Covid-19 Vaccine Update

Munira Wilson Excerpts

Thursday 4th February 2021 Commons Chamber

[Nadhim Zahawi]

I am grateful for my hon. Friend’s question. I certainly join her in thanking the teams that have been working and delivering in North Lincolnshire. These are extraordinary people doing really incredible work, and I want to thank them from the bottom of my heart.

We try as hard as we can in the team to make sure we give as much notice as possible to local teams about when they are getting their delivery. This week, yesterday—Wednesday—everyone would have had notice of their deliveries for next week. We want to give as much notice as possible. Our limiting factor remains vaccine supply. It is becoming more stable, and we have greater visibility of vaccines all the way through to March, hence our confidence about meeting our targets. I can reassure my hon. Friend that her local teams will get the vaccines they need to meet the mid-February target of vaccinating the top four cohorts and protecting them before that date.

[Munira Wilson (Twickenham) (LD) [V]]

It was an immense privilege this morning to visit the Stoop in Twickenham, home to Harlequins rugby, which opens today as a local mass vaccination hub. The NHS, Quins and the council have done an incredible job to be in a position to start vaccinating 500 people a day.

The Minister has spoken quite a lot about care home staff and some of the challenges in driving uptake among those staff, but we know that domiciliary care staff are also lagging behind in the vaccination rates. One industry survey has suggested that only 32% have been vaccinated so far. Could I press the Minister again: what are the latest vaccination rates for both care home staff and home care staff, what are the reasons for this lag and how can we best work together to address this problem?

[Nadhim Zahawi]

I am grateful for the hon. Lady’s question. It is great to hear about the Harlequins joining the fight, as they always do, when it comes to the United Kingdom actually getting people protected and vaccinated.

Care home and domiciliary staff are both on our priority list, as the hon. Lady knows. We are working with local government, and David Pearson, who is of course a champion of the social care sector, has been working with local government to identify them. The best way to identify domiciliary staff is through local government, because a lot of people will be with agencies and, as the hon. Lady quite rightly pointed out, are hard to reach. They are in our target: they are part of the top four categories, with those who are caring for the elderly in residential care homes, and we will meet our target of offering them a vaccine by mid-February.

Covid-19 Update

Munira Wilson Excerpts

Tuesday 2nd February 2021 Commons Chamber

[Matt Hancock]

Yes, of course.

[Munira Wilson (Twickenham) (LD) [V]]

With the Prince’s Trust reporting a record high of more than half of young people often feeling anxious, and some A&Es reporting daily seeing children coming in after self-harming or overdosing, it is clear that the pandemic is taking an enormous toll on children and young people’s mental health and wellbeing due to school closures, family pressures, social isolation, and bereavement. Will the Secretary of State commit today, in children’s mental health week, urgently to form a cross-departmental plan for tackling the impact of the pandemic on the mental health of children and young people?

[Matt Hancock]

We have put a significant amount of extra funding into supporting children’s mental health alongside adult mental health. We know that one of the consequences of the lockdown, which is absolutely necessary, is that it puts significant pressure on mental health services. We have seen the increased burden on those services, and it is very important that people get the support they need.

Covid Security at UK Borders

Munira Wilson Excerpts

Monday 1st February 2021 Commons Chamber

[Munira Wilson (Twickenham) (LD) [V]]

I welcome the recent announcements by the Home Secretary to implement additional public health measures at our borders, as recommended to the Government by the all-party parliamentary group on coronavirus, which is chaired by my hon. Friend the Member for Oxford West and Abingdon (Layla Moran), and of which I am a member. However, the Government’s announcement last week was, as we have seen time and again throughout this pandemic, too little, too late. It did not go far enough. The APPG recommends that quarantining at regulated locations should apply to arrivals from all countries, and that testing should be done on arrival at the airport and subsequently. Such measures have proved successful for countries such as Taiwan, South Korea, Australia and New Zealand—just compare their case and death rates with those of the UK.

On arrival at the airport, the myriad private options for testing are confusing and the rules are perverse. Just this weekend, I received an email from a Whitton resident who had chosen not to participate in the test to release scheme, because of the prohibitive costs of a private test, and to self-isolate at home for 10 days instead. She was subsequently offered an NHS test as part of a research programme, yet was told that an NHS test delivering a negative result would still require the full 10-day isolation but that exactly the same test provided privately, at great expense, on day five would result in immediate release if negative. I would be grateful if the Minister would comment on whether that policy is based on scientific or medical advice.

Although the NHS should be praised for making excellent progress with the vaccination programme roll-out, without much firmer controls at our borders it is like having the heating on with the windows open. Today’s announcement is testament to that, and the costs and sacrifices of lockdown are immense, so let us not squander those gains. We will be able to emerge safely from lockdown only with a combination of tougher controls at our borders, a functioning test, trace and isolate system, and vaccination.

Having a constituency so close to Heathrow, I must make a few remarks on support for the aviation sector, which needs to come with clear environmental conditions. Many of my constituents work in the aviation and travel sectors, and have lost their jobs or been at risk of losing their jobs under draconian fire and rehire schemes, which ought to be outlawed, but which the Government have refused to take action on. The airport and ground operations scheme provides limited welcome relief but does not go far enough and was finally implemented only last week. It is clear that the aviation sector will probably never fully recover, and even then it will take a long time to partially recover. A sector-specific package is needed, with strong green environmental strings attached, alongside a comprehensive programme of retraining and reskilling, and investment in green transport and infrastructure.

Vaccine Roll-out

Munira Wilson Excerpts

Thursday 21st January 2021 Commons Chamber

[Matt Hancock]

I can answer my hon. Friend’s question: we will offer vaccination to everybody in the top four categories—the over-70s, the clinically extremely vulnerable and health and social care workers, including the residents in older people’s care homes—by 15 February. I am sure that my hon. Friend, like me and like many of us in this House, gets asked by constituents all the time, “When will the call come for me?” The answer is that we are working through that list and we will reach all those groups with an offer to be vaccinated on or before 15 February.

The exact order within that queue is for a local area to decide, and sometimes people might get invited to two different methods of vaccination, such as at one of the big sites and by their local GP, and for people who are housebound there are roving teams led by the local primary care networks to get out and vaccinate them. So the offer will come, and people should be assured that while, as of today, around two thirds of all over-80s have been vaccinated—which is very, very good progress—that means there is a third still to go, and we will get to everyone and make sure everyone gets that offer to be vaccinated by 15 Feb.

[Munira Wilson (Twickenham) (LD) [V]]

Given the concerning data coming out of Israel regarding the efficacy of the first Pfizer dose, which may be quite a lot lower than first expected, are the Government planning to review their policy of delaying the second Pfizer dose by 12 weeks, and, specifically, will the Secretary of State consider giving healthcare workers, who are being exposed to the highest viral loads, an early second dose so that they get maximum protection, because that is as important as personal protective equipment?

[Matt Hancock]

I am glad to say that I can reassure the hon. Lady that, having looked into the data that underpins the article in The Guardian that I think she is referring to, it supports the data on which we have been basing our decision to move to a 12-week dosing schedule—12 weeks from the first to the second dose. The Government chief scientific adviser was asked about this by the media yesterday and explained clearly why we were able to make that decision, because around 89% efficacy comes from between days 14 and 21 after the first dose. Of course we are looking at this data, and we are in fact measuring the efficacy here at home by matching the data between those who have been vaccinated and those who test positive. We are monitoring that and will publish that data as soon as it is clinically valid. This is an important question, but I am glad to be able to reassure the hon. Lady that the headlines that she read in The Guardian are not quite right.

Mental Health Act Reform

Munira Wilson Excerpts

Wednesday 13th January 2021 Commons Chamber

[Matt Hancock]

Absolutely. I want to see more people cared for in appropriate settings, which will often be in the community. My right hon. Friend set the target, as Health Secretary, to reduce the number of people with autism and/or learning disabilities in secure in-patient care. The 2,000 figure that he cites is a significant reduction, I am glad to say, from when he set that target and set that work in train—almost half. I want that number to continue to fall.

Of course, where there is a criminal justice element or restriction, that can be more difficult. However, we must make sure that the treatment and setting are appropriate for each and every person. Very often, a mental health setting is not appropriate for somebody with learning disabilities or somebody with autism, for whom it can in fact be the opposite of appropriate; it could be the worst place.

My right hon. Friend will know, as the Chair of the Select Committee, that the Care Quality Commission has in fact closed a number of settings during the pandemic, and we must make sure that we build more capacity. We have the budget in the spending review to do that and some of that building work is under way. There is a huge programme of work on the physical estate side and on training staff, as the hon. Member for Tooting (Dr Allin-Khan) mentioned, as part of the legislative change. No one element of that transformation works without all the others.

[Munira Wilson (Twickenham) (LD) [V]]

I welcome the Secretary of State’s statement and the publication of the long-overdue White Paper. As has already been alluded to, the increased level of safeguards and a commitment to improving the quality of in-patient care will require a significant recruitment drive for mental health services. Recent forecasts suggest, for instance, that only 71 additional consultant psychiatrists will be added to the NHS workforce by 2023-24 against a requirement of more than 1,000 to deliver the long-term plan. What measures will he take to address the additional workforce requirements of reforming the Mental Health Act?

[Matt Hancock]

That is a very important question. I do not recognise that 71 figure; I will look into it and write to the hon. Lady with my full understanding of the situation, having consulted with Health Education England. The short answer to her question is that we are hiring psychiatrists and mental health nurses, who play such a critical role.

Oral Answers to Questions

Munira Wilson Excerpts

Tuesday 12th January 2021 Commons Chamber

[Robbie Moore (Keighley) (Con)]

What progress his Department has made on rolling out covid-19 vaccines.

[Munira Wilson (Twickenham) (LD)]

What progress his Department has made in rolling out covid-19 vaccinations.

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

I am proud that the NHS began vaccinating patients against covid-19 on 8 December, at the start of the biggest immunisation programme in British history. I am delighted to tell the House that more than 2.3 million people in the UK have now received the first dose of their covid-19 vaccine. Over the coming weeks and months, the rate of vaccination will increase as more doses become available and the vaccination programme continues to expand.

--- Later in debate ---

[Matt Hancock]

I will absolutely look at those two suggestions. I also remind my hon. Friend, all of his constituents and all those across the Bradford district that, yes, there are the large-scale vaccination centres, but there is also the primary care-based delivery, which is happening right across the country.

[Munira Wilson [V]]

It has been reported that Pinnacle, the IT system being used to organise the vaccinations, is already struggling to cope with heavy usage. My local GP vaccination hub, which I visited on Friday, reported that it was being slow, and there have also been worrying reports about very elderly people having to queue for a long time outdoors while staff try to get the IT system working. Will the Secretary of State please confirm what action the Department is taking to ensure that the systems work more efficiently, and will be able to cope as the number of vaccination sites grows?

[Matt Hancock]

Clearly, the IT underpinnings of this project are critical. The Pinnacle system is working well, but we are constantly monitoring it to make sure that it supports the roll-out of the vaccine.

Covid-19: Vaccinations

Munira Wilson Excerpts

Monday 11th January 2021 Commons Chamber

[Nadhim Zahawi]

My hon. Friend’s constituents will be contacted, either by their primary care network or by letter from the national booking service. They do not have to go to the national vaccination centre if that is inconvenient; they will be able to get their vaccination through their primary care network or the hospital hubs. I am very happy to take those particular two cases offline, look into them and give him some more details.

[Munira Wilson (Twickenham) (LD)]

I would like to dig a bit deeper into the supply question. I had the privilege of visiting a GP surgery in my constituency on Friday, where I was told by the doctor in charge that they cannot book the next set of appointments because they do not know when they will get the next delivery of the vaccine. I have heard from other centres that they are not allowed to move on to the next cohort when they finish the under-80s, in order to ensure that there is equity across the country. The Minister has said that we cannot have 24/7 vaccinations because of supply. Is the supply issue the rate at which the product is being manufactured, the rate at which it is being packaged, the rate at which it is being batch tested, or the rate at which it is being distributed around the country?

[Nadhim Zahawi]

The hon. Lady asks an important question. In any manufacturing process—especially a new one—it is always lumpier at the beginning, and there are more challenges. There are a number of tests done by both the manufacturer and the regulator; the batch testing at the end of the process is done by the regulator, to make sure that the batches meet the very high standards that we have in the United Kingdom. That will begin to become much smoother and stabilise, and we have a clear line of sight through to the end of February, hence why we are confident that we can meet the target of offering a vaccine to the top four most vulnerable cohorts on the list of nine from the JCVI by the middle of February.

We thank the hon. Lady’s local GPs, but it is important for them to remember that the central team that is doing the distribution is running at about 98.5% accuracy at the moment, which means that 1.5% of deliveries are not as we would like them to be. We will get better at that. As Brigadier Prosser said, this is like standing up a supermarket chain in a month and then growing it by 20% every couple of weeks. It will get better. The focus of the central team is to try to give primary care networks —GPs like hers—as much time and notice as possible, so that they can plan ahead and get the four cohorts in for their jabs. It is always difficult at the outset, but it gets better by the day and will do in the weeks ahead.

Covid-19 Vaccination Roll-out

Munira Wilson Excerpts

Monday 11th January 2021 Westminster Hall

[Munira Wilson (Twickenham) (LD)]

It is a pleasure to serve under your chairmanship, Sir David.

I very much welcome this debate, and I am grateful to my many constituents for signing the petition—I believe Twickenham was about 13th on the list of signatories. Like many other Members, I have received many emails from school staff and early years staff urging me to participate in this debate and to press for the prioritisation of those staff.

One thing that strikes me is that a number of the staff—I very much agree with them—said that they accept that health and care workers, absolutely, and the most vulnerable, so those who are very old and at highest risk, should be front of the queue. Generally, I do not think that the discussion is around those top four priority groups. There is probably more of a discussion to be had on some of the lower groups. The JCVI has said that, after all its priority groups, it is a matter of policy as to whether other groups, such as teaching staff, are prioritised.

The Liberal Democrats have proposed that teaching staff should perhaps be in group 7, but that is up for discussion. Indeed, if we look at some of the data on the lowest priority group according to the JCVI, the 50 to 55-year-olds, they are at very little higher risk compared with the rest of the general population. I would contend that there is a policy discussion to be had on some of those lower groups that the JCVI put forward, and on whether teaching staff and early years staff should go in there.

I must declare an interest as the mother of a two-year-old and a six-year-old. I am utterly delighted that childcare settings are open: my two-year-old is a handful, and my husband could not home-school our six-year-old daughter if my son was at home, so I am very grateful to the staff in early years settings who put themselves at risk day to day.

I appreciate that vaccinating early years staff and teaching staff will not necessarily prevent the spread of disease, because we do not yet have the data to show that; it will merely give them protection, but that is important. We are all united, across the House, in that we want to see schools return as soon as possible. The most disadvantaged are being hurt, and that is not just the very poorest on free school meals. Over the Christmas holidays, I had a conversation with a mother of three who does not qualify for free school meals, but is just above that line—just about managing. She could not afford devices for her kids in the first lockdown, so she was having to borrow to be able to home-school them—it really is hurting the most vulnerable, because the devices for home schooling are not out there as widely as they should be. It is also having an impact on children’s and young people’s mental health, a subject that I am passionate about and that has already been raised today. Before the pandemic, one young person in 10 had a diagnosable mental health condition; that figure has already risen to one in eight.

I particularly want to shout out for special educational needs and disabilities. By definition, those settings have to remain open, because they have the most vulnerable children. I have had a number of representations from staff and governors in SEND schools in my constituency; one member of staff from Clarendon Primary Centre in Hampton pointed out that, like in early years and some of the younger primary settings, pupils with special educational needs and disabilities struggle to socially distance. The staff provide personal care, including changing, to a wide age range. Some pupils spit and bite; most pupils cannot tolerate the invasive nature of a lateral flow or PCR test. His school has over 60% attendance and his class has 80%—he says, “We are fully open.” More than 50% of pupils in that school are free school meal or pupil premium kids.

It is quite clear that in such settings additional protection for teachers and other school staff is very much warranted, so I urge the Minister to revisit some of the lower-level groups on the JCVI priority list. As I tried to allude to in the main Chamber earlier, there is a desire to have a 24/7 vaccination programme as and when supply allows. The workforce is there to deliver it, so why cannot we include teachers and early years staff?

Our children and young people are really suffering in this pandemic. We owe it to them—and to the people who are taking care of them and helping them to develop into young adults—to protect them as best we can.

Public Health

Munira Wilson Excerpts

Wednesday 6th January 2021 Commons Chamber

[Munira Wilson (Twickenham) (LD) [V]]

So here we are again: another month, another late lockdown, and all the harm that lockdown brings with it—lost learning, lost livelihoods and loneliness. Yet once again, this drastic and painful action has tragically become our only option, given the alarming rate at which the virus is tearing through our country and the immense pressure on the NHS.

A clear exit strategy from lockdown, to which vaccines are central, is critical so my Liberal Democrat colleagues and I reiterate once again our request to Ministers to publish a clear plan as to how they will meet their initial target of vaccinating the most vulnerable, but also all adults beyond that. This plan needs to involve not just the NHS, but the military, the private sector, the voluntary sector, local government and community pharmacies, whether they are big chains or independents. We need a 24/7 vaccination programme brought to every high street in the country, so that those who are in hard-to-reach groups or those who find the hubs hard to reach can access these life-saving jabs. If the Prime Minister is serious when he says that every needle in every arm makes a difference, why is a physiotherapist in my constituency who has completed all the paperwork and training yet to be called upon? We cannot afford to lose a single day.

Alongside vaccination, we have to continue finding, testing, tracing and isolating every case, and, importantly, supporting every individual with the virus and their contacts. Although we will be better protected from serious illness through vaccination, we must stop transmission, not least given the emergence of ever more variants. That is why it is utterly astonishing that none of the announcements in recent days has mentioned test, trace, isolate. Have Ministers given up on this vital and basic public health tool? People need to be paid to stay at home for 10 days if they have been told to self-isolate, and that is on full pay—not sick pay and not £500 after lots of red tape. It is far cheaper than endless lockdowns. It must come with practical support too.

Finally, compliance and trust is built through transparent communication. What are we all working towards? In particular, what do the numbers need to look like before Ministers will reopen schools? We must not underestimate the impact on children’s learning and wellbeing, and the pressures and stresses that parents, who feel like they have been constantly forgotten about, are under. That is why a robust exit strategy is key, and it is about much more than just vaccination. We cannot keep blaming mutants and variants, we cannot keep blaming the public, and we cannot afford any more deadly delays and incompetence. Responsibility lies squarely at the Government’s door to deliver an efficient vaccination plan, to improve test, trace and isolate, and to communicate openly with the public.

Covid-19 Update

Munira Wilson Excerpts

Wednesday 30th December 2020 Commons Chamber

[Matt Hancock]

Yes, I strongly agree with my hon. Friend, who speaks very powerfully about the need for proper, authorised information about these vaccines, which save lives. We have been very careful to ensure that the independent regulator makes the decision on how these vaccines should be deployed, and indeed whether they should be deployed, and it is confident in their safety and their efficacy. It is that information, and all the information that is set out by the NHS, that people should look to if they have questions—if they want to know how and why the vaccine works, and who it should be used for. I pay tribute to all those who work in the hospitals of Gloucestershire. It is hard work at the moment in the NHS. Rates of coronavirus in Gloucestershire have really shot up over just the past two or three weeks, and unfortunately that is why we have had to take the action that we have on restrictions. I want to thank all of the NHS for doing all the work that it has been doing over Christmas and will have to do over the weeks ahead.

[Munira Wilson (Twickenham) (LD) [V]]

I, too, welcome the fantastic news about the Oxford AstraZeneca vaccine and congratulate all those involved.

I found it frankly shocking that the Secretary of State’s statement made barely any reference to the immense pressures our hospitals are facing on the ground and what the plan is to help them with this situation. Major incidents have been declared in Essex and London. Ambulances are queuing outside hospitals and intensive care unit patients are being transferred across the country. The Nightingale hospitals were meant to be the insurance policy, but we hear that only 28 covid patients are in the Nightingale hospitals across England. If now is not the time to use the Nightingales, when is? If there are insufficient staff, why on earth did the Secretary of State spend £220 million on building the Nightingales? What is the back-up plan?