Covid-19

Munira Wilson Excerpts

Monday 22nd February 2021 Commons Chamber

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

I have just been prompted by my husband to tell the hon. Member for Windsor (Adam Afriyie) that it is not just mums, but dads who are delighted to have schools reopening—my husband has been home-schooling our daughter for many weeks.

Our children and young people have too often been forgotten about during this pandemic. They have been cast aside and, until today, put low on the priority list, so I very much welcome the Prime Minister’s commitment today to reopen schools on 8 March to those who are not currently allowed to attend. Clearly, children’s education is critically important, but so is their mental health and wellbeing. We cannot underestimate the toll the pandemic has taken on our children and young people. They have had face-to-face learning curtailed, time playing and socialising with friends banned, sporting and other recreational activities banned, and exams on and then off, all the while with ongoing uncertainty about what assessment will entail.

The Prince’s Trust says that more than half of young people are anxious. We know that one in six children aged five to 15 now suffers from a probable mental health condition. One in four has self-harmed over the past year and the pressure on child and adolescent mental health services beds is being described by health officials as being at crisis point. So while the Government’s £1 billion catch-up fund to help tackle the impact of lost teaching time is very welcome, any academic catch-up will be undermined by poor mental health.

Although schools have flexibility in spending the catch-up premium, Government guidance heavily emphasises academic catch-up. Early evidence suggests that while some schools are using a small proportion of the funding on additional wellbeing and mental health support, it is overwhelmingly being used to support academic catch-up. That is why I am calling on the Government today to invest in a ring-fenced resilience fund, as recommended by YoungMinds. This £20 per pupil fund will ensure the value of the academic catch-up fund is fully realised and prevent vulnerable young people from being left behind. The additional funds would allow schools to develop bespoke mental health packages for their pupils, such as counselling, digital support, staff wellbeing, peer support programmes and access to extracurricular activities in a covid-safe way. No two schools are the same. Each face their own challenges and know their children best, so the resilience fund must be flexible to allow schools to provide support that meets their own needs.

Last week, the Children’s Commissioner said in her final speech:

“I want to see the Prime Minister getting passionate about making sure that we don’t define children by what’s happened during this year, but we define ourselves by what we offer to them.”

I urge the Minister today, if the Government are really serious about putting children first, they should offer our children and young people a holistic package of support that is not just focused on their academic needs, but puts their wellbeing at its heart.

Future of Health and Care

Munira Wilson Excerpts

Thursday 11th February 2021 Commons Chamber

[Matt Hancock]

Yes. There are measures in this White Paper that precisely pick up the work of the prevention Green Paper that my hon. Friend did so much to shape when he was in the Department with me. In fact, many of the proposals in the White Paper are built from conversations that he and I shared. I want to put on the record my gratitude for the work that he did in shaping this agenda, because ultimately a population health agenda is an agenda about the prevention of ill health. Of course we must—and we will—treat those who become ill, but it is far better for everybody to support people to take a shared responsibility, including their own personal responsibility to stay healthy in the first place. The population health agenda that will be at the heart of the integrated care systems is ultimately a preventive agenda, and one that I am very glad to hear that he supports so wholeheartedly.

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

On this day eight years ago, the Government announced and then legislated for a new funding model for social care, which the Tories then scrapped two years later. Eight years on, we have yet another NHS reform announcement, but only yet another promise to reform social care. With 25,000 care home deaths during the pandemic, what will it take for the Prime Minister to make good on his promise to fix social care, and when will the Secretary of State start the long-promised cross-party talks to find a solution?

[Matt Hancock]

On the contrary—this White Paper covers health and care. It covers the integration of the NHS and social care at a local level. Of course there is further work on funding, as we have committed to in our manifesto, but the integration of those services, which has been so important during the pandemic, is one of the critical pieces of the forthcoming health and care Bill.

Covid-19 Update

Munira Wilson Excerpts

Tuesday 9th February 2021 Commons Chamber

[Matt Hancock]

On the first point—the point of clarity—my hon. Friend has stated the position exactly correctly. On the second, we want of course to be able to exit from these arrangements into a system of safe international travel as soon as practicable and as soon as is safe, and Professor Van-Tam last night set out some of the details that we need to see in the effectiveness of the current vaccines on the variants of concern in order to have that assurance. If that is not forthcoming, we will need to vaccinate with a further booster jab in the autumn, on which we are working with the vaccine industry.

These are the uncertainties within which we are operating. Hence, for now, my judgment is that the package that we have announced today is the right one.

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

Many of us have been urging the Government for about 12 months now to take stronger action at our borders, so the measures announced today are very welcome, but Ministers have been consistently slow on this issue. With the ONS estimating today that, tragically, covid deaths in the UK have now surpassed 125,000, how many of those deaths does the Secretary of State believe could have been prevented by imposing much stricter public health measures at our borders since last March?

[Matt Hancock]

We have had significant measures at the border throughout. The new, stronger measures are necessary because of the arrival around the world of new variants of concern at the same time as the vaccine roll-out is progressing successfully. We do not want the very successful vaccine roll-out to be undermined, so it is reasonable to take a precautionary approach to international travel now, while we assess the effectiveness of the vaccines. We are clear that they have some effectiveness; the question is to what degree. That is being tested right now.

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.