sent to schools from the Department for Education? If schools have to start shutting, will the Government consider arrangements for alternative schooling provision for those affected?

Will the Secretary of State update the House on how many specialist and extracorporeal membrane oxygenation beds are available across the NHS? We know that the NHS is under intense pressure at this time of year—indeed, today the BBC is running a story about people waiting on trolleys in hospital corridors and so on. The Nuffield Trust has warned that there is “little in the tank” to cope with coronavirus, and Public Health England has announced that tests for the condition are being increased to include people displaying flu-like symptoms at 11 hospitals and 100 GP surgeries across the UK.

Will community trusts and clinical commissioning groups fund the extra work related to coronavirus from their existing baselines, and is the Secretary of State making representations to the Treasury for additional emergency NHS revenue resource in the coming weeks? Will he update the House on how much has been drawn from the capital facility for hospitals to develop specialist pods to quarantine patients, which he announced in his previous statement?

I reiterate that the Opposition want to work constructively with the Government on this issue. We are broadly supportive of the steps taken by the Secretary of State, and I hope he understands that we are trying to be constructive in our questions. We continue to thank all NHS staff for their work at this difficult time.

[Matt Hancock]

I join the hon. Gentleman in reiterating our thanks to all NHS and Public Health England staff, and others, who have been working so hard on this issue. I also express my thanks to the hon. Gentleman, and to every Member of the House with whom my Ministers and I have had dealings. In each and every case, everyone has taken a responsible and proportionate approach. This is not a political matter; this is a matter of keeping the public safe, and everybody in this House has played their part.

Plans are in place in case of the virus becoming a pandemic, but it is not yet certain that that will happen. The plan is still in the phase of “contain”: we aim to contain the virus both abroad and here at home, and prevent it from becoming a pandemic, while of course ensuring that plans are in place should that happen. On travel to Italy, our advice is that all but essential travel is not recommended to the quarantined areas of northern Italy. The advice for people returning from northern Italy is clear: those returning from the quarantined areas should self-isolate, and those returning from the rest of northern Italy should self-isolate if they have symptoms. I hope that advice is clear, and it is available on the Government website.

The hon. Gentleman asked about Heathrow, and we have expanded the availability of supported isolation facilities. Just having Arrowe Park and the facility at Milton Keynes is not appropriate for individual travellers whom we think need to be quarantined, but at the moment those numbers are low, which is why we need only one facility. We chose a facility near Heathrow because that is the point of biggest throughput, but we do not rule out rolling that out more broadly if we think it necessary.

The Department for Education has repeatedly issued advice to schools—I am glad to see the Minister for School Standards in his place—and we issued revised advice this morning. Our goal is to keep schools open wherever we can, as long as that protects the public. Our wider goal is to have minimum social and economic disruption, or disruption to the NHS, subject to keeping the public safe. The message that we do not have a policy of blanket school closures is important. Unless there is specific professional advice, or until there is a positive test, schools should stay open and follow the advice on the GOV.UK website. If they have queries they should contact their regional schools commissioner.

The hon. Gentleman asked about the availability of testing, and as far as we know, we now have testing sites at all A and E facilities across England. We are also planning to introduce home testing, some of which has started already, so that people do not have to go to the pod in front of A and E—that pod has been placed there to ensure that people do not go into A and E, where they might infect others. Home testing is the safest place to be tested because people do not have to go anywhere, and that will allow us to roll out testing to a larger number of people. The hon. Gentleman asked about the available funding. Funding is available from the Treasury. So far we have used it for capital funding, but we will obviously keep this issue under review.

[Several hon. Members rose—]

[Greg Clark (Tunbridge Wells) (Con)]

Has the roll-out of diagnostic testing facilities to 11 laboratories in the UK been completed? Does my right hon. Friend have plans to extend that coverage if there were to be a wider outbreak?

[Matt Hancock]

There has been a roll-out to a wider number of laboratories, and we are working through plans for wider commercial diagnostic testing. We are working with around a dozen private companies, and using private diagnostic testing companies, not least because globally there is a search for a “by the side of the bed” testing capability. At the moment, all testing is done in labs, which means that someone has to take a swab to the lab and get the result. We want testing capabilities that involve a bit of kit by the bedside of the patient, so that tests can be run onsite. There is a global search for that capability, but it does not yet exist. We are putting funding and support into making that happen, and I hope we will soon get to that solution.

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

Worldwide we are looking at about 80,000 cases of coronavirus. That is 10 times the number that we saw with SARS, which suggests it is a very infectious condition. Will the UK Government liaise with international partners to ensure accurate reporting? It is critical to map the spread of coronavirus, and there will be a danger that some countries under-report because they are afraid of economic impacts. Has any consideration been given to using thermal detection technology at Heathrow, and for that to be spread across more sites? We can no longer think that this only involves people who come from a few countries—people follow different routes, and almost everyone coming in would need to be screened.

As the Secretary of State said, there is only a small window of opportunity when it is possible to prevent or contain the initial spread of coronavirus. As I have previously said, I am concerned about not self-isolating asymptomatic people, particularly when we are aware that the case that spread the condition to others in the UK involved someone who was not significantly symptomatic. We do not know what the prodromal phase of coronavirus is, and people could be spreading the condition without our knowledge. The advice must be clear.

Does the Secretary of State recognise the confusion there is that those returning from certain parts of north Italy must self-isolate, even if asymptomatic, but those coming from China do not need to self-isolate if asymptomatic? That is causing confusion and we may end up behind the curve. If containment is to work, we must be ahead of the curve. Self-isolating does not count as illness, so will the Government send a clear message to employers, so that those who are advised to self-isolate will still be paid or receive sickness cover? Otherwise, there will be people who feel that they must go to work, because they simply cannot afford to have no income for two weeks.

The Secretary of State suggested that he would not go to wider northern Italy, and the Chief Medical Officer suggested that people with health conditions should not go there. Travel insurance kicks in only when the Foreign and Commonwealth Office gives clear guidance. Will that guidance be changed to state that people should not be travelling to wider northern Italy, and other areas, so that people are not disadvantaged by not having travel insurance if they choose not to put themselves, and indeed all of us, at risk of the disease spreading?

[Matt Hancock]

The hon. Lady is right with regard to concerns about under-reporting, especially in some countries. I am afraid I do not recognise some of her clinical observations, and I do not recognise the idea that we should change travel advice between China and Italy. We should base travel advice on expert clinical evidence. I am very happy to ensure that she receives a full briefing from medical experts, so that she can get the clinical points right.

On thermal detection, rather like stopping flights this is against clinical advice. The clinical advice is not to undertake thermal detection, because we get a lot of false positives. Indeed, the only country I know of in Europe that undertook thermal detection at the border was Italy and that is now the scene of the largest outbreak.

Finally, the hon. Lady made a very important point about people in work and self-isolation. Self-isolation on medical advice is considered sickness for employment purposes. That is a very important message for employers and those who can go home and self-isolate as if they were sick, because it is for medical reasons.

[Dr Andrew Murrison (South West Wiltshire) (Con)]

Mercifully, nobody in this country has yet died of coronavirus, but every year 600 people die of seasonal flu. In the phase to which my right hon. Friend refers, is he redoubling our efforts to ensure that the elderly and the vulnerable in particular are vaccinated against seasonal flu, therefore perhaps mitigating pressures on our national health service in the event that coronavirus becomes more of a problem here and makes demands particularly on intensive care beds?

[Matt Hancock]

My right hon. Friend is absolutely right. The vaccination rate was, I think, at a record level this year, and it is very important. The simple measures that everybody can take, such as washing hands and using tissues, protect us against flu as well as coronavirus.

[Ms Angela Eagle (Wallasey) (Lab)]

The four people who were welcomed to Arrowe Park Hospital developed symptoms subsequent to coming to this country, despite being tested extensively before they were allowed to fly. Does that cause the Secretary of State any worry? Will he say what that might mean for whether people are infectious before they are symptomatic?

[Matt Hancock]

It is my job to worry about all those things. The answer is that that sequence of events confirms to me the importance of quarantining people. I know that there were some concerns about quarantine, but I think it showed that we were dead right to quarantine people because it turned out that they tested positive during the quarantine. Mr Speaker, I just want to put on the record my thanks to the hon. Lady, and everyone in her constituency and the Wirral more broadly, who have risen to this challenge.

[Dr Caroline Johnson (Sleaford and North Hykeham) (Con)]

Constituents have been writing to me with regard to travel advice. They are planning holidays to countries that are currently affected and for which the travel advice is to isolate on return if symptomatic. Some do not want to go on those holidays because, understandably, they are genuinely frightened, but they cannot reclaim the money because the travel advice is not saying that they cannot go. If they do go, they then have to isolate when they come back, which effectively lengthens their holidays and creates significant difficulties in relation to their responsibilities. Will the Secretary of State advise my constituents on what they should do in that circumstance and what discussions have taken place with the Foreign Office on this matter?

[Matt Hancock]

Decisions on precise travel advice for each country is of course a matter for the Foreign Office, but I can tell my hon. Friend that all those considerations are taken into account. We have to base decisions on the best possible science and clinical advice.

[Liz Kendall (Leicester West) (Lab)]

What assessment have the Government made of the potential economic consequences of the spread of the coronavirus, globally as well as in Europe and in the UK? The Secretary of State will know that northern Italy is in lockdown and that other countries with a much greater spread of the disease have provided an economic stimulus because whole areas are shutting down. We are not there at all in the UK, but has he discussed this issue with the Treasury, because the potential impact on growth and the nervousness of financial markets is very real?

[Matt Hancock]

The hon. Lady is absolutely right to raise this issue. I have of course talked to the Treasury and the new Chancellor of the Exchequer on this question. Another important consideration is that overreaction has economic and social costs too. We have to keep the public safe, but we need to act in a way that is proportionate, so that does come into our considerations. My primary goal is to keep the public safe—of course it is—but we also have to take into account other impacts. For instance, as I set out in the statement, schools should stay open, with no blanket ban, unless there are specific reasons for them not to. Closing a school does not just have an impact on children’s education—there are wider social and economic impacts too.

[Steve Brine (Winchester) (Con)]

I thank the Secretary of State for the very responsible way he is handling this very serious situation. He is clearly working very closely—as his predecessor did and I did when I worked with him—with Professor Chris Whitty, the chief medical officer, and following the evidence. That has to be right. Last time the Secretary of State made a statement to the House, he said that he felt it would get worse before it got better. I think that that has been borne out by events. What level of personal responsibility should individuals and employers take—there are alternatives to travel, especially business travel, where there are technological solutions—to help with containment?

[Matt Hancock]

That is a very wise question and my hon. Friend is absolutely right to ask it. The NHS has a very important role to play in responding to this crisis, Public Health England is leading the public health response brilliantly, and Professor Chris Whitty, as chief medical officer, has done an amazing job over the past two months and is one of the finest epidemiologists in the world, but the truth is that everybody has a role to play, from the simple action of washing hands all the way through to responding in a sensible and proportionate way. It is important to dwell on that.

[Layla Moran (Oxford West and Abingdon) (LD)]

I join others in thanking NHS staff in advance for the work they will have to do to contain and deal with the coronavirus. Will the Secretary of State join me in commending the work of Professor Gilbert and others at the Jenner Institute, who are working tirelessly to develop a vaccine? As he said in his statement, the NHS 111 service is now in effect the frontline service. We may have received text messages from our GP surgeries telling us to contact them first. What are we doing to ensure they are properly staffed and trained? Finally—this is very important, Mr Speaker—will he join me in condemning those who are hurling racist abuse at British Asians, both in Oxford and elsewhere? There is a worry that we could racially profile those who may have this disease and that is not acceptable. We all need to calm down.

[Matt Hancock]

I abhor any racist attacks that people might say have resulted from this situation. The circumstances do not matter—racism does not help; it hinders any response. I can assure the hon. Lady that 111 staff have the support they need and we have back-up plans. That is all part of the plan and 111 is responding brilliantly. Thank goodness we have 111. It is only a couple of years old and it is absolutely delivering in these circumstances. Everybody in the country knows that if they are worried that they have coronavirus they should call 111.

[Craig Mackinlay (South Thanet) (Con)]

I pay tribute to the Secretary of State at this very difficult time. His statement was very measured. He mentions four means: containment, delay, research and mitigation. Containment and delay come with serious economic and social disruption, and we are seeing that in the markets at the moment. I would say that what we must be doing the most is mitigation. This is a very strange virus with a very long period between infection and symptoms. The number of interactions people make during that two-week period—perhaps even longer—will be innumerable, and that makes thermal testing, which is often the first way forward, difficult to analyse. Will the Secretary of State, the chief medical officer and other international experts look seriously at whether this is simply A. N. Other flu virus that is difficult and problematic, but recoverable from?

[Matt Hancock]

I thank my hon. Friend; I will certainly do that. I agree with him on the importance of mitigation. The mitigation strand is really about what would happen should this become a full-scale pandemic, and the very significant impact that that would have on the country— including, of course, on the NHS. On the purpose of the delay strand of this work, even if we do not succeed in containing the virus, we want to delay its arrival so that it does not all arrive in one big peak, but arrives over time so that we can better cope with it. Of course, the contain strand is about trying to stop that from happening at all.

[Alex Sobel (Leeds North West) (Lab/Co-op)]

As the House knows, I was in self-isolation last week because Harry Horton of ITV alerted me to the fact that there had been a confirmed case at the UK bus summit, which I attended. I rang 111 and the advice was that, if I had been in contact with the person who had coronavirus, I should self-isolate, but if I had not, I need not. Yet no agency could confirm or deny whether I had been in contact. So more work on tracking needs to be done. Will the Secretary of State consider developing, like the Chinese Government, a tracking app to help people in that situation?

[Matt Hancock]

I am very happy, subject to consent, to look at that. I would also say that the way that contact tracing works is that, once the positive case is identified, you trace out from the positive case, rather than starting from the wider population—including attendees at the bus conference—and focusing in. Contact tracing was undertaken in the correct way. Indeed, the majority of cases that we have found in the UK have been found through the proactive contact tracing undertaken by Public Health England; that commends its approach.

[Craig Tracey (North Warwickshire) (Con)]

I thank the Secretary of State for the statement. Obviously, this issue affects all our constituencies, so can he confirm that he will continue to provide further information to the House as the situation develops and as more information becomes available to us, so that we can keep our constituents’ minds at rest that everything that can be done is being done?

[Matt Hancock]

Yes, absolutely; of course I will keep the House and the wider public updated. That is an incredibly important part of our work. Of course, for any colleague, my door, and that of the Minister for Public Health, my hon. Friend the Member for Bury St Edmunds (Jo Churchill), is always open to answer any questions.

[Stephanie Peacock (Barnsley East) (Lab)]

What steps are the Government taking, in partnership with tech companies, to battle fake news on coronavirus?

[Matt Hancock]

That is a very important subject. In fact, I have been working on that in the past 24 hours, to ensure that tech companies, social media companies, Google and others promote the right answers to questions about coronavirus. Most of the social media companies—we have been in contact with them—have behaved in an exemplary fashion, ensuring that information from, for example, the NHS gets promoted.

[Stephen Hammond (Wimbledon) (Con)]

I commend my right hon. Friend for his statement today. Following on from the previous question, it is clear that everybody has heeded the advice to self-isolate, but exactly what self-isolation might mean for certain groups—such as a family in which one person may be symptomatic, or groups of university students—is difficult to ascertain. I urge my right hon. Friend to pursue a public health initiative.

[Matt Hancock]

We updated the advice on exactly what self-isolation means earlier this week. It does, for instance, mean going home, and if other people live with you at home, trying to keep out of contact with them. It means, obviously, not going on public transport, leaving the house as little as possible, and trying to get other people to do things like collecting groceries. It also means, within a house where lots of people are living, trying to stay away from others living in that house. I appreciate that that is, practically, challenging and difficult—as a father of three small children, I get it—but that is the goal of self-isolation.

[Carla Lockhart (Upper Bann) (DUP)]

I thank the Secretary of State for his statement. What communication is his Department having with the devolved Administrations concerning precautions? Schools, such as one in my constituency, are flummoxed, not knowing how to manage the situation. What is he doing with the ports in Belfast to ensure that precautions are put in place?

The Secretary of State mentioned financial support. Will he outline whether there will be additional support for Northern Ireland if this disease comes to Northern Ireland?

[Matt Hancock]

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.

[Dr Julian Lewis (New Forest East) (Con)]

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]

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

[Hilary Benn (Leeds Central) (Lab)]

We heard what the Secretary of State told the hon. Member for Wimbledon (Stephen Hammond) about a person who is self-isolating, keeping away from other family members, but what is the advice to the other family members about whether they should go about their normal business—go to work or go to school if they are children—in those circumstances?

[Matt Hancock]

Other family members who are asymptomatic should go about their normal business in the normal way. It is those who have tested positively who should self-isolate.

[Henry Smith (Crawley) (Con)]

The Health Secretary is absolutely right that containment of covid-19 is very important. In that vein, will he keep under review isolation facilities being made available at London Gatwick airport, which of course has many flights to and from both Asia and Europe?

[Matt Hancock]

Yes, of course, that would be the obvious next step. I will not confirm that—we do not need it yet—but that is all part of the plan.

[Kevin Brennan (Cardiff West) (Lab)]

The Irish authorities have already advised the Irish Rugby Football Union to call off the Six Nations game against Italy, which obviously affects the north, as it is a Northern Ireland team as well. England are due to play Italy in the Six Nations in a few weeks. What discussions has the Secretary of State had with his colleagues in the Department for Digital, Culture, Media and Sport and with the sporting authorities about advising what to do in relation to the Six Nations championship and other sporting events?

[Matt Hancock]

Obviously, DDCMS is involved in the cross-Government decision making on these things. Our goal is to minimise social disruption—of which this is an important part for any rugby fan—subject to keeping the public safe. These are difficult balances to strike sometimes, and I will be discussing the matter with the new Secretary of State at DDCMS.

[Sara Britcliffe (Hyndburn) (Con)]

I thank my right hon. Friend for what he has said, particularly in relation to schools. He may be aware that a school in my constituency has closed as a precautionary measure, after students returned from northern Italy. Would he contact both me and the school to reassure parents and staff?

[Matt Hancock]

I would be very happy to discuss the specific case with my hon. Friend—either I or the Minister for Public Health—and I am looking into that specific example. A small number of schools have taken that step. I understand why they have, and it is of course a decision for the head, taking into account local factors. We are putting in place, through the regional schools commissioners, the structures to make it possible to ensure that every school can get the advice it needs, but in the first instance every school should go to the website, because there is a huge amount of advice on that.

[Olivia Blake (Sheffield, Hallam) (Lab)]

What action is the Minister taking to ensure that the support and communication being given is adequate and clear to British nationals currently quarantined in the hotel in Tenerife, and to their families, who are rightly worried?

[Matt Hancock]

It is a very important question. We are getting as much information as we possibly can, through the Foreign Office, to those who are in Tenerife. As I announced in the statement, we will shortly be strengthening our domestic communications programme to ensure that people have all the information they need.

[Ben Everitt (Milton Keynes North) (Con)]

I was very pleased when, yesterday evening, the Health Minister took me aside and said how well the whole of Milton Keynes had reacted to hosting a quarantine centre, and he was right of course. The professionals in the NHS— clinical and managerial—were fantastic, as were the officers in the council. I think we should recognise that the whole health team—the Secretary of State and his Ministers, advisers and officials—and, indeed, parliamentarians on any Bench in this House, have reacted incredibly well to this situation. So can the Secretary of State reassure us that this is part of the UK being the best prepared—or among the very well prepared —in the world to deal with this kind of outbreak?

[Matt Hancock]

My hon. Friend is right about Milton Keynes. The people of Milton Keynes have done exactly the right thing, and I would add to his list Milton Keynes University Hospital, which has done a brilliant job. More broadly, I would also add the media, who have in very large part responded in an incredibly responsible way to a very big story. We have detailed operational plans for dealing with this situation, including if it gets much worse, and those plans are worked on and updated in response to all the information we get, but part of the plan is about the behaviour of people and how people respond in this House and in the country. Thus far we have seen an exemplary response. I hope that continues.

[Chris Bryant (Rhondda) (Lab)]

Many wedding dresses in this country are designed here but made in China, and wedding dress companies in the UK, including in my constituency, have found it difficult because the factories in China have closed; they are suffering as a result. I am aware, having married many women in my time—when I was a vicar—that this is time sensitive. There is a real danger that many of these businesses will suffer enormous financial loss, not to mention the impact on the families. Will the Secretary of State chase up replies from Ministers in other Departments to ensure financial support for those companies?

[Matt Hancock]

The hon. Member raises an important point and through the medium of the wedding dress makes a much broader point, which is that many things are made in China, especially drugs and pharmaceuticals and clothing, which means that the impact in China will have an impact here through the supply chain problems. I am working with the Treasury on the appropriate response. Containing the virus will obviously have health benefits, but it will have economic benefits, too.

[Tracey Crouch (Chatham and Aylesford) (Con)]

The hon. Member for Cardiff West (Kevin Brennan) nicked my question about the number of cancelled sporting events around the world, which the Secretary of State will be aware of, but can he be clear about the advice to those who host or attend these events in order to prevent the spread of coronavirus? Can he confirm that, contrary to rumours on the internet, 111 call handlers are not advising people to go to their GP?

[Matt Hancock]

People should call 111 if they are concerned; they should not attend A&E or go to their GP, unless 111 has correctly told them to do that. The 111 call handlers are highly trained. There are GPs at the other end of the line to make sure people get the best advice. It is the place to go to.

[Peter Kyle (Hove) (Lab)]

Having experienced the outbreak in my home town of Brighton and Hove, I would like to commend the work of the Secretary the State’s Department, his officials and public health officials across the country. In particular, I would like to thank the Under-Secretary of State for Health and Social Care, the hon. Member for Bury St Edmunds (Jo Churchill), who personally went beyond the call of duty to keep me and my colleagues informed at every step. I am convinced that the strategy that was unfolded in our city was the correct one, but what was not quite good enough was the explanation given to residents of why that strategy was chosen. Those who came into contact with people with coronavirus were contacted proactively, but those in the same space who were concerned had no information at all. Is this something that will get better?

[Matt Hancock]

The hon. Gentleman is right to praise my colleague. It is a pity, Mr Speaker, that you did not call him earlier, because she has just left the Chamber. He is right; we are constantly learning. Communication in this area is always a challenge, because we have to get some quite technical information over to a large number of people in a very short time. We do our very best, but we are constantly learning from what goes well and what goes badly, so I would love to hear more from him about how we can improve.

[Laura Trott (Sevenoaks) (Con)]

Following on from the last question, in his statement, the Secretary of State referenced a public information campaign. Can he provide more detail about that and confirm that it will be updated as the situation changes?

[Matt Hancock]

That is right. We have an existing public information campaign to explain to people that the best thing to do is to call 111, but we will be strengthening that. In particular, we want to persuade people to wash their hands more and to look out for themselves, especially if they have a sneeze, in order to slow the spread; we want to explain what they should to do if they think they are infected. It is incredibly important that we get this information out across the whole population.

[Ian Paisley (North Antrim) (DUP)]

I welcome the level-headed clarion certainty in the Secretary of State’s approach to this difficult event; it gives confidence to many people across the country. Cambridge House Grammar School in my constituency had to send pupils home yesterday. It appears to have acted absolutely by the book in terms of the advice given, so I welcome the communication between the Department of Health and Social Care here and the Departments of Education and Health in Northern Ireland, and I hope it continues. With regard to the game to be played on Saturday between Italy and Ireland, many Ulster players and Ulster fans are following that closely. His counterpart in the Republic of Ireland, Simon Harris, has said the game should be stopped, but the Department here has taken a much more level-headed approach and said it will monitor the situation. The IRFU, which will ultimately take the decision, does not seem to know what to do. Can the Secretary of State give clear and clarion advice to the IRFU?

[Matt Hancock]

I will ask the chief medical officer to speak to the Republic of Ireland chief medical officer and to ensure that the best and appropriate clinical advice is given. Rather than me giving advice from the Dispatch Box, I will ensure we get the best clinical advice and join up with the Republic.

[Clive Efford (Eltham) (Lab)]

I hear what the Secretary of State says about how people should go about their ordinary lives if they have not tested positive, but where parents self-isolate while awaiting testing, should their children go to school before they know the outcome of the test? Schools being what they are, it is bound to cause alarm. Should children not be kept away until such time as the all-clear is given?

[Matt Hancock]

It is best here that we follow the clinical advice, which is as I set out. One of the good things about the covid-19 coronavirus, compared with similar illnesses, is that it seems to be much less impactful in terms of symptoms on children, which is good news, because with the flu it is normally the other way around. That observation underpins the clinical advice. We need to listen to the scientists.

[Paul Girvan (South Antrim) (DUP)]

I thank the Secretary of State for his statement to the House. What advice and help is being given to airport staff, given that they are often the gatekeepers?

[Matt Hancock]

We should thank Border Force, which has done a fantastic job, and the staff at the international ports. We are constantly engaged with them, through the Department for Transport—and the Home Office in the case of Border Force—to ensure they get the right information and support, but if the hon. Member has any specific worries, I would be happy to answer them.

[Dean Russell (Watford) (Con)]

The Secretary of State and the Government have done a fantastic job on public information, but does he agree that it would be helpful, given our reach on social media and through our constituency surgeries, if Members were to put up posters and broadcast the necessary information to our constituents in our tweets and elsewhere on social media in order to maximise that reach?

[Matt Hancock]

I am very happy to do that. More broadly, I am open to ideas on how to improve our response, including learning from where things have not gone well. Our approach is to make the UK response the best it can be—that is my only goal—and when there are good ideas, such as that one from my hon. Friend, we will act on them.

[Jim Shannon (Strangford) (DUP)]

I congratulate the Secretary of State on his clear leadership on this matter and his determination to deal with the issues. He referred to schools in Northern Ireland. Some of them have concerns about upcoming trips that they have planned and paid for in advance. What advice can he give to schools in Northern Ireland and across the United Kingdom? Should they travel?

[Matt Hancock]

The critical thing is to follow the Foreign Office travel advice, which is informed by the evidence, including evidence from scientists. It is kept constantly under review and is clearly published on its website.

Social Care

Matt Hancock Excerpts

Tuesday 25th February 2020 Commons Chamber

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

I beg to move an amendment, to leave out from “House” to the end of the Question and add:

“notes that the Government is committed to fixing the crisis in social care; and supports the Government’s commitment to find a long term solution for the growing need for care and commitment to an ambitious three point plan, including extra funding every year, seeking a cross party consensus and ensuring the prerequisite of any solution is a guarantee that no one needing care has to sell their home to pay for it.”

This is a welcome opportunity to debate social care—a subject of vital importance—and I want to set out how we must rise to the challenges and celebrate all that is good. We must recognise at the start of the debate that there is much to celebrate, including the millions of people who work in social care, to whom we pay tribute. I want to welcome someone who is new to working in social care: my hon. Friend the Member for Faversham and Mid Kent (Helen Whately), who has joined the team as Minister for Care. I pay tribute to her predecessor, my hon. Friend the Member for Gosport (Caroline Dinenage), who led the care system so effectively and delivered a legacy of better training, better recruitment and a real focus on carers; that is a legacy to be proud of.

Let me start with the context for this debate. It is rightly about both adults of working age and older adults. The people of this country are living longer. Over the next decade, the population aged 75 and over is set to increase by 1.5 million, and over the next 20 years, the number of people aged 65 and over is set to increase by almost half. That is emphatically a good thing. More people living for longer is not some problem to be managed; it is an opportunity to be welcomed, and welcome it we do.

[Dr Dan Poulter (Central Suffolk and North Ipswich) (Con)]

My right hon. Friend is right to highlight the significant challenge that an ageing population with multiple medical co-morbidities presents to the health and care system. In that context, it is not just about extra funding, which is obviously welcome to the care system; it is also about transforming the way we deliver care. Is it not time to consider a single point of commissioning for health and social care? If we were designing the system today, given the demographic challenges he has outlined, it would look very different from the system we have.

[Matt Hancock]

My hon. Friend is right that it is about more than just money. The money is, of course, important, but it is also about how the system is structured. There are parts of the country where the co-commissioning he calls for already exists, and we can see the improvement in efficiency that we get out of that. The hon. Member for Worsley and Eccles South (Barbara Keeley) rightly mentioned those with learning disabilities and autism, of whom there are more than 2,000 in in-patient settings. We are reducing that number and supporting more people to move into the community, including in the example that she mentioned. She talked about the challenge of that requiring more money. Actually, community settings are often better for the patient and cost the taxpayer less. As my hon. Friend says, improving the commissioning and the system is a critical part of the solution, so that yet more people can be moved out of in-patient settings.

[Liz Kendall (Leicester West) (Lab)]

The Secretary of State talks about transforming care and services so that we focus more on prevention, early intervention and help in the community and at home. That is what we should be doing, so why, as the National Audit Office has just reported, have we seen less money spent on public health, primary care and community care under this Government in the last five years? This Government are obsessed with hospitals, which is not the way that we want to go—it is about care in the community and at home.

[Matt Hancock]

The hon. Lady is dead right, and I have changed that direction of travel. This year is the first year for a generation when there has been an increase in the proportion of the NHS budget going to primary and community care. That change was at the core of the long-term plan. I insisted on that because I entirely agree with her analysis that getting more support out into the community is critical. This has been going in the wrong direction for a generation, and we are just starting to fix it.

[Debbie Abrahams (Oldham East and Saddleworth) (Lab)]

I want to pick the Secretary of State up on the point that he made a few moments ago. We had an exchange at the end of January about life expectancy. He says that life expectancy is increasing. It is absolutely clear from Professor Sir Michael Marmot’s report, and it has been clear since 2017, that life expectancy is stalling. Sir Michael said that

“life expectancy actually fell in the most deprived communities outside London for women and in some regions for men.”

I have written to the Secretary of State and I have not yet had a response, but he has an opportunity to correct the record now.

[Matt Hancock]

I saw the letter and I absolutely will reply to the hon. Lady. What I have said before, and I repeat now, is that life expectancy in this country is rising. There are parts of the country where that is not true.

[Debbie Abrahams]

It is flat.

[Matt Hancock]

It is not flat, it is rising, and it is really important that this debate, which is so critical, is based on the facts. The increase in life expectancy should be shared right across the country, and it is not, and we are determined to fix that. We are determined to ensure that life expectancy in this country rises everywhere. That is not the case and it needs to be the case, but life expectancy overall is going up. That is the fact.

[Debbie Abrahams]

The report says that it has almost ground to a halt since 2011. These are the facts, and there is an onus on the Minister to be absolutely clear about this. We cannot fudge this issue.

[Matt Hancock]

As I said, life expectancy is rising, Madam Deputy Speaker.

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

The Secretary of State will have seen Sir Michael Marmot’s report, launched today. Indeed, one of his own departmental officials spoke at the launch, because he could not make it, and said that no one could disagree with the analysis. Sir Michael Marmot says that life expectancy advances are flattening and even going backwards—they are decreasing—for the poorest 10% of women. Is Sir Michael Marmot wrong? Is that what the Secretary of State is saying?

[Matt Hancock]

No. What I am saying is that life expectancy, as I have repeated, is going up, but there are areas where it is not, and we will and we must tackle that. The challenge for us as a country is not to try to pretend that things are different to the facts. The challenge here, which Opposition Members will not accept, is that there are parts of the country where life expectancy is advancing rapidly and there are parts where it is not, and we must tackle that. We cannot have a decent policy conversation if half of the debate will not accept the facts on the ground.

The Marmot report was published this morning. It is absolutely critical that we level up life expectancy. The fact that in Blackpool a healthy life expectancy for men is 53 years yet in Buckingham it is 68 years is a disgrace, and we will put that right, but you cannot put things right if you ignore the facts when you are starting.

[Barbara Keeley]

I just want to round this point off. What does the right hon. Gentleman think happens with life expectancy when 1.5 million older people are going without care? Does he not think that the impact of the lack of social care, especially on women in deprived areas, is a key factor?

[Matt Hancock]

I do not recognise those figures, because—

[Andrew Gwynne (Denton and Reddish) (Lab)]

Because they don’t suit.

[Matt Hancock]

No, I do not recognise those figures because they are not the accurate representation of what is actually happening. There are many within that figure who are judged under legislation to need to pay for their own care, and they do. We have to start from a basis of fact and, frankly, until Labour Members start working on this from a basis of fact, it is very difficult to take their contributions seriously.

The critical thing is that, as life expectancy is increasing, more people are looking forward to ageing in comfort and dignity, and that is good news. Opposition Members may not like it. It is odd; they do not seem to want to think that life expectancy is going up. We have a duty to ensure that our social care system is equal to the task. There are many things we should be proud of in our social care system, although we would not have gathered that from the speech by the hon. Member for Worsley and Eccles South. Some 84% of providers of social care are rated as good or outstanding, and 90% of people who receive care are satisfied with its standard. The proportion of adults with learning disabilities living in their own home or with their family has increased every year since 2014-15. That is good news, which we should welcome.

[Dr Caroline Johnson (Sleaford and North Hykeham) (Con)]

Is my right hon. Friend not right to say that life expectancy is continuing to go up? We would expect it to slow down, because we are not all going to live forever. The key thing is not just how long we live for; it is how long we live a high-quality, healthy life for.

[Matt Hancock]

My hon. Friend is absolutely right, and that is the sort of analysis on which we can make decent policy progress, because it based on the facts, rather than on making things up.

[Debbie Abrahams]

rose—

[Matt Hancock]

I will give way to the hon. Lady one more time and then I will move on, because we need to make some progress.

[Debbie Abrahams]

Again, for the record, let me say, as a former public health consultant, that healthy life expectancy is also going down.

--- Later in debate ---

[Matt Hancock]

I will write to the hon. Lady to give her the facts. Do Members know what the facts will say? The facts show that life expectancy is going up—I think I have made that point. Opposition Members may not like the fact that things are getting better in this country, but we will make sure that we level up, so that things get better in all parts of this country. We welcome progress, but we demand more.

[Several hon. Members rose—]

[Matt Hancock]

I am going to make some progress and talk about the long-term solutions we are seeking on social care. For all its many strengths, it is clear that the system cannot remain as it is. Three out of four over-65s will face some care costs in their lifetime, and approximately one in 10 will face lifetime costs of more than £100,000. We need a long-term funding solution, so that the system can continue to do all that we ask of it long into the future. Crucially, we need a solution that solves the problem, commands the widest possible support and stands the test of time. We know in this House that that challenge has been ducked for many years; we have had more than a dozen commissions, reviews and reports, and more than two decades of inaction, from Governments of all political stripes. We do not need another commission —we need a plan. So in our manifesto we set out our three-point plan to solve the crisis, as referred to in our amendment tonight, which I hope the whole House will support.

The first point is to deliver the funding that is needed now to stabilise the system. The funding will provide certainty for local authorities and providers while we put in place the long-term solution. At the last spending round, we said that would make an extra £1.5 billion available in 2020-21. That includes £1 billion of additional grant funding and the 2% adult social care precept, allowing councils access to a further half a billion pounds. Overall, that is part of a 4.4% real-terms increase in local authority core spending in 2021, and that spending comes on top of £2.5 billion in existing social care grants that will be maintained. All in all, our investment since 2015 has allowed an 11% cash-terms rise in social care spending by councils. So the amount of money going into the system is going up, and I am very glad about that, but clearly further progress needs to be made.

[Alison McGovern (Wirral South) (Lab)]

Will the Secretary of State commit to publishing a distributional analysis of where that money is coming from and who it is going to?

[Matt Hancock]

The £1 billion comes from general taxation and the half a billion comes from the social care precept, and we have been absolutely clear about that.

The second part of the plan is to recommit to seeking a cross-party solution. In my view, past attempts at reform have not failed for lack of ideas or good will on the part of many people and many policy makers; they have failed because solving this problem is not just a task of policy making, but an act of political economy. The consequences of the decisions on the reform of social care will play out over decades and, as with past reforms—for instance, pension auto-enrolment—this is best done with cross-party support.

[Louise Haigh (Sheffield, Heeley) (Lab)]

Last year, the hon. Member for Chichester (Gillian Keegan), the right hon. Member for Ashford (Damian Green) and I set up the all-party group on social care. We produced a report on the professionalisation of the workforce, which looked, in particular, at the undervaluing of the wider workforce in pay, training and qualifications. Will the Secretary of State commit to looking at that report, as the basis of his cross-party consensus?

[Matt Hancock]

Yes, I have. As the hon. Member knows, my hon. Friend the Member for Chichester (Gillian Keegan) was my Parliamentary Private Secretary, and we talked about this a lot, so I welcome that work. Indeed, the amount of work from various Select Committees and groups in this House has been considerable, as my hon. Friend the Member for Thirsk and Malton (Kevin Hollinrake) made clear earlier. There has been an awful lot of reports and of very good work, including the work to which the hon. Member has contributed.

[Barbara Keeley]

The right hon. Member knows that I raised with him on the day of the first Queen’s Speech, in October last year, the need for us to set up cross-party talks. He has done nothing about that since then—nothing has happened on that. There was some vague talk about sitting down with the former Minister for Care for a cup of tea, but that is not cross-party talks. Will he say now: is he going to set up cross-party talks?

[Matt Hancock]

We will fulfil all the commitments in the manifesto, which, as the hon. Member set out, includes one on this subject, and that is part of our plan.

[Sir Desmond Swayne (New Forest West) (Con)]

We have been talking for some time. Indeed, we legislated: we decided to legislate for Dilnot. Can the Secretary of State take us through why we resiled from that position?

[Matt Hancock]

The honest truth is that that decision was made in the 2015-17 Parliament, and it was a decision the Government made at the time. I think that we need to take action to solve this problem, and that is what we are planning to do. The third part of the plan—[Interruption.] Well, I am halfway through explaining the plan.

The third part of the plan is to seek a solution that brings dignity and security to all those who need social care, with a system in which nobody needing care is forced to sell their home to pay for it. Such a solution would go against one of the most basic human impulses, which is the drive to provide for one’s family. We want to encourage people to save and we want to reward them for the fruits of their endeavours. As we said in our manifesto, we want to guarantee that

“nobody needing care should be forced to sell their home to pay for it.”

We are determined to tackle this challenge in this Parliament, and to bring forward these reforms.

Fixing the funding, as my hon. Friend the Member for Central Suffolk and North Ipswich (Dr Poulter) said, is only half of the equation, and the other half needs attention, too. We should be helping more people to live at home for longer; finding a cure for dementia, because we refuse to accept that dementia is an inevitable part of ageing; and harnessing technology to improve care. The stereotype of social care as a kind of digital backwater is increasingly out of date; there are many examples of brilliant social care organisations, public and private, using wearables and new technology to support the round-the-clock care that they give. We should also be breaking down the silos between health and social care. We will always support our carers, both paid and unpaid alike.

[Huw Merriman (Bexhill and Battle) (Con)]

In the 1990s, the Germans were grappling with exactly the same problem we are grappling with now, with regional imbalances, a postcode lottery in funding and a lack of a cohesive social offer. They came up with social care insurance—there was cross-party consensus, and it is now not a political issue—and it works. Will the Secretary of State look at that model?

[Matt Hancock]

That is the sort of contribution I think we need in this debate. We should not be saying, “We have one answer, and we won’t engage on anything else”, but saying, “Here is an interesting answer, and let’s solve it.” We are committed to solving it in this Parliament. We will not duck the difficult decisions, we will take the action that is needed and we will secure the future of social care in this country. As we are increasingly an older society, let us also be a wiser society, and commit to fixing this problem once and for all.

Wuhan Coronavirus

Matt Hancock Excerpts

Tuesday 11th February 2020 Commons Chamber

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

With permission, Madam Deputy Speaker, I will update the House on the response to the Wuhan coronavirus.

I have laid an instrument before the House to confirm the power we have taken to isolate those at risk of spreading the virus, and if necessary to keep them isolated as part of our belt-and-braces approach to protecting the public. The powers are proportionate and will help us slow down transmission of the virus and make it easier for NHS and public health staff to do their jobs.

The clinical advice about the risks to the public has not changed, and remains moderate. As of today, eight people in England have tested positive for coronavirus; all are receiving expert care from the NHS, which is well prepared and equipped to deal with this kind of situation. Contact tracing of the first four cases has been undertaken rapidly and is now complete, while tracing for the latest four cases is ongoing. This contact tracing itself identified five of the cases, a tribute to the skill and tenacity of Public Health England staff, as well as finding a further five British nationals in France, who have also tested positive for the virus. They are now receiving treatment, and the Foreign Office is following up with consular support.

On Sunday, 105 more British nationals and dependants from Hubei province landed safely at Brize Norton. They are now in isolation facilities at Kents Hill park in Milton Keynes and are receiving all the necessary medical attention. I want to pay tribute to the Foreign Office and the MOD, as well as Milton Keynes Council and Milton Keynes hospital and my own team, for their hard work and efficiency in ensuring that this all went smoothly. These steps are, of course, in addition to those for people now reaching the end of their isolation on the Wirral.

Turning to the efforts to contain the outbreak in China, the Foreign Office is advising against all travel to Hubei province and all but essential travel to mainland China. Last week, we issued new advice to all travellers returning to the UK from China, Hong Kong, Macau, Malaysia, South Korea, Singapore, Taiwan and Thailand. That advice is clear: if you develop symptoms of cough, fever or shortness of breath, you should call NHS 111 and immediately self-isolate for 14 days, even if symptoms are minor; if you have returned from Hubei, you should self-isolate and contact NHS 111 even if you have no symptoms.

My officials discussed the incubation period with the World Health Organisation this morning. The current evidence shows that a 14-day incubation period remains appropriate. We will continue to monitor emerging evidence closely with our international partners.

As I said last week, dealing with this disease is a marathon, not a sprint. The situation will get worse before it gets better. We will be guided by the science. Be in no doubt: we will do everything that is effective to tackle this virus and keep people safe. We are investing £40 million in vaccine research and are working with international efforts on therapeutics, and today I can announce to the House the immediate launch of a capital facility to support any urgent works the NHS needs for the coronavirus response, such as the creation of further isolation areas and other necessary facilities.

Finally, there are actions each and every one of us can take—simple but effective steps like washing hands and using tissues. We will take all necessary precautions to keep the public safe, and I commend this statement to the House.

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

I thank the Secretary of State for advance sight of the statement and advance notice of the regulations and steps he was going to invoke yesterday.

Our thoughts must be with all those diagnosed with novel coronavirus and those in quarantine, and I place on record again our thanks to NHS and Public Health England staff and all other staff involved in responding to the outbreak.

On the specific issue of the quarantine arrangements, I understand the approach the Government have taken, and the Secretary of State will recall that in response to last week’s statement I asked him what would happen should an evacuee wish to leave Arrowe Park. In response he understandably reminded the House that evacuees had signed contracts that effectively offered passage back to the UK in return for compliance with the Government’s quarantine arrangements. However, given that questions were raised around how practically enforceable those contracts were, and indeed wider questions about what was allowed under human rights legislation, I understand why the Secretary of State has invoked the regulations that he is entitled to do under the Public Health Acts. He has our support.

Quarantine arrangements must be seen to be necessary, proportionate and in accordance with the law, and enforcement of those quarantine arrangements, including with powers of restraint where necessary, must be fully transparent, and the rights and freedoms of the quarantined evacuees must be fully understood so as to ensure they are treated with dignity and respect. We agree that a legislative framework for this is far preferable to the ad hoc contracts that were the original basis for the quarantines.

In order to maintain public confidence in these arrangements, that framework must be understood and scrutinised by Parliament. With that in mind, on the instrument the Secretary of State laid before the House yesterday, at what point will the House get an opportunity to consider the regulations and will that be on the Floor of the House? I appreciate that the Secretary of State is not one of the business managers—although there is going to be a Government reshuffle so who knows by the end of the week—but if he can give us some clarity at this point on that, we will appreciate it.

Turning to the UK response more generally, can the Secretary of State tell the House if he is asking clinical commissioning groups and trusts to make plans should this outbreak turn into a pandemic in the coming months? What work is he doing to ensure that the local plans are robust, and can he guarantee they will be fully resourced? What communications have directors of public health in local authorities received and how will they continue to be kept informed?

Is the Secretary of State confident that NHS 111 has sufficient capacity to deal with increased numbers of calls? Will community health trusts, which I understand will be tasked with visiting suspected patients in their homes to carry our swab tests, be given extra resources to scale up capacity, or will they be expected to fund this extra work from their existing baselines?

With respect to the capital facility the Secretary of State has announced, I understand that hospitals are being given specialist pods to quarantine patients and access to this facility. Can he tell us whether GPs have the necessary equipment and resources to cope with patients who may present with novel coronavirus? Will they be able to apply for this capital facility?

I welcome the Secretary of State’s advice on travel arrangements, not least with school holidays coming up next week. Many people will want clarification. Can he assure us that Foreign Office advice is fully aligned with Public Health England advice, and tell us what monitoring arrangements are in place at airports for flights returning not just from China but other places across the world where there has been a coronavirus outbreak?

Finally, can the Secretary of State update the House on international efforts to share research and intelligence, as well as attempts to find a vaccine, and a timescale? He will know that there is a World Health Organisation summit today, for example.

On behalf of the official Opposition, we again thank all our hardworking NHS staff, particularly those on the frontline, some of whom have been diagnosed with coronavirus. We thank the Secretary of State for coming to the House, and reiterate our hope that he will continue to keep the House updated in the weeks ahead.

[Matt Hancock]

I am grateful for the support of the Opposition for the measures we have taken. The best way to deal with an outbreak like this is on a bipartisan basis. The approach the House has taken has thus far helped to enable as efficient and capable a response as possible to what is obviously a very difficult situation. I entirely agree with the hon. Gentleman that the use of the powers we brought into force yesterday must be proportionate. Enforcement, too, needs to be reasonable. That is a very important consideration.

The hon. Gentleman is right to ask about NHS 111. We will ensure that NHS 111 services have support available. We have plans in place to expand support for those taking the calls on 111 if necessary. Thus far, we have not had to do that. Compared with the huge scale of the millions of calls to NHS 111 that are made, the number concerning those who think they may have coronavirus is still relatively small, but of course we stand ready to do that if necessary.

On timing, as far as I understand it business managers have not yet scheduled the debate on the affirmative procedure for the statutory instruments I presented yesterday. They are made affirmative—as in, they become law—the moment they are signed and thus are law now. They remain in force, with the requirement for Parliament to debate and pass them within 28 days. We will ensure that that happens. They then stay in force for two years, or until the end of the public health emergency is declared.

The hon. Gentleman asked about links with the local authority in Brighton. That is an incredibly important question. I understand that the links have been very close and that the public health officers in Brighton have been working very closely with Public Health England. I thank them, as well.

The hon. Gentleman asked about access to capital for GPs. If GP facilities or other parts of the NHS need capital upgrades, we will of course look at that. In the first instance, though, it is very important that people do not go immediately to their GP, but rather call NHS 111. If they do go to A&E, we will ensure that pods are available so that people are separated from the vast majority of those going to A&E, as we do not want them to be contaminated.

The advice remains absolutely clear: if you suspect that you may have coronavirus, call 111 and do not leave home until you have spoken to a clinician.

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

I thank the Health Secretary for the way he has handled this crisis. We are all very aware that appearances before this House are only a tiny fraction of the huge amount of work going on behind the scenes. I also thank the shadow Health Secretary for the non-partisan way his party is approaching this public health crisis.

One of the most distressing things we see on TV in relation to what is happening in China in the affected province is people being denied basic hospital treatment because the hospitals are full, whether because of coronavirus or another illness they happen to have. Will the Health Secretary give some idea of the preparations that are being made to protect people who will continue to have urgent illnesses, such as cancer, which will continue to need to be dealt with very promptly, even in such a situation as the virus exploding in the UK?

[Matt Hancock]

This is a very important strand of our prepare and mitigate policy to ensure that should things get worse here the NHS is fully prepared. The NHS has the capability now to cope with the very highest level of intensity and isolation with 50 cases, and the capability to expand that to 500 cases without an impact on the wider work of the NHS. If the number of cases gets bigger, we will of course need to take further steps. As my right hon. Friend knows from his time in my shoes, extensive plans are already in place for how they should happen if we reach that eventuality.

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

I, too, welcome the Secretary of State’s statement, and we support the use of powers to maintain isolation, as they are critical for the health and safety of other people in the country. I would, however, also support their being transparent and proportionate. I also welcome that the four chief medical officers across the UK are working together on this issue.

The Government are advising symptomatic returnees from the high-risk countries, but should that not be all people returning from high-risk countries? We simply do not know what the prodromal part of the incubation period is, nor how infectious someone actually is before they have any symptoms at all. I have to say that I was surprised to see the bus drivers, who were driving those on their way to quarantine, sitting in the front seat in shirt sleeves besides someone in full hazmat gear. That seemed to me to send out a rather strange message.

It is also advised that only those from Hubei province should self-isolate even if asymptomatic, but we see from the cases in France that this is spreading very quickly, and we already have 40,000 cases across 28 countries. Therefore, if anyone is flying and going through airports, there is the risk of spread, from simply being on an aeroplane with someone coming from China.

I welcome the funding for vaccine research and the expansion to 12 test centres across the four nations, but what publicity campaign is planned to educate the public upfront not to go to their GP and not to go to accident and emergency, where they will actually spread it to someone else? I understand that the information is there on the Scottish NHS inform system or 111, but if someone is not looking maybe we need to be proactive about the message.

Finally, the UK is no longer part of the European Centre for Disease Prevention and Control. While we are able to take part in the early warning and reporting system during transition, we are no longer part of the decision making or central procurement of vaccines. How much of that system is the UK still able to be part of at the moment during transition and in the long term? Does that perhaps raise up the agenda some of the areas of co-operation that need to be sought with European Union agencies?

[Matt Hancock]

I am grateful for the broad support expressed by the hon. Lady. I am also very grateful for the work of the devolved authorities in Scotland, Wales and Northern Ireland, and the work of the four CMOs across the UK, who have worked very closely together on what is a public health emergency.

To answer the hon. Lady’s specific questions, all those returning from any of the named countries, which I reiterated in my statement, should, if they are symptomatic, self-isolate. We are taking all measures that are deemed to be effective on the clinical advice. As a clinician herself, I am sure she will recognise the importance of following the epidemiological science wherever possible to make sure we take steps that will be effective and proportionate to the scale of the challenge.

The hon. Lady also asked about the monitoring of those returning on flights. We have enhanced monitoring in place for all those returning, as I said. She also asked about a publicity campaign to get the message across about what people can do—people should wash their hands and follow the advice in the “catch it, bin it, kill it” tissue-use campaign—as well as the important message that the first thing that someone should do is call 111. We have a very significant publicity campaign and I will double-check that that is being co-ordinated with the devolved authorities—I think it is but I will double-check, because that is very important.

Finally, to answer the point about the bus drivers, that decision was again taken on clinical advice to promote the safety of the passengers and balance all the considerations that needed to be taken into account.

[Several hon. Members rose—]

[Mrs Maria Miller (Basingstoke) (Con)]

The Secretary of State said that this public health emergency is likely to get worse before it gets better, so will he reassure the House today that we are well prepared for any new cases in the UK and that the NHS has the capacity to cope with those new cases, wherever they occur across the country?

[Matt Hancock]

Yes, of course I can give that assurance. We have been clear all along that we have expected cases and that we are doing everything we can, but we also need to prepare for what might happen in future.

[Ms Angela Eagle (Wallasey) (Lab)]

Given that we are now experiencing spread between people who have not been to China, as the Brighton cases show, will the Health Secretary say something about how people can distinguish between the ordinary symptoms of flu and the novel coronavirus symptoms, because China is now not the only lexicon?

[Matt Hancock]

That is a very good point. People should follow the clinical advice for the symptoms they have, with there being, of course, a much higher risk if they have travelled to one of the affected areas. In that case, they should call 111 and present, and have the test. The testing is available precisely to distinguish the difference, because it is not reasonable to ask ordinary members of the public to know the difference between an old coronavirus and the novel coronavirus, or indeed, between flu and coronavirus.

[Dr James Davies (Vale of Clwyd) (Con)]

Will my right hon. Friend provide an update on the likely timescales for the development of a vaccine for Wuhan coronavirus, and on Britain’s contribution to that?

[Matt Hancock]

We have put £40 million into the global and domestic efforts to find a vaccine, and the work got under way fast. That work is progressing, but it takes time not just to develop a vaccine, but to ensure that it is assured and safe to use. It is in the nature of these things—because of incubation periods and the nature of the science—that it does take time.

[Clive Efford (Eltham) (Lab)]

Should the outbreak become more widespread, will the Secretary of State say what advice he is preparing for employers, because many people, such as those on zero-hours contracts, will be severely financially penalised, which will create a big incentive for them to turn up for work when they are feeling ill? Will he say what preparations he is making for employers to avoid those circumstances?

[Matt Hancock]

That could become an important consideration in due course, but I am glad to say that, at the moment, the impact on employment is very small, because we have only eight cases. However, I will certainly take that into consideration.

[Andrew Jones (Harrogate and Knaresborough) (Con)]

I thank my right hon. Friend for updating the House today. I think that that statement will reassure my constituents, some of whom have contacted me with concerns about the way that the disease is spreading. Will he continue to keep the House updated, particularly as infection control measures are rolled out, should they be necessary?

[Matt Hancock]

I hope that I have demonstrated my willingness to keep the House informed. In the way that we respond to these public health emergencies, it is incredibly important that we are clear, straightforward and transparent with the public. The ability to communicate in what is inevitably a fast-moving situation is always a challenge, but I pay tribute to Members of the House for responding—and probing, of course—in a reasonable and sensible way, and to large swathes of the media, who have reported on the coronavirus outbreak in a way that is essentially guided by the science.

[Caroline Lucas (Brighton, Pavilion) (Green)]

In Brighton and Hove, our thoughts are with those who have tested positive in our city and those linked to them who are in isolation. The Secretary of State will know that there are real concerns locally, with another health centre closing today. People need and want more timely and accurate information—not just about washing hands and tissue use, vital though that is, but about such things as what self-isolation actually looks like. I think we need a much higher-profile public health campaign, so what steps is he taking to work across Departments—including with the Department for Education, the Department for Work and Pensions and so on—to proactively disseminate key public health messages without causing panic or compromising patient confidentiality? Will he also assure me that the Foreign and Commonwealth Office consular department is proactively offering support and assistance to people who are isolated in countries such as France?

[Matt Hancock]

The hon. Lady makes an important point, especially in relation to communicating through, for instance, the Department for Education and schools to make sure that schools get the reassurance that they need. I pay tribute to the way the hon. Lady has conducted herself, given the number of cases in her constituency, and the impact on local health services. We have taken action urgently where contact tracing has shown that it needs to be taken, and we will take that proportionate action. I am also very keen to be able to provide reassurances to people that we are taking the action that is needed and that the threat to the public remains moderate, even as we have seen the increase in numbers.

[Dr Caroline Johnson (Sleaford and North Hykeham) (Con)]

In my local hospital, staff are being provided with specially fitted masks to ensure their safety when treating patients who may or may not have the coronavirus. Will the Secretary of State confirm that that is part of a wider package of ongoing policies and procedures in the NHS to keep our staff safe when treating these patients?

[Matt Hancock]

Yes, of course. Making sure that we have the equipment to keep our staff safe is a very important consideration—keeping medics safe is very important not only for them but for the public, because they provide such an important service.

[Hilary Benn (Leeds Central) (Lab)]

Will the Secretary of State tell the House about the latest scientific advice he has had on when, as we all hope, a vaccine might be available?

[Matt Hancock]

The estimates vary and the answer is uncertain. There are promising signs of the very early stages of development seeing breakthroughs, but after the early stages of development, there need to be pre-clinical trials and then clinical trials to make sure that any vaccine is safe, especially given that—thankfully—the mortality rate from this coronavirus appears to be relatively low, at around 2%. Therefore, it is very important that a vaccine does not do more harm than good. I am pushing as fast as I can on the development of a vaccine, but I am also highly cognisant of the scientific advice and the need to ensure that it is safe.

[Richard Drax (South Dorset) (Con)]

On the point about mortality, leaked reports are coming out of China that the number of those who are dying is considerably higher than we first anticipated. Is that true? Is that what my right hon. Friend is hearing? Will he also tell the House, and thereby the country, who is most vulnerable? Who is most likely to be seriously affected by this terrible disease?

[Matt Hancock]

It is difficult in a country dealing with a very large-scale outbreak, as China is, for the information to be completely accurate. However, a report published in the last 48 hours of a study of 1,099 cases from China has demonstrated that in those cases, the number of children who have been affected and symptomatic is very small. That gives us hope—and some evidence—that the impact is largely on the elderly and frail, less so on people of working age and much less so on children, which is a very good thing for children themselves and for everyone else, because with the flu, if children are spreaders, they tend to spread fast. That is the latest scientific advice coming out of China, although given the nature of the challenges the Chinese health system is facing, it is difficult to get an entirely clear picture.

[Munira Wilson (Twickenham) (LD)]

The Secretary of State has fielded various questions on the timescales for a vaccine. If I may be so bold, the chief medical officer told MPs last week that nothing less than a year should be promised for the development of a vaccine or treatment. Does he agree, therefore, that this is very much a long-term solution and that we must redouble our efforts on the public communication campaign on preventive and self-isolation measures?

[Matt Hancock]

Yes, I do. On isolation, in particular, the two go hand in hand. People can play a part in combating this virus by washing their hands and using tissues and, if they are symptomatic, by calling 111 before going to a doctor and self-isolating when necessary.

[Ben Everitt (Milton Keynes North) (Con)]

I thank the Secretary of State and his team for keeping me and my hon. Friend the Member for Milton Keynes South (Iain Stewart) updated throughout this process. It has been a very worrying time, but that information has been very useful. I am sure the whole House will join me in congratulating the professional way the local healthcare professionals, including those at Milton Keynes hospital and beyond, and our wonderful council officers have risen to the challenge of hosting a coronavirus facility in Milton Keynes. It is also worth mentioning the police, who now have additional powers to keep that site safe. Can the Secretary of State assure me and the people of Milton Keynes that all the appropriate processes, procedures and powers are in place to keep our residents and their families safe?

--- Later in debate ---

[Matt Hancock]

I pay tribute to my hon. Friend and my hon. Friend the Member for Milton Keynes South (Iain Stewart), who, as a Whip, cannot speak but who has also been working incredibly hard on behalf of people in Milton Keynes to reassure them, as my hon. Friend rightly says, that the extra 100 people from Wuhan that the town has welcomed are now safely there in Milton Keynes. The council and the hospital have gone out of their way to make this as efficient as possible and to make those returning from Wuhan comfortable.

[Ruth Cadbury (Brentford and Isleworth) (Lab)]

My constituents’ mother/mother-in-law has been visiting them from Wuhan on a six-month visa that is due to expire at the end of this month, when normally she would expect to go home. What advice are the Government giving to visiting Chinese nationals, particularly from Wuhan and Hubei province, about extending their visas in this unusual situation? I cannot see anything on the UK Government website, but I can on the Norwegian Government website.

[Matt Hancock]

I am very happy to ensure that that case is taken up with the Home Office.

[Alec Shelbrooke (Elmet and Rothwell) (Con)]

I congratulate my right hon. Friend on the way he and his officials have handled this crisis, which has helped to keep the threat at “moderate”, and Members across the House on the non-partisan approach they have taken. I am concerned, however, that because we have broadcast that the threat is moderate people may become complacent. Will he increase the number of public health messages? I have heard them on the radio, but it struck me at motorway service stations on the way down yesterday that there was no public health information there. In areas of handwashing and bathroom use, it would probably be quite advisable.

[Matt Hancock]

That is an excellent idea. We are open to all ideas of that kind and I will look directly into it.

[Kevin Brennan (Cardiff West) (Lab)]

I thank the Secretary of State for coming to the House and making this statement. I have a question about the use of this term “super-spreader”. In past outbreaks, people categorised in that way have often been demonised. Will he take this opportunity to explain to people that these so-called super-spreaders might have no idea they have contracted the virus and should in no way be blamed or demonised for spreading it?

[Matt Hancock]

This is a really good point, and I want to make two points on it. First, those who have contracted the virus are ill and deserve our sympathy and support. I know from the incredible way they have responded to the need to undertake contact tracing that all those in the UK who we have been working with because they have tested positive have acted in an exemplary way and done everything that society could have asked of them to make sure the virus is contained. I pay tribute to the way they have responded to public health officials and the NHS and thank them for doing that.

On a second connected point, anybody who thinks it appropriate, in response to this challenge, to demonise or abuse anybody from the British-Chinese community, or anybody of Chinese or east Asian origin, is completely wrong and is being counter-productive to the efforts being made across the country and the world to tackle this virus.

[Alex Chalk (Cheltenham) (Con)]

I thank the Secretary of State for his measured statement. Does he agree that we should not allow our proper focus on the risk from coronavirus to blunt our efforts in respect of seasonal flu, which, as the chief medical officer indicated, kills around 8,000 people a year? In those circumstances, the precautions taken—handwashing and observing basic hygiene—are important for all sorts of good reasons.

[Matt Hancock]

It is absolutely true that handwashing and “catch it, bin it, kill it” are the right responses to flu as well as coronavirus. We are coming towards the end of the traditional flu season, which this year in England came early, in December, and thus far—touch wood—has thankfully been largely mitigated and gone away. Next year, of course, we will be even more vigilant than normal.

[Stephanie Peacock (Barnsley East) (Lab)]

With regard to the capital facility that has been announced, can the Secretary of State outline the total amount of funding allocated to the NHS and can he say whether this is new money or a loan that will have to be paid back?

[Matt Hancock]

This will be new money to those NHS organisations bidding for it, and we have not put a cap on it. We are inviting bids from NHS organisations and will very rapidly assess those bids.

[Jim Shannon (Strangford) (DUP)]

With universities in Northern Ireland cancelling trips to China individually, can the Secretary of State outline whether the Government intend to issue guidelines to stop travel between and to infected areas? Further, is there any intention to do routine tests on anyone recently returned from the infected areas?

[Matt Hancock]

We have enhanced monitoring in place on flights from the areas I mentioned, which is important, and of course we keep all options under review, because the most important thing is to follow the scientific advice wherever possible and to keep people in this country safe.

Paterson Inquiry

Matt Hancock Excerpts

Tuesday 4th February 2020 Written Statements

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

Today the report of the independent inquiry into the issues raised by the former breast surgeon Ian Paterson has been published.

This report follows two years of work by the inquiry, led by Bishop Graham James. The Bishop has adopted a strong commitment to a “patients and families first” approach to public disclosure, which means that the process of public disclosure began earlier this morning with the patients and families themselves.

The report contains an analysis of the circumstances surrounding Ian Paterson’s malpractice that has affected so many patients and considers other past and current practices. It also tells the stories of patients who came forward to provide evidence to the inquiry, which bears testament to their courage. As such it makes for difficult reading and it is with deep regret that we have to acknowledge the failure of the NHS and the independent sector to protect patients from Paterson’s malpractice.

The public should be able to trust that a health professional will never again be allowed to place personal gain or advancement over the best interests of his or her patients whether care is funded by the NHS or privately. It is therefore essential that the whole of the health sector responds quickly and effectively to the lessons of this inquiry. The Government will give a thorough and detailed consideration of their findings over the coming weeks.

We expect now for all the relevant agencies and organisations both nationally and locally, and across the whole healthcare sector to give this report urgent and thorough attention.

Once that work is done, the relevant agencies will decide what steps to take next.

Copies of the report will be laid before the House and will be available from the Vote Office and at: https://www.gov.uk.

An oral statement will be delivered to the House today.

[HCWS87]

Wuhan Coronavirus

Matt Hancock Excerpts

Monday 3rd February 2020 Commons Chamber

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

Nick? It is not “Room 101”, Mr Speaker.

With permission, Mr Speaker, I would like to update the House on the ongoing situation with the Wuhan coronavirus. On Friday, the chief medical officer announced that two patients in England who are members of the same family tested positive for coronavirus. They were transferred to a specialist unit in Newcastle, where they are being cared for by expert staff. Public Health England is now contacting people who had close contact with these two confirmed cases. Close contacts will be given health advice about symptoms and emergency contact details to use, should they become unwell in the next 14 days. These tried and tested methods of infection control will ensure that we minimise the risk to the public.

On Friday, a Foreign Office-chartered aircraft carrying 83 British nationals left Wuhan for the UK, and I want to thank all those involved in that operation, including staff at my own Department, the Foreign Office, Border Force, the Ministry of Defence and military medics, as well as all the NHS staff, officials at Public Health England and many more who have worked 24/7 on our response so far.

Yesterday, we brought back a further 11 people via France, and returned UK nationals have been transferred to off-site NHS accommodation at Arrowe Park Hospital on the Wirral, where they will spend 14 days in supported quarantine as a precautionary measure. I thank all the staff there who have done so much to make that possible. There, they will have access to a specialist medical team who will regularly assess their symptoms. In addition, one British national has been taken to a separate NHS facility for testing.

We will take a belt-and-braces approach that makes public protection the absolute top priority, from a virus that is increasingly spreading across the world. As of today, there are more than 17,000 diagnosed cases in mainland China, with a further 185 in other countries, including France, Germany and the United States. There have been 362 fatalities so far. The World Health Organisation has now declared the situation a public health emergency of international concern, and the UK chief medical officers have raised the risk level to the UK from low to moderate. We are working closely with the WHO and international partners to ensure that we are ready for all eventualities.

Health Ministers from G7 countries spoke this afternoon, and agreed to co-ordinate our evidence and response wherever possible. The number of cases is currently doubling around every five days, and it is clear that the virus will be with us for at least some months to come; this is a marathon, not a sprint. On existing evidence, most cases are mild and most people recover. Nevertheless, anyone who has travelled from Wuhan or Hubei province in the last 14 days should immediately contact NHS 111 to inform the health service of their recent travel, and should stay indoors and avoid contact with other people just as they would with the flu—even if there are no symptoms. Anyone who has travelled to the UK from mainland China in the past 14 days and is experiencing a cough, fever or shortness of breath should self-isolate and call NHS 111, even if symptoms are mild.

We will do all we can to tackle this virus. We are one of the first countries in the world to develop a new test for it. Testing worldwide is being done on equipment designed in Oxford, and today I am making £20 million available to the Coalition for Epidemic Preparedness Innovations to speed up the development of a vaccine. I can announce that Public Health England has sequenced the viral genome from the first two positive cases in the UK, and is today making that sequence available to the scientific community. Its findings suggest that the virus has not evolved in the last month. We have also launched a public information campaign, setting out how every member of the public, including Members of this House, can help by taking simple steps to minimise the risk to themselves and their families: washing hands and using tissues when they sneeze, just as they would with flu. That goes for all of us.

We remain vigilant and determined to tackle this virus with well-developed plans in place. I commend this statement to the House.

[Mr Speaker]

I expect questions on the statement to run for up to 45 minutes.

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

I am grateful to the Secretary of State for advance sight of his statement, for the way in which he has kept the House updated, and for making arrangements for the chief medical officer, NHS England officials and Public Health England officials to keep me updated.

Our thoughts are naturally with those who have lost their lives and those who have contracted the virus, including the two cases mentioned by the Secretary of State. I thank our NHS staff, who once again show themselves to be exceptional and dedicated. I pay tribute to our world-leading expertise at Public Health England and NHS England. I also join the Secretary of State in putting on record our thanks to all those involved in returning British nationals from Wuhan. Will he tell the House whether it is the Government’s intention to return all remaining British nationals in China, and whether there will be more Foreign and Commonwealth Office chartered flights in the coming days?

I agree with the Secretary of State that we must remain vigilant and alert, and not succumb to alarmism or scaremongering. As things stand, the virus has a mortality rate of around 2%. That is certainly significant but, as he says, most people will recover. However, the virus is highly infectious. The pathogen appears to be easily transmitted. Cases have now been reported in over 20 countries. The epidemic has grown at a pace quite unprecedented in recent history, with the official case count more than tripling in the past week.

I welcome the Secretary of State’s remarks about the G7. He will be aware, of course, that we have seen cases in countries such as Cambodia, Nepal and the Philippines that have weaker health systems than ours. What work is he carrying out with the Secretary of State for International Development to support countries around the world that will need extra help at this time?

I welcome the Secretary of State’s £20 million for vaccine research, but we have to recognise that, even if a vaccine is produced, it is probably some months away. Therefore, slowing down the virus spread while that vaccine is developed is absolutely crucial. So how many people has Public Health England now contacted who have been in touch with the two people who were infected? Is he able to share those figures with the House?

I understand, and indeed endorse, the precaution of NHS England in quarantining evacuees from Wuhan at Arrowe Park Hospital on the Wirral. I must mention my hon. Friend the Member for Wirral West (Margaret Greenwood), who is the local MP and who has been in touch regularly with Ministers, her constituents and the hospital since the news broke last Thursday. I have been contacted by a patient in quarantine who has told me that evacuees are tested for the virus only if they display symptoms because risk of virus transmission is considered low. It would help to reassure the House if the Secretary of State could clarify why, if risk of transmission among non-symptomatic evacuees is low, there is no option for evacuees to self-quarantine at home. I understand that Japan and the Netherlands are allowing such quarantine. As I say, I endorse the precautions that Ministers are taking, but it would be helpful if he could offer greater clarity and those reassurances. Indeed, what would be the response of the Government and the NHS if evacuees wanted to leave Arrowe Park and self-quarantine at home? Could he update the House on that?

I welcome the public information campaign. Will the Secretary of State update us on what discussions he has had with local authority public health officials and local authorities’ social care providers and social care staff, who are obviously caring for people who are especially vulnerable to the respiratory problems associated with coronavirus?

This is a time of considerable strain on the NHS. I know the Secretary of State and I disagree on why that is, but he will accept that it is a time of huge pressure. How many specialist beds are available across the system to deal with more cases of coronavirus should we need them, and what is the capacity of trusts to flex up extra specialist beds if needed? If we do succumb to the epidemic in the UK, that will start to affect the wider NHS workforce as well. What plans are in place to ensure that NHS staff are protected over the coming months—because, as he rightly says, this is a marathon, not a sprint?

I am sure the Secretary of State would agree that we should have no truck with the racism and insensitivity shown towards Chinese and east Asian people that we have sadly seen in some quarters, with wrongly attributed videos showing wild animals being eaten and crass cartoons in the Evening Standard. Indeed, the French media are digging up old racist tropes as well. None of these attempts to dehumanise an entire ethnicity should be allowed to prevail.

I welcome the Secretary of State’s statement today and hope he will continue to keep the House updated in the coming days and weeks.

[Matt Hancock]

I will try to answer all the shadow Secretary of State’s questions, not least because I want to pay tribute to him for his balanced and reasonable approach in tackling what is ultimately a very significant public health challenge.

I entirely share with the shadow Secretary of State, and perhaps should have put in my initial statement, the rejection, which the whole House demonstrates, of any racism and insensitivity towards the Chinese community here or visitors here of Chinese origin. That will not help us to tackle this disease. We will do everything we can to tackle the disease, but racism will not help anybody, so I share his comments entirely.

We have no plans to evacuate all remaining UK nationals in China. There are an estimated 30,000 UK nationals in China, and the proportion of the population who have the virus outside Wuhan is much lower than in Wuhan. Of course, there are continued flights—not by British Airways and Virgin, which have suspended flights, but by Chinese airlines. We have appropriate measures in place at the airports, as advised by Public Health England, to ensure that those coming from the rest of China also get the appropriate advice, which includes to self-isolate if they have symptoms. We are clear that this evidence-led approach is the right way to take things forward. Of course, if the evidence and the clinical advice change, we will update policy, and I will come to the House at the first available opportunity to explain that. We are trying to take a science-led approach at all times.

The hon. Gentleman asked about the challenge of the virus getting out to other countries, and especially developing countries. I am working closely with the Department for International Development and have spoken to the Secretary of State on a number of occasions about this. Of course, the WHO represents the whole world. The Global Health Security Initiative is chaired by the UK and had a call this weekend. We are leading efforts around the world to ensure that we can help all countries, no matter the calibre of their health systems, to get a grip. I have authorised a team of British experts to go to the Philippines to support their work.

The hon. Gentleman is right that the goal is to slow down the spread of the virus, and we will take all actions that are proportionate and scientifically appropriate to do that. In the case that the epidemic here gets much more serious, we have 50 highly specialist beds, and a further 500 beds are available in order to isolate people, but of course, we are working on further plans should there need to be more.

Public Health England’s contact tracing is ongoing. We will explain how far it has gone when we are ready to, and when we have managed to get in contact with all the people we need to get in contact with. I join the hon. Gentleman in thanking his colleagues from the Wirral, several of whom I have spoken to, for their support of the rational and sensible approach that we have been trying to take.

The hon. Gentleman asked about self-quarantine at home. The truth is that it is belt and braces to have full-blown quarantine. All those who are in quarantine have signed a contract agreeing to go into quarantine in return for getting on the flight. That is a good deal, because the flight was provided by the UK Government so that they could come back from an area that we deemed did not support their health. In return for coming back, they agreed to quarantine.

[Richard Graham (Gloucester) (Con)]

As chairman of the all-party parliamentary China group, I extend on behalf of all Members our sympathies to the people of China in their hour of need. I thank the crisis team in the Foreign Office, all those in the Department of Health and Social Care and everyone who has been doing their best to help our nationals in China at this difficult time and treat those who have come back with the virus.

I think we all strongly approve of the Secretary of State’s decision to deploy extra money to develop vaccine capabilities through the Coalition for Epidemic Preparedness Innovations—a group that some of us did not know about before the coronavirus came to be. Is China involved in that coalition, and to what extent are we working closely with it on that? I welcome the work being done across Departments. Will he do all he can to publicise the right number at the Foreign Office crisis team for those whose relations in Hubei or neighbouring provinces have so far been unable to get out?

[Matt Hancock]

I join my hon. Friend in thanking all those who are doing important work. We are of course working with the Chinese Government and we offer all support that they need. This is best done at a global level; hence it is going through the coalition, the World Health Organisation and the GHSI. With G7 partners, we are happy to respond to any demands or requests from countries around the world, not just from China, should that be needed. That includes countries whose health systems may not be as advanced as those of others, but which need support to make sure that they can tackle the virus.

[Chris Stephens (Glasgow South West) (SNP)]

I thank the Secretary of State for advance sight of his statement. Our thoughts and prayers are with the families affected in what is truly a global health emergency. I have three quick questions for him. First, can he tell us what discussions he has had with the devolved Administrations, and will he commit to ensuring that they are updated in real time on any developments in order for them to react immediately in advance of any new announcements? Secondly, the Chinese Foreign Ministry has issued an urgent request for medical masks, protective suits and safety goggles. Is this something the Government will be looking to provide? Finally, what assessment has he made of the conflicting advice on closing borders—some voices are saying that this could inadvertently lead to an increase in the number of affected persons—and how has that impacted on any advice that he and his departmental officials have chosen to give?

[Matt Hancock]

The engagement with the devolved Administrations has been incredibly important in this so far, and will continue to be. Each of the devolved nations has a chief medical officer, and the team of the four CMOs is an incredibly important forum for making sure that the advice going to all four nations is clinically justified and correct. That has been working very well. Personally, I have spoken to the Ministers involved as well. We have a principle that we share information and publications before they go public, and thus far that has worked well. The hon. Member is right about the requests for equipment. We have sent out equipment to China, and we of course stand ready to respond to any further requests it has.

[Ms Angela Eagle (Wallasey) (Lab)]

Will the Secretary of State acknowledge that learning about the decision on quarantine from BBC News, rather than being told about it by his Department, which is what happened to me and most of my colleagues on the Wirral, was an error? That meant we were inundated with emails and phone calls from very worried constituents, and we had been given no briefings from which we could get any reassurance. Will he undertake to this House that such a thing will not happen again? When health emergencies like this happen, we are all in the same boat. We have to be able to reassure our constituents, and we cannot do that if we have not been briefed ourselves. Will he thank his junior Minister, the Under-Secretary of State for Health and Social Care, the hon. Member for Bury St Edmunds (Jo Churchill), and the chief medical officer for the briefings that we have received subsequently, but will he please learn that lesson?

[Matt Hancock]

I called the hon. Member whose constituency includes Arrowe Park. This was a very fast-moving situation, so being in contact with the local MP was incredibly important. Subsequently, as we were able to, we were also in contact with all Wirral MPs. However, I absolutely take the point: the hon. Member for Wallasey (Ms Eagle) would have preferred a briefing in advance; her colleague in whose constituency the hospital is got such a briefing. I apologise that that did not manage to get done in what was, as she will understand, a fast-moving circumstance, when our first priority was the protection of the public and of course those being evacuated.

[Henry Smith (Crawley) (Con)]

I very much welcome the Health Secretary confirming that he has granted £20 million to seek a vaccine to combat the coronavirus, which I think is commensurate with Britain being a global health power. May I have assurances—I am sure he will give me these—that the UK will continue to play the most international role in combating both this virus and other global health threats that exist?

[Matt Hancock]

My hon. Friend is right, and I am sure we can do yet more. Today, we put an extra £20 million into the global effort, and the UK is playing a huge international role. As I said in my statement, the main testing equipment was developed in Oxford and is now used around the world, and Public Health England’s work at Porton Down is globally leading. Developments in the science around the vaccine are a global effort in which Britain is taking the lead.

[Alison McGovern (Wirral South) (Lab)]

Merseyside is home to the oldest Chinese community in Europe, so I certainly associate myself with the remarks of the shadow Secretary of State. While some in the Wirral were surprised by the news, many of my constituents have been in touch to say that their first thoughts are with those currently experiencing quarantine, in what must be a distressing situation for them. Given that we will have many lessons learnt, will the Secretary of State commit to visiting the Wirral, so that he can thank Merseyside police and NHS staff, and all those who have helped, and understand the experience so that we can improve as necessary? No doubt at some point this will happen again.

[Matt Hancock]

Yes, I would be happy to make that commitment. As the hon. Member may know, I was born and brought up in Chester; the Wirral is but a stone’s throw away. I wish to add Wirral Council to her list. It has done a great job in difficult circumstances, and worked closely with us to ensure the best support for those evacuees currently at Arrowe Park and for everybody on the Wirral, so that they get the support they need.

[Ben Everitt (Milton Keynes North) (Con)]

Can my right hon. Friend point people to a resource where they could look up the symptoms they might have, what symptoms are indicative of the coronavirus and what they might do if they think they are infected?

[Matt Hancock]

The first thing people can do is ring 111, or look on the Public Health England website and the NHS website, which includes links. Critically, people should not go to A& E or to their GP without first calling 111 because they may inadvertently contribute to the spread of the virus, rather than contain it.

[Patricia Gibson (North Ayrshire and Arran) (SNP)]

I agree with the Secretary of State that a co-ordinated global response is extremely important, because we know that delaying responses could hasten the spread of the disease. Does he share my concern about reports in The New York Times yesterday, which referred to countries where China holds sway? For example, Cambodia is a magnet for Chinese tourists and workers. Its Prime Minister, Hun Sen, told a news conference that anybody wearing a mask would be kicked out of that conference because it would create a climate of fear. Does the Secretary of State share my concern that that does not bode well for trying to slow down the spread of this disease?

[Matt Hancock]

I have not seen that report, but I will look into it.

[Tim Loughton (East Worthing and Shoreham) (Con)]

I commend the response by the Secretary of State and his Department, but without wishing to appear a conspiracy theorist, serious questions are going round about the role of the Wuhan Institute of Virology, which incorporates the National Bio-safety Laboratory in China, and about whether there has been under-reporting of the level of fatalities and the number of people affected by this issue. Is the Secretary of State absolutely happy that the Chinese authorities have been completely transparent with the details of this virus and its impact?

[Matt Hancock]

When a virus such as this strikes, it causes a series of difficulties, especially in the epicentre, and it is clear that the health system in Wuhan is struggling to cope. Collecting the information is therefore necessarily difficult, even with the best of intentions. I understand that there is a lot of noise about this issue on the internet. The most important thing is to try to get the best information we can, analyse it, respond and follow the science wherever possible.

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

I particularly thank Public Health England for the advice it has provided throughout the weekend, but levels of concern remain high in York. Not only is that impacting on the local economy, but people are concerned. That concern could be alleviated by better communication and if the statutory bodies—including the local authority, the university, the police and other authorities—are kept better informed about what is happening. Will the Secretary of State meet me to discuss what has happened in York and learn from that so that it can be repeated in a better way elsewhere?

[Matt Hancock]

I agree with the hon. Lady that through experiencing a challenge such as this, when things are moving fast and information flows very quickly, we can always improve the way in which those flows occur. The Minister leading on this will be happy to meet the hon. Lady to discuss these matters because, as she rightly identifies, we must constantly seek improvement. I pay tribute to the approach she has taken, given that the two cases identified in England so far involve residents of her constituency.

[Dr Luke Evans (Bosworth) (Con)]

I thank the Health Secretary for updating the House today. As one who has worked on the frontline in primary care, I know that the people working there often bear the brunt of these events, dealing with both the people who are scared when they come in to talk and those who actually suffer from the virus. My colleagues back in practice will be pleased that my right hon. Friend has directed people towards the 111 service, but what has he done to tell colleagues in GP practices or health centres where they should signpost people who turn up in those locations? If the situation worsens and becomes more sinister and widespread, will any funding be made available?

[Matt Hancock]

We have clearly communicated advice to all GPs and published it. I will not repeat it here, because what matters is that people follow the precise clinical guidelines set out by the medical leaders of the NHS and the chief medical officer.

[Maria Eagle (Garston and Halewood) (Lab)]

I thank the Secretary of State for his update to the House. It was reported in the Liverpool Echo that if anyone in quarantine at Arrowe Park falls ill—we hope that no one does—they will be treated at the Royal Liverpool University Hospital. I am sure that that is right and correct, but as a consequence many constituents have asked what that means and put safety questions to me. I have had no communication from Public Health England, Ministers or anyone else, so it is hard for me to reassure my constituents. Will he make sure that MPs from a broader range of places near the Wirral can get information from Public Health England and Ministers, so we can be in the frontline of reassuring our constituents?

[Matt Hancock]

Yes, absolutely. We are to hold a briefing with the lead Minister and the chief medical officer that is open to all MPs from across the House, so they can put questions directly to the chief medical officer and get the clinical evidence behind the decisions we are taking.

Specifically on the hon. Lady’s question, the Royal Liverpool is one of the best hospitals in the world for dealing with these sorts of disease. It is one of the hospitals that we identified in advance as a place where people with coronavirus would be taken. One of the advantages of using the facilities at Arrowe Park was its proximity. Transit from A to B will of course be in secure conditions, so that no one is affected on the way. People can rest assured that if a case emerges in the isolation area at Arrowe Park, we have plans in place to get those affected to Liverpool and into the hospital in a way that does not affect nearby residents. To be frank, local residents should be very proud of their hospital.

[Bob Stewart (Beckenham) (Con)]

Apparently, there have been 361 deaths from coronavirus in China, with many more infected. Can my right hon. Friend assure me that in the worst-case scenario—if it does get into this country—and people develop symptoms, their chances of dying are not that great?

[Matt Hancock]

One part of that is true and another is sadly not, in that it is no longer “if” it comes to this country—it is here. However, the thrust of what my hon. Friend says is absolutely right: the current rate of mortality—those who die having contracted the disease—is around 2%, which is significantly lower than other recent diseases of this type, such as SARS, and a lot lower than Ebola. However, as the shadow Secretary of State said, the rate of transmission appears to be higher, and the number of cases appears to be doubling around every five days. We have the challenge of a disease that is transmitting relatively quickly, but the vast majority of people who have it survive.

[Stephanie Peacock (Barnsley East) (Lab)]

In answer to my written question from 27 January, the Government said that funding is in place to deal with this public health challenge. Will the Secretary of State outline exactly how much contingency funding has been allocated, further to the £20 million in his statement, and is that just to the Department of Health and Social Care or across Government?

[Matt Hancock]

Currently, there is no further need for the draw-down of funding. However, conversations with the Treasury have taken place to ensure that all the funding that is necessary will be available, if it is needed outside existing departmental budgets.

[Julian Sturdy (York Outer) (Con)]

I thank the Secretary of State for his statement and for keeping us updated on the situation in York. I appreciate that Public Health England says that it is making good progress in identifying everyone in York who has had close contact with the two patients, but it would be reassuring for my constituents and residents in York to have a precise timeline of how long the process will take and when it expects that to be concluded. Can the Secretary of State give us that information?

[Matt Hancock]

The process of contacting those who have been in contact with the two people who have so far tested positive for the virus is rapid and ongoing—it is a matter of days to complete and get in contact with all those people. This is an ongoing operation and it will be concluded soon. I will let him, the House and the hon. Member for York Central (Rachael Maskell) know as soon as we can make that information public.

[Cat Smith (Lancaster and Fleetwood) (Lab)]

I put on record my thanks to all the officials who supported my 81-year-old constituent Veronica Theobald to make the journey from Wuhan to the Wirral. What lessons have been learned about the repatriation of older citizens or citizens with additional needs, who might be more vulnerable?

[Matt Hancock]

We have worked hard to try to make sure that the repatriation takes into account other health problems that some people had, and to make sure, frankly, that the accommodation takes that into account—we have tried our level best to make the accommodation as comfortable as possible. I have read some of the stories in the newspapers about the lengths that NHS staff have gone to. The Minister responsible went to Arrowe Park to make sure that we are doing everything we can to make the facilities not only safe—of course, both to the public and those who are quarantined there—but comfortable for the two weeks.

[Katherine Fletcher (South Ribble) (Con)]

With any infectious disease control, it is very important that members of the public play a role by saying, “Yes, I think I may have been affected,” and being subjected to quarantine. Will my right hon. Friend join me in paying tribute not only to them but to the members of staff? I understand that they drove across two counties to pick up one new patient’s wife’s birthday present, which they then drove all the way back to Arrowe Park, because playing by the rules and doing right by the country is the right thing to do.

[Matt Hancock]

That is absolutely right. We have tried to go above and beyond to help those who are currently in Arrowe Park. I did not know about the example that my hon. Friend gave, but there have been several others, including some of the biscuits that were given to people who were quarantined at Arrowe Park, which had apparently gone down very well.

[Munira Wilson (Twickenham) (LD)]

The Secretary of State will recall that during his last statement to the House on the Wuhan coronavirus I raised the importance of vaccination. At the time, he said that

“it is unlikely that a vaccine is going to be available—there is not one now—so that is not the route we should be looking at”—[Official Report, 23 January 2020; Vol. 670, c. 436.]

He has since announced that the Government are investing £20 million in speeding up development of a vaccine. Of course this is welcome, but what has happened in the last 10 days to change his mind and his assessment, and what is the realistic timeframe in which the public can expect to see a vaccine developed?

[Matt Hancock]

That is a very good question. We need to be cautious on the timings for the development of a vaccine, but I am pushing it as hard as possible. It is true that the science has developed in the last 10 days—scientists working around the world to understand the virus have made some progress—and I was convinced enough to put £20 million into that global effort; and we may well put more in. I was impressed by the science, as reported to me by the chief medical officer, so my assessment is now slightly more promising than when the hon. Lady last asked me this question.

[Robert Largan (High Peak) (Con)]

One of my constituents is currently in quarantine, having been evacuated from Wuhan. Having spent most of last week talking to the Foreign Office, I want to put on the record my thanks to the Foreign Office staff, both here and in China, and to staff in the Department of Health and Social Care and the NHS for their brilliant work. Can my right hon. Friend give more information on the social media campaign the Government are running to get information and advice out to people as quickly as possible?

[Matt Hancock]

We have put £500,000 towards an immediate communications campaign—not just on social media, although there is a lot there, but in newspapers and on radio—to make sure people get the message that there is something everybody can do: vigilantly wash your hands and if you have a cough or a sneeze, use a tissue and throw it away. These sound like simple things, but they matter, and they also protect you from the flu.

[Chris Bryant (Rhondda) (Lab)]

Do face masks work?

[Matt Hancock]

There are circumstances in which they work, but we are not recommending that people wear them generally—but of course it’s a free country.

[Marco Longhi (Dudley North) (Con)]

I commend my right hon. Friend, as well as his team and all his staff, for their work on what is a moving feast. Given that things could deteriorate in this country, what steps can local government, directors of public health and health and wellbeing boards take, particularly around prevention?

[Matt Hancock]

My hon. Friend is absolutely right to raise this important point. Local authorities and local resilience forums have a critical role to play in resolving this, as Wirral Council has demonstrated with its efforts thus far to support people at Arrowe Park, and I pay tribute to the work local authorities have done so far. Local authorities across the country should be familiarising themselves with their plans in case the coronavirus comes to them.

[Bill Esterson (Sefton Central) (Lab)]

Constituents of mine who returned from mainland China were told to self-isolate, even though they showed no symptoms, and that if they developed symptoms they should go to accident and emergency or their GP. This is the opposite of the advice the Secretary of State set out in his statement and in answer to another hon. Member. It cannot be right, in terms of both public health and reassuring the public, to have contradictory advice. Will he make sure that the correct advice is given from now on, as far and as widely as possible?

[Matt Hancock]

The hon. Gentleman is absolutely right. We have published clear advice. All the advice from central Government, the NHS and public health organisations is exactly the same, and has been scientifically derived and communicated outwards as much as possible, but if he has details of where different advice has been given, I would love to know, because it is a constant effort to get the correct advice out there. We are working with social media companies to ensure that if people go on Twitter, for instance, and search for “coronavirus” they get proper advice, rather than non-valid advice. But there is a lot to do.

[Dame Diana Johnson (Kingston upon Hull North) (Lab)]

On Friday, when I was driving around my constituency, I heard on BBC Radio Humberside that the two people from York had been brought to one of the hospitals in Hull. They had then gone on to Newcastle. A press release was issued by the chief executive of the Hull University Teaching Hospitals NHS Trust. I wonder whether some thought should be given to how we communicate with the public, and whether more needs to be said about the role of local hospitals that are being used to deal with issues like this.

[Matt Hancock]

A lot of thought is being put into how we communicate with the public. We need to win both the battle against this disease and the battle for public confidence. This is a bit like my answer to the hon. Member for Sefton Central (Bill Esterson), and, indeed, my answer to the hon. Member for Rhondda (Chris Bryant), who asked about masks. Washing one’s hands is much better than wearing a mask. That is the correct advice, and we are trying to get the correct, straight communications out whenever we possibly can.

[Madam Deputy Speaker (Dame Eleanor Laing)]

And the prize for perseverance and patience goes to Geraint Davies.

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

Thank you very much, Madam Deputy Speaker.

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

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

[Matt Hancock]

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

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

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

[Madam Deputy Speaker (Dame Eleanor Laing)]

We now come to the statement on the Government’s response to the Streatham incident. I will just allow Members who need to leave to do so swiftly and quietly so that I can call the Lord Chancellor and Secretary of State for Justice, Mr Robert Buckland.