(5 years, 5 months ago)
Commons ChamberThe scientific advice is that the people who are closer together are more likely to spread the virus and that, later at night, social distancing becomes harder. We have all seen the pictures of people leaving pubs at 10 o’clock, but otherwise they would be inside the establishments, and we all know that outside is safer, or they would be leaving later. Of course we keep this under review and of course we are constantly looking at how we can improve these policies, but I think that we have to look at both sides of the evidence to try to get this right.
People will only believe that the 10 pm curfew is the least bad option if they understand the basis on which the decision was taken. The figures for the number of infections linked to hospitality range from the 3% that Public Health England has put for outbreaks, up to nearly a quarter that the deputy chief medical officer has suggested. Will my right hon. Friend make sure that the evidence as to how many transmissions are linked to pubs and hospitality based on test and trace data is available, so that people can reach their own conclusions?
Yes, and the updated evidence that we are publishing today shows that the just under a quarter figure is correct. It is the highest single identified area. The figures on outbreaks, which were also mentioned by the hon. Member for St Albans (Daisy Cooper), are measuring something completely different and are not a measure of how many cases are caught there. The 25% figure is, of course, for those who catch it outside the household. The single biggest place we can catch coronavirus is from somebody else inside your own household, but that is, in a sense, inevitable and very, very difficult to prevent.
(5 years, 6 months ago)
Commons ChamberAcross the country, the average distance people have to travel is 6.4 miles. It is really important that the messages from all those who are responsible public servants and those who have strong public voices, as the hon. Member does, in South Shields, across South Tyneside, in the north-east and, indeed, across the country—and it is incumbent on us all to repeat these critical public health messages—are, “If you have symptoms, get a test, but if you are not eligible, then please don’t use up the tests that are needed for other people.”
Youth organisations, such as scouting and guiding, and sports training clubs are vital for the social development of young people in Dudley South. Will my right hon. Friend do everything he can to make sure that such youth organisations and sports coaching can continue for as long as it is safe to do so?
Yes. My hon. Friend, who speaks so clearly for his constituents and for the young people who enjoy those facilities, will I am sure be pleased to know that youth groups are exempt from the rule of six, because they have their own covid-secure guidelines, in the same way that schools do and in the same way that organised sport is exempt.
(5 years, 8 months ago)
Commons ChamberOn the contrary, NHS labs have done an incredibly important job. We have expanded the NHS labs enormously and we have brought in the drive-through centres. This is a massive team effort, and trust among the team is an incredibly important part of getting this right. The hon. Member is absolutely right about concatenating the time taken from the suspicion of someone having covid through not only to getting the test and the result—those times are all coming down—but to the action being taken based on the result, whether that is isolating the contacts of the individual or taking wider action if it is part of a cluster or there are indications that there might have been an outbreak. I entirely agree with the premise of that part of her question. That is a huge and important piece of the work of NHS Test and Trace at the moment. As for the second part of her question, all I would say is that we are doing everything we can to bring the system together, with the support of all those involved.
Most covid deaths in hospitals are now understood to be due to sepsis as a complication. In the light of the former CMO’s concerns about increased antibiotic use during the pandemic, can my right hon. Friend reassure me, first, that the data on covid-90 are granular enough to identify the mode of death of patients in hospitals and, secondly, that the Government will support the NHS if it is challenged when making prescribing decisions in these unimaginably difficult times?
My hon. Friend asks an important medical question, and we know that he has a deep personal interest in sepsis. All I can say is that we are constantly learning all the time. I will not try to answer the clinical part of his question—I will leave that to more qualified clinical and medical colleagues—but it is an incredibly important question, and my view is that as much data as possible should be available for research. I have put in place the regulations—and, indeed, a direction —necessary to allow for the research to be done in a much more effective way than was available in the past.
(6 years ago)
Commons ChamberThis is an important consideration. I discuss it regularly with the Education Secretary and the Minister for School Standards. We are keeping the matter under review. Obviously, in the best possible world, we would want all exams to go ahead as always, but we also must keep people safe.
I pay tribute to the amazing work of NHS staff, who are working to support patients who have contracted covid-19, and to prevent others from catching it. What can be done to minimise the risk to those amazing NHS workers?
This is a really important part of our work. We are rolling out personal protective equipment to all primary care settings and GPs by the end of this week—we are on track to do that—and making sure that everybody in community settings in the NHS gets support. This will be a tough time for people who work in the NHS. The demands on them will be significant. Nurses, doctors and all the staff in the NHS do an extraordinary job all the time, but they will be called to be the frontline of our response in a way that many have not seen before. I thank them in advance—I think the whole House would want to do so—for the service that they will give.
(6 years, 1 month ago)
Commons ChamberThis day is about the victims of Paterson and the women he treated, and I do not want to detract from that by going down another road and talking about another inquiry. My hon. Friend is right: often women are those most affected by these issues, which is why I spoke about the importance of consent. We as a Department must consider how such consent is gained, and I think the Cumberlege report, which we are expecting to come to Parliament soon, will help with that.
No amount of money can repair the suffering of Paterson’s patients and their families, but an inability to pay for treatment or support that might mitigate that suffering can make an already horrific situation even more difficult. Will the Minister look at the adequacy of medical indemnity cover for healthcare professionals, whether they work in the NHS or in the private sector?
The Government are currently undertaking a review of the clinical negligence indemnity cover market, to determine whether wider regulation is an appropriate means of addressing concerns in the market. As part of that they are consulting on the viability of introducing professional or financial regulation, or a combination of both.
(6 years, 2 months ago)
Commons ChamberI can tell the hon. Lady that since the election I have been working on precisely that. I am very happy to meet her to see whether we can make a breakthrough.
Increasing microbial resistance could have a devastating effect on the survival of people with sepsis. How will the medicines and medical devices Bill help to support new treatments to reduce antimicrobial resistance and support alternative ways of tackling infection?
The medicines and medical devices Bill is designed to make it easier for hospitals to take part in trials of cutting edge medicines, including personalised medicines, and allow us to be a part of an internationally competitive licensing and regulatory regime. This is all to improve patient safety right across the board. It is not condition-specific; it is right across the board.
Fourth is patient safety reform. Here, I want to pay tribute to my predecessor, my right hon. Friend the Member for South West Surrey (Jeremy Hunt), for his work on patient safety. The Health Service Safety Investigations Bill was introduced in the House of Lords in the previous Parliament to improve patient safety and create a learning culture across the NHS. We will bring forward those proposals.
(6 years, 5 months ago)
Commons ChamberI suppose I should probably have declared an interest in this issue, because I am severely asthmatic and I do not get free prescriptions, but then again I do not think I should. There is a prescription exemption system designed specifically to assist people who are most likely to need support in paying for prescriptions: people on low incomes or in full-time education; the over-60s; people living with many long-term conditions; and people with an increased risk of illness, such as pregnant women. That is why 89% of prescriptions are dispensed without charge.
Cancer survival rates are, thankfully, at a record high. Last year, the NHS carried out 53 million diagnostic tests, which is 53% higher than the number carried out in 2010, but we need to do more. Our aim is to diagnose three quarters of all cancers early, so that 55,000 more people each year survive cancer for another five years. To achieve that, we are radically overhauling screening programmes to improve access and uptake, investing £200 million in diagnostic equipment and accelerating the adoption of the most innovative cancer treatments.
(6 years, 5 months ago)
Commons ChamberLike Members on both sides of the House, my family and I rely on our national health service, and it has always been there when we needed it most. It was there when my two children were born in local hospitals, caring for them when they were at their most vulnerable and looking after my wife through complications and immediately after their births. Then, at the start of 2017, the NHS was there for me when I unexpectedly became ill very quickly and developed severe septic shock.
Sepsis is a nasty condition. It is fast, devastating and indiscriminate. It affects people irrespective of wealth, gender, or age. In my case, I came back to Parliament after the Christmas recess with a cold, an experience with which most Members will be familiar, and the cold developed into a sore throat. Within days, I was at Russells Hall Hospital A&E and then in intensive care. Within a few hours, I was in an induced coma, where I would remain for the next 11 days.
I received incredible treatment and care from our national health service, from doctors, from nurses, from ancillary staff, from every single member of team, and I will always owe them everything. I was also incredibly lucky. At one point when I was unconscious, the doctors had called in my parents to explain that I probably had about a 10% chance of waking up. Even with the incredible skills and dedication of the hospital staff, there was also a huge amount of luck involved in my pulling through.
Of course, not everyone is as lucky. Of the 250,000 cases of sepsis in the United Kingdom each year, at least 52,000 people lose their lives—a little more than are killed by breast cancer, bowel cancer and prostate cancer combined. It amounts to about 80 deaths in each of our constituencies. Indeed, 13 people somewhere in the United Kingdom have probably lost their lives to sepsis since the start of this debate. Each year tens of thousands more people suffer permanent and life-changing after effects that may leave them with permanent disabilities or health conditions.
A report presented to the European Society of Intensive Care Medicine last year found that sepsis mortality rates in Britain had not fallen as quickly as those in some other countries between 1985 and 2015, and there are many possible contributory factors. Some of it may be down to genuine differences in how sepsis is diagnosed and how causes of death recorded in the United Kingdom. On top of the roll-out of the second generation of the national early warning score system, I urge the Minister to consider a national registry to measure the extent of sepsis so that we can properly rate how effective we are in tackling the causes. Some of the differences may also be down to some clinicians being slow to follow the new systems and procedures. We have seen that in my local hospital, where I was treated so well, because CQC reports have made it clear that cultural resistance to change has been a problem, so we need better commissioning levers to incentivise best practice.
I am delighted to see measures in this Queen’s Speech that will we hope address one of the big causes of avoidable deaths: human error. The Health Service Safety Investigations Bill will help to discover the truth rather than to apportion blame. It will provide for the world’s first independent body that will investigate patient safety concerns to ensure that we do not have repeated mistakes that can cause further unnecessary deaths.
(6 years, 8 months ago)
Commons ChamberUrgent Questions are proposed each morning by backbench MPs, and up to two may be selected each day by the Speaker. Chosen Urgent Questions are announced 30 minutes before Parliament sits each day.
Each Urgent Question requires a Government Minister to give a response on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
We are determined to improve treatments for people living with rare diseases. As the hon. Gentleman pointed out, they have to be treated differently because fewer people are affected by them. We have the rare diseases strategy, and we are trying to use genomics better to diagnose and treat diseases. We are trying to be the first health service to put genomics into day-to-day health delivery, which will enable us to diagnose and treat diseases such as Batten more quickly. We have care co-ordinators for patients with rare diseases and we are trying to ensure that those who live to adulthood are cared for better, but what the hon. Gentleman said about having an international approach is valid.
The Minister rightly speaks about NICE’s important role in eliminating postcode lotteries. Does she agree that NICE’s independence is vital to ensuring availability to patients once an agreement is reached with BioMarin, wherever those patients are from, whether Penwortham in her constituency or Pensnett in mine?
(6 years, 11 months ago)
Commons ChamberI will certainly consider it and I look forward to talking to the hon. Gentleman about the idea more next week. Dialogue in this area is critical, but we should not only have dialogue; we also need concrete legislative action, but I am grateful for what he has said about the work that has been done. I am glad that he is also working in this area, and I look forward to discussing it with him more.
Three million of the four million videos taken down by YouTube in the last six months were identified and removed by artificial intelligence. What greater role does the Secretary of State see for technological development in helping to reduce online harm and keep people safe online?
Artificial intelligence clearly has a role in identifying material that needs to be removed in the same way that it is now being used to remove terrorist content. We are talking to companies that may be able to do this, but we also need to identify what material should be taken down and what should be left up. Defining that boundary is critical to training artificial intelligence to do its job, hence the importance of the decision to ask the Samaritans to do the work of identifying the boundary so that we can train artificial intelligence to identify what needs to be taken down.