Health and Care Bill

Debate between Matt Hancock and Julian Lewis

Report stage
Monday 22nd November 2021 Commons Chamber

[Matt Hancock]

Thank you, Madam Deputy Speaker.

A further point that is being ignored by those who are trying to make a meal of this new clause is that the cutting of the daily cost offset is much more valuable to those on low incomes than any change in the cap, because the cap, by its nature, is there to protect assets, and those who do not have many assets gain far more benefit from the cut in the daily cost that would otherwise clock up their contributions to the cap much more slowly.

Taken together, these elements make up a package that is beneficial to those on low incomes. It helps to make the system fairer.

My final point on new clause 49 is this. For years and years—including the years when I was Secretary of State, and including the entire 13 years when Labour was in power—nobody fixed the problem of social care. This Government have come forward with a package, and if we pull apart one part of the package, there is a risk to the package as a whole. As Sir Andrew Dilnot said on the radio this morning,

“the whole package is a significant step forward”.

It is always easy in politics, and in life, to say, “I just accept the bits of the package that I like”—and, in the case of the Labour party, to say, “I accept the bits that are very expensive for taxpayers.” Instead, we must look at the package as a whole, which is funded, and which can be delivered, for the first time in several decades, because it hangs together. The Government have presented a whole package, and it is the best possible option in the fiscally constrained times in which we live.

[Dr Julian Lewis]

I am sorry to be unhelpful to my right hon. Friend, but if this element is so integral to the overall package, why was it not brought forward right at the beginning?

[Matt Hancock]

This part of the package was described in September, because it was made clear in September that the £86,000 cap was a cap on individual costs. It did not say then that that included the costs that local government may make on someone’s behalf. I think it is a strong Conservative principle that, when we say we are capping the costs that an individual pays, we do not include the costs that another part of the state should pay. I think that that was clear, and more details have now been set out. Most importantly, this is a package that takes things forward in a way that has not been achieved for decades.

Covid-19 Update

Debate between Matt Hancock and Julian Lewis

Monday 7th June 2021 Commons Chamber

[Matt Hancock]

The right hon. Lady and I have had this exchange before. I respect her enormously, but she continues to imply that we should have taken decisions based on data that we did not yet have. That is simply not a reasonable position for the Chair of any Select Committee to take.

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

The statistical snapshot that my right hon. Friend gave in his statement showed that just over 2% of people hospitalised with the Indian variant had had both jabs. In order to encourage everyone to get vaccinated, will he in future publish on a daily basis how many patients in hospital with covid have previously had one jab, two jabs or no jabs at all? If that information is not held centrally, should it not be?

[Matt Hancock]

I am delighted by that question, because the data that I put in my statement was right off the press—it is new data. I am absolutely happy to look at how it is published and on what basis. I hear my right hon. Friend’s call for it to be published daily; we do update most of this data daily on the website. We have not got to that point yet—we have done a first cut of the data up to 3 June, as I read out—but the critical question is how many cases are translating into hospitalisations and then into deaths. I am very glad that we were able to do the first cut today, and I will see what I can do on publication.

Covid-19 Update

Debate between Matt Hancock and Julian Lewis

Tuesday 2nd March 2021 Commons Chamber

[Matt Hancock]

No.

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

Given that we believe in people taking responsibility for their own actions, will my right hon. Friend confirm that the refusal of a minority to accept vaccination is no reason to delay the lifting of restrictions on society as a whole?

[Matt Hancock]

That is an important point. We do not have mandatory vaccinations in this country. We do encourage as much uptake is possible, but with the percentages for uptake well into the 90s among the groups who have been offered the vaccine, it is clear that we will be able to get very high levels of coverage and therefore lift restrictions. I hope will be able to lift restrictions on the basis of the dates in the timetable set out but, as per my answer earlier, we will also monitor the data on the impact between each one.

Covid-19 Update

Debate between Matt Hancock and Julian Lewis

Thursday 26th November 2020 Commons Chamber

[Matt Hancock]

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

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

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

[Matt Hancock]

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

Covid-19 Update

Debate between Matt Hancock and Julian Lewis

Programme motion
Monday 19th October 2020 Commons Chamber

[Matt Hancock]

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

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

How many separate covid vaccines are undergoing trials at present in the United Kingdom, and what is the planned duration of the trial period for each?

[Matt Hancock]

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

Covid-19 Update

Debate between Matt Hancock and Julian Lewis

Tuesday 8th September 2020 Commons Chamber

[Matt Hancock]

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

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

Can my right hon. Friend explain to the House exactly what are the main reasons behind the fact that although the level of infection often continues to rise, the numbers of deaths is now so absolutely small?

[Matt Hancock]

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

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

Coronavirus

Debate between Matt Hancock and Julian Lewis

Tuesday 7th July 2020 Commons Chamber

[Matt Hancock]

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

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

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

[Matt Hancock]

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

Covid-19 Update

Debate between Matt Hancock and Julian Lewis

Tuesday 5th May 2020 Commons Chamber

[Matt Hancock]

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

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

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

[Matt Hancock]

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

Coronavirus

Debate between Matt Hancock and Julian Lewis

Monday 9th March 2020 Commons Chamber

[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.

Coronavirus

Debate between Matt Hancock and Julian Lewis

Wednesday 26th February 2020 Commons Chamber

[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.

Voter Registration

Debate between Matt Hancock and Julian Lewis

Wednesday 8th June 2016 Commons Chamber

[Matthew Hancock]

There are very high numbers of registrations for postal votes, and indeed of registrations by post as opposed to through the website. We are dealing with all those issues. The right hon. Gentleman asks me to pull out all the stops; believe me, we are.

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

Even before the failure of the electronic system we heard that thousands of polling cards had been sent inappropriately to people who do not qualify to vote. Given the great strain on the system caused by the surge, will the Minister explain exactly how that sort of mistake will not be made again?

[Matthew Hancock]

That was an identified software fault, which has now been fixed. The Electoral Commission brought it to the public’s attention. It has been addressed and lessons have been learned.

EU Referendum: Civil Service Guidance

Debate between Matt Hancock and Julian Lewis

Monday 29th February 2016 Commons Chamber

[Matthew Hancock]

I do not know whether that was directed at people on the shadow Front Bench, but the situation is as I have set out. The key point is this: if we were to take any other position, we would have civil servants being asked not to support the position of the Government. We are approaching this in the way these things have been approached in referendums in the past—in 1975 and in the Scottish referendum—which seems perfectly reasonable.

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

Because this is such a divisive issue and because so many people feel so strongly about it, it has been decided that instead of Government taking the decision, the people should take the decision. What does it do for the sense of fairness among the people if the big battalions of the civil service seem to be lined up on one side of the argument and spin doctors in Downing Street do botched letters to the press from generals who have not even signed up to them saying that one side of the argument is right and the other side of it is wrong?

[Matthew Hancock]

The debate over how this would operate took place during the passage of the European Union Referendum Bill, which my right hon. Friend the Minister for Europe took through Parliament. During the passage of that Bill, there was quite a debate, for example, about how purdah should operate, and many concessions were made by the Government in order to ensure that the process is fair. The result of that was an Act that included the requirement for the Government to take a view and then to be able to set out information on various aspects of the referendum, and that is exactly what we are doing.

Education Funding for 18-year-olds

Debate between Matt Hancock and Julian Lewis

Tuesday 28th January 2014 Westminster Hall

[Matthew Hancock]

I will absolutely ensure that that happens. In fact, I will ensure that such discussions take place with all colleges. It is important, however, to set out why we took the decision we did.

We were faced with a cut across Government to make savings to reach our goals on reducing the budget deficit. I need not stress the wider argument about the necessity of reducing the deficit, but life would be easier for a Minister and throughout our country if we did not have a budget deficit of £100 billion, and if we had not had an even bigger deficit three years ago. We all know who is responsible for that. There is tension on the Opposition Benches between those who recognise and acknowledge the need to deal with the problems left by the Labour Government and the others. Not least, I recognise the reasonable approach taken, and the suggestion of alternatives, by the hon. Members for Hackney South and Shoreditch (Meg Hillier) and for Rochdale (Simon Danczuk); that is in contrast simply to complaining about things and saying, “Aren’t we in a terrible mess?” It is difficult being a Minister when there is no money left, but we all know whose fault that is. I will not stress that any more.

I care about the individual impact on colleges. For example, I would be delighted to visit Cambridge—I think I have a campaigning visit in the diary. According to our figures, which we are in the middle of confirming with colleges, as a result of the decision, Long Road sixth-form college will have a reduction in funding of 0.7% and Hills Road college of 0.2%. Those figures are to be confirmed with the institutions, but that is the scale in those instances. The impact assessment sets out the effect for types of colleges.

The reason for our decision is partly that it is in tune with other things that we are trying to do, not least raise the participation age. Many people have talked about NEETs, and I bow to no one in my support for FE colleges and their work in reducing the number of NEETs, but the biggest impact comes from the level of education at the age of 16, and from those who are in FE at 16 and 17 and whom we have to keep there. We are raising the participation age up to 18 years, with cross-party agreement, and are insisting that everyone stays in some form of education up to that age. We are focusing the funding on that.

The reasons underpinning the funding decision, therefore, are the decision to return funding for 18-year-olds to last year’s levels; our raising of the participation age; the need to do so much work to ensure that people stay in education at 16 and 17; and the fact that on average—this is not the case for everyone—18-year-olds spend less time on their education, even when it is full-time education. Furthermore, as the impact assessment says—this ought to be recognised in the debate—those who are 18 in education are no more likely to be disadvantaged than anyone else.

[Dr Lewis]

I had an exchange with the hon. Member for Bethnal Green and Bow (Rushanara Ali) earlier. Given that there will be this extra emphasis on people up to the age of 18, is it at least the Government’s aspiration to get rid of the value added tax anomaly?

[Matthew Hancock]

I am well versed in the VAT issue and recognise the argument. Removing the VAT anomaly would cost £150 million, which is the same amount that we have had to save through the measure we are debating, so I am afraid that I simply have to plead having no money to deal with it. All I will say is that I fully acknowledge the argument.

A sixth-form or FE college has a private sector designation from the Office for National Statistics that leads to the VAT charge, but it also gives the college much more power over borrowing. On the one hand, a sixth-form or FE college has much more power to manage its finances, but on the other hand, it has to pay VAT. I note that in the past couple of years, there have been two new sixth-form colleges. Yes, there have been new 16-to-19 free schools, but there have also been new sixth-form colleges, so some people have taken the decision, even though they know that they will have to pay VAT, to go down the sixth-form college route, because they get extra flexibility in managing their finances. I completely acknowledge the VAT issue, but there is a flip side to the argument, which is why some people go for paying the VAT, even though they might not need to do so.