Health and Social Care
Nadhim Zahawi Excerpts(2 years, 9 months ago)
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Richard Drax (South Dorset) (Con) [V]
My hon. Friend said at the start of his statement that the disease was still here and that we were not out of the woods yet. The fact is that variants of covid-19 will be with us for many years to come. If we are truly to live with this virus, freedom day must mean what it says; the alternative is utter confusion, with hundreds of thousands of people having to isolate after being pinged by the NHS app. Here in Dorset, the police are beginning to struggle, because of the numbers who have to isolate. Will my hon. Friend tell me that the emergency services to which I think he referred include the police—that if they are double jabbed, they do not have to isolate—before enforcement of law and order becomes a real difficulty here in Dorset, I believe down in Devon and perhaps in other parts of the country?
Nadhim Zahawi
My hon. Friend is absolutely right that we take this step confidently but cautiously. I remind the House that this is probably the most infectious respiratory virus known to humankind, with aerosol transmission, so we need to ensure that we are careful as we head into step 4.
[Official Report, 19 July 2021, Vol. 699, c. 693.]
Letter of correction from the Minister for Covid Vaccine Deployment, the hon. Member for Stratford-on-Avon (Nadhim Zahawi).
An error has been identified in my response to my hon. Friend the Member for South Dorset (Richard Drax).
The correct response should have been:
Nadhim Zahawi
My hon. Friend is absolutely right that we take this step confidently but cautiously. I remind the House that this is probably one of the most infectious respiratory viruses known to humankind, with aerosol transmission, so we need to ensure that we are careful as we head into step 4.
Debbie Abrahams (Oldham East and Saddleworth) (Lab)
Many of my former public health colleagues are very concerned about lifting mitigations today in the context of escalating cases—50,000 currently—12 million people who have not been vaccinated and an NHS and care workforce who are frankly on their knees. What estimates have the Government made of the effect of extending the wearing of masks and other mitigations three weeks after 80% of the eligible population have been vaccinated on incidence of long covid, hospitalisations and deaths?
Nadhim Zahawi
The vaccination programme could in no way have delivered the extraordinary uptake without the backbone being NHS doctors, nurses and pharmacists, working with our armed forces, local government and the private sector to deliver it.
Nadhim Zahawi
And volunteers and the police. The hon. Member for Rhondda (Chris Bryant) reminds us all of the role that policemen and women played in ensuring that the vaccination roll-out worked well. The very clear guideline is that we should take both personal and corporate responsibility. It is great to see Transport for London, other transport systems and the M10 of metro Mayors, which I speak to regularly, taking that corporate responsibility. We all have our part to play, as we have done by coming together and vaccinating the country at scale. This is the most infectious respiratory disease that is aerosol-transmitted.
[Official Report, 19 July 2021, Vol. 699, c. 695.]
Letter of correction from the Minister for Covid Vaccine Deployment, the hon. Member for Stratford-on-Avon (Nadhim Zahawi).
An error has been identified in my response to the hon. Member for Oldham East and Saddleworth (Debbie Abrahams).
The correct response should have been:
Nadhim Zahawi
And volunteers and the police. The hon. Member for Rhondda (Chris Bryant) reminds us all of the role that policemen and women played in ensuring that the vaccination roll-out worked well. The very clear guideline is that we should take both personal and corporate responsibility. It is great to see Transport for London, other transport systems and the M10 of metro Mayors, which I speak to regularly, taking that corporate responsibility. We all have our part to play, as we have done by coming together and vaccinating the country at scale. This is one of the most infectious respiratory diseases that is aerosol-transmitted.
Covid-19 Update
Nadhim Zahawi Excerpts(2 years, 9 months ago)
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The Minister for Covid Vaccine Deployment (Nadhim Zahawi)
With permission, I would like to make a statement on the pandemic.
Today marks an important milestone in our fight against this virus as we take step 4 on our road map. It is a long-awaited moment for the businesses that can now open their doors at long last, the happy couples who can have weddings without curbs on numbers and, of course, the people who can see more of their loved ones in care homes. Although we have made huge advances in our race between the vaccine and the virus, we are not at the finish line yet. Instead, we are entering what I believe to be the next stage—a stage where we continue with caution while doing what it takes to manage the risk of this virus, which is still with us and still possesses a threat. Cases and hospitalisations have risen over the past week, as we predicted, and we know that these numbers will get worse before they get better. Although there is never a perfect time to take this step, making the move today gives us the best chance of success. We are cautiously easing restrictions when we have the natural firebreak of the school holidays and when the warmer weather gives us an advantage, so we will move forward with caution, drawing on the defences we have built, as we set out in our five-point plan two weeks ago.
One of these five defences is the protective wall provided by our vaccination programme, and I would like to start by updating the House on this life-saving work. Our vaccination programme has given us extra legs in our race against this virus. The protection it has built up in people across the United Kingdom means that the ratio between cases and hospitalisation is the lowest it has been during this pandemic. This reinforces the need to protect as many people as we can as quickly as we can, and we made a four-week delay to step 4 so that we could do exactly that, with 8 million more vaccinations in that period. We set the target of giving second doses to two thirds of United Kingdom adults by today, and we hit that target last week with five days to spare. We also pledged to offer a first dose of a vaccine to all adults, and we have met that target too. Now, almost 88% of adults have taken up that offer. Although uptake among 18 to 30-year-olds is much lower and needs to increase, we are in a good place.
Our work is not over yet. As we strive to reach the remaining adults who have not yet had a first or a second dose, we are already making our plans for the next stage, because we do not know how long immunity lasts. Because coronavirus mutates, just like flu, we must stay one step ahead of it, so we are drawing up plans for a potential booster programme, subject to the final advice from the Joint Committee on Vaccination and Immunisation, so that we can protect the most vulnerable ahead of winter.
We are also looking at extending our vaccination programme so we can protect even more people. We asked the JCVI to consider whether children and young adults should be given the offer of a vaccine, and that advice has been published today. Before I continue, allow me to apologise to you, Mr Speaker, for mistakenly referencing that on air this morning before setting out the details in full before the House. The JCVI considered not just the health impacts but the non-health impacts, as we asked it to do, such as how education is disrupted by outbreaks in schools. I reassure the House that the number of children and young people who have had severe outcomes from covid is extremely low: the hospitalisation rate during the second wave was between 100 and 400 for every million. When we look at the small numbers who were hospitalised, most had severe underlying health conditions.
Today’s advice recommends that we continue to vaccinate 16 and 17-year-olds who are in an at-risk group, as we do now. It also recommends expanding the offer of the vaccine to some younger children with underlying health conditions that put them at greater risk of covid-19. That includes children aged 12 to 15 with severe neuro disabilities, Down’s syndrome, immunosuppression and profound or multiple learning disabilities. The JCVI advice also recommends offering a vaccine to children and young people aged 12 to 17 who live with someone who is immunosuppressed. That means that we can indirectly protect the immunosuppressed, who are at higher risk of serious disease from covid-19 and may not generate a full immune response to vaccination. Finally, the JCVI advises that we should offer the vaccine to all 17-year-olds who are within three months of their 18th birthday so that they are protected as soon as they turn 18.
Together with Health Ministers in all parts of the United Kingdom, the Secretary of State has accepted that advice and has asked the NHS to put it into action as soon as possible. As we do that, we will be using the Pfizer-BioNTech vaccine, which is the only vaccine in the UK that has been clinically authorised for people between the ages of 12 and 17. I know that people will have questions about what it means for them and their children. I assure them that nobody needs to come forward at this stage. The NHS will get in touch with them at the right time and will ensure that the jabs are delivered in a setting that meets their complex needs.
We also asked the JCVI to consider rolling out vaccines to all children and young people over the age of 12. Although we are not taking that step today, the JCVI is keeping this matter under review and will be looking at more data as it becomes available, especially on children with a second dose of the Pfizer-BioNTech vaccine. The steps that we are taking today mean that we will be offering even more vulnerable people the protection that a vaccine brings, and we will all be safer as a result.
We know that vaccines are our most important defence against this virus. That is especially the case in adult social care settings, which are home to some of the most vulnerable people in our communities, who are vulnerable to a devastating impact from covid-19. Last week, the House passed regulations to make vaccination a condition of deployment in care homes, and the Lords will consider those regulations tomorrow. These regulations are designed to help maximise vaccine uptake and protect some of our most vulnerable citizens, yet I recognise the need for more detail on the Government’s analysis of their expected impact, so today we have published an impact statement, and we will be publishing a full impact assessment as soon as possible.
As we learn to live with covid, we must be pragmatic about how we manage the risks we face. Self-isolation of positive cases and their close contacts remains one of the most effective tools we have for reducing transmission. However, we recognise that there are some very specific circumstances where there would be a serious risk of harm to public welfare if people in critical roles, such as air traffic controllers or train signallers, are unable to go to their workplace. People in such roles who have received two vaccinations, and who are two weeks beyond the second vaccine, will not need to self-isolate to perform those critical tasks. However, they will have to continue to self-isolate at all other times. The people who are eligible for this will receive personalised letters setting out the steps they must follow. This is a sensible and pragmatic step, and one that will be used sparingly and responsibly.
We are being similarly pragmatic at our borders. As the Under-Secretary of State for Transport, my hon. Friend the Member for Witney (Robert Courts), has confirmed, UK residents arriving from amber-list countries who have been fully vaccinated will no longer have to quarantine, although they will still need to comply with necessary testing requirements. This will not apply to France, due to the persistent presence of cases of the beta variant, which was first identified in South Africa.
We are doing everything in our power to restore international travel, and to restore it safely, but new variants pose the greatest threat to our path out of this pandemic. We will not hesitate to act in a similar way with any other country. We will continue to keep a close eye on the data and to be firm and decisive in how we protect the progress we have made, but the enduring message is that getting vaccinated is the best way to ensure that people can travel as freely as possible.
Vaccination also holds the key to doing the things we love here at home. We are supporting the safe reopening of large, crowded settings such as nightclubs, as we saw last night, and music venues through the use of the NHS covid pass as a condition of entry to reduce the risks of transmission. I encourage businesses to draw on this support and to use the NHS covid pass in the weeks ahead. We will be keeping a close watch on how it is used by venues, and we reserve the right to mandate it, if necessary.
By the end of September, everyone aged 18 and over will have had the chance to receive full vaccination and the additional two weeks for that protection to take hold. At that point, we plan to make full vaccination a condition of entry to nightclubs and other venues where large crowds gather. Proof of a negative test will no longer be sufficient. Any decision will, of course, be subject to parliamentary scrutiny, and we will ensure there are appropriate exemptions for those who have genuine medical reasons for not getting vaccinated. I am clear that we will always look at the evidence available and do all we can to ensure that people can continue to do the things they love.
Our vaccination programme has put us on the road to recovery. We should all be proud of how this national effort is helping us to take steps towards a more normal life, but we must keep reinforcing the wall of protection—getting the jab, getting the second jab and getting the booster shot, for those who are asked to come forward. With such a deadly virus and the continued threat of new variants, our wall of protection must be more than just vaccines alone. We must continue to do all the other sensible things that we know can keep the virus at bay: getting tested, considering the advice and continuing to act with caution. Taken together, this will help us all enjoy these new experiences and safely slow the spread of this deadly virus. I commend this statement to the House.
Jonathan Ashworth (Leicester South) (Lab/Co-op)
I thank the Minister for advance sight of his statement.
Of course people have the right to protest against a lockdown that no longer exists, but will he join me in condemning the ugly scenes of harassment, thuggishness, throwing of objects, pushing and intimidation directed at police officers outside on Parliament Square earlier?
The Minister has said that a number of teenagers will be vaccinated. Can he tell us how many and by when? The Medicines and Healthcare Products Regulatory Agency has approved the Pfizer jab for all 12 to 18-year-olds. Indeed, countries such as the United States, Canada, Israel, France, Austria, Spain, Hong Kong and others have started vaccinating, or soon will be, 12 to 18-year-olds, so why are we not?
The Minister rightly said that the risk of death to children from covid is mercifully very low, but children can become very sick and they can develop long-term conditions and long covid. Indeed, according to the Office for National Statistics, 14.5% of children aged 12 to 16 have symptoms lasting longer than five weeks, so will he spell out in detail the clinical basis for why the JCVI has made this decision? Will he publish all its analysis and documents in the same way that the Scientific Advisory Group for Emergencies publishes its analysis—not just the advice—and can he guarantee that this decision was made on medical grounds and not on grounds of vaccine supply?
The Minister talked about infection among children being disruptive, and we know that infection among children is highly disruptive for learning—we have seen hundreds of thousands of children out of school. If we are not vaccinating all adolescents, can he tell us what the Government’s plan is for September, when children return to school? For example, will he consider using this summer to install air filtration units in every classroom or in every school?
Testing is already stretched, with turnaround times lengthening. Can the Minister guarantee that through the summer—and especially once contacts can be released from isolation on the back of a negative PCR test in August—and into September, when schools return, there will be sufficient PCR testing capacity to meet demand? As we move into autumn and winter, we anticipate more flu and respiratory viruses. Those are illnesses with symptoms that often overlap with covid, so will he also now invest in our testing capacity, so that alongside a covid test we can test for flu and respiratory syncytial virus this winter? We need multi-pathogen testing going forward.
Three weeks ago, the Health Secretary told us that unlocking would make us healthier, and he promised us that it would be irreversible, but today we have some of the highest infection case rates in the world, and the mayor from “Jaws” has decided to reopen the beaches, recklessly throwing off all the restrictions with no safety precautions in place, such as mandatory mask wearing. It risks reimposing new restrictions in the future, and it means that the NHS is facing a summer crisis. Already, admissions for covid are running at around 550 a day, and hospitals are cancelling cancer surgery. Liver transplant operations were cancelled in Birmingham last week.
Throwing off all restrictions like this will see thousands suffer serious long-term illness. The clinically vulnerable and scared are feeling shut out of society, and selection pressure could see a new variant emerging that evades the success of the vaccine programme, setting us back and snatching defeat from the jaws of victory. It is reckless, and it does not have our support.
More infections means more isolation. The NHS staff who will be released from isolation if double-jabbed will still want protection for themselves and their patients, so will the Minister ensure that the standard of masks worn in NHS settings is upgraded to the FFP3 requirement, as NHS staff have called for? What is his plan for keeping the economy and public services functioning throughout the summer as more and more people are asked to isolate?
We know that the Prime Minister’s and the Chancellor’s plan was to dodge isolation, so can the Minister tell us how this “random” clinical trial, which so helpfully selected the Prime Minister, the Chancellor and the Chancellor of the Duchy of Lancaster, was set up? Will he tell us what exactly happened between 8 am and 10.38 am on Sunday that persuaded the Prime Minister and the Chancellor to withdraw from this presumably valuable and random clinical study? Can he tell us how many other Ministers have participated in the trial? Did he participate? How many Government Departments and officials were involved, and why? If he cannot answer these questions sufficiently, our constituents will rightly conclude that it is one rule for Tory Ministers and another for the rest of us.
Nadhim Zahawi
The right hon. Gentleman began well but ended with petty politics. However, I will address the issue of the testing trials over a number of days, which began, I think, around December. It was not just the Cabinet Office and No. 10 that participated; organisations such as Transport for London, Heathrow airport and others would have participated as well. The Government make thousands of decisions every day, every week, which is not something that the Opposition are used to doing—certainly not their leader, anyway. Nevertheless, I shall refrain from engaging in petty politics and try to address some of his more substantive questions.
On the harassment and thuggish misbehaviour, I join him in condemning such behaviour outside the Houses of Parliament against our police officers.
On vaccinating 12 to 15-year-olds, the right hon. Gentleman asked about the number for England. Approximately 370,000 children will receive that protection. We are currently not following the United States of America, Israel or other countries in vaccinating all children, although the JCVI is continuing to review the data and is waiting for more data on second doses. Millions of children in the US have already received a first dose but there is a time lag for second doses and that is being kept under review. We publish the JCVI advice accordingly.
On testing, the United Kingdom now has the capacity for over 600,000 PCR tests and many millions of lateral flow tests. I myself am not on the trial that the right hon. Gentleman spoke about, but I do take the lateral flow test and I tested negative earlier today, as I did on Thursday and Friday.
I am happy to have the right hon. Gentleman’s support on the JCVI advice on protecting the most vulnerable children, and of course asking it to make sure that it reviews the data on all children. I reassure him that the decision was not in any way made taking into consideration volumes of vaccine. We have plenty of vaccine available for the vaccination of all children that is necessary. We have ordered more of the Pfizer-BioNTech vaccine, which is the vaccine that was approved. The decision was made by the JCVI based on looking at the data from other countries, and that is the decision that we will implement.
Sir Peter Bottomley (Worthing West) (Con)
Nearly eight years ago, Mr Speaker, in Central Lobby on Saturday 7 September 2013, when the G7 Speakers were here as guests of your predecessor, I hosted the Japanese table, and at 8 o’clock that evening the fact that Tokyo would be the Olympic games city was announced. We send our sympathy to those who are affected by covid there and wish the games success.
Turning to the domestic matter of the NHS, can I put to the Government what has been put to me by a community sister? She said that in order to test voluntarily every day before going to other people’s homes, she had been getting three months’ supplies of tests. The system appears to have changed and each member of staff like her now has to apply for a seven days’ supply, which are sent to their home, meaning much more waste and much more work for each member of staff.
Could the Government please get together to see whether it is possible for those who work for the NHS who want to test each day to get bulk supplies from work and cut out some of this unnecessary extra work?
Nadhim Zahawi
I am grateful to my hon. Friend, who asks an important question. I certainly take that feedback very seriously and will take it back to the team to ensure that we get the most efficient operational way of delivering lateral flow tests to the frontline.
Martyn Day (Linlithgow and East Falkirk) (SNP) [V]
I thank the Minister for his statement. It is important that we follow the science on this issue, and I welcome clarity from the JCVI on that matter. The Pfizer vaccine is required for young teens, and Pfizer or Moderna vaccines are required for young adults, but the supply of those looks to be the lowest since February. What assurances can the Minister give that delivery will be sufficient? With many younger adults unvaccinated, and with some more complacent about covid, how does the Minister propose to persuade more of them to get vaccinated, and dramatically reduce the risk of serious disease? The UK now has more daily cases than any other state in the world, and as the Health and Social Care Secretary has demonstrated, it is still possible to catch and therefore spread the virus when vaccinated.
Last week, more than 1,200 scientists, doctors and disease experts said that the UK Government and their complete and immediate unlocking of England with only 54% of the population fully vaccinated was a “threat to the world”. Will the UK Government accept responsibility should the concerns of those experts come true? Finally, the Health and Social Care Secretary has spoken, as his predecessor did often, about the need not to politicise the pandemic. Will the Minister explain why his party colleagues in Scotland are attempting to attack the Scottish Government for their vaccine programme, despite the fact that a greater proportion of people in Scotland have been vaccinated than in England? Does he condemn attempts by his party colleagues to politicise the vaccine roll-out in Scotland, or does he consider their untruthful claims to be acceptable?
Nadhim Zahawi
The hon. Gentleman raises a number of important questions. Pfizer supply remains consistent, and we have every confidence that the manufacturer will continue to deliver, as it has done, according to the delivery schedules. Being able to continue to vaccinate the over-18s with their first dose, and of course their second dose by the end of September is not a question of supply. Equally, as we did a few hours ago, jointly with Minister Humza Yousaf and the Ministers from Northern Ireland and Wales, we can take a decision that we will all follow JCVI advice on vaccinating vulnerable children and those who live with vulnerable adults, as I described in my statement.
On our capability in the UK to manage this pandemic, I hope, with the booster campaign in September, to transition from pandemic status to endemic status. With the wall of vaccinated adults—I think 87.9% have had a first dose in the United Kingdom, and 68% of all adults have had two doses—it is the right precautionary pragmatic decision to transition, and return our country to as normal a place as possible. We will get those businesses that were almost first in and now last out of the pandemic, back and up and running.
Jeremy Hunt (South West Surrey) (Con)
Thanks to the efforts of the Minister we have one of the best vaccine programmes in the world, so I hope he does not mind me expressing two concerns about our current strategy. First, if we are to introduce covid vaccine passports for nightclubs by the end of September, which I support, why are we waiting until then, and giving more weight to the concerns of people who want to go to nightclubs than to the additional extra cases that waiting two months is likely to cause, at a time when that growth of new cases is such a concern?
Secondly, on the NHS app, people who have been double jabbed know that if they are pinged they are less likely to have the disease. They are therefore starting to ignore the request to self-isolate, and in some cases to delete the app. Before we lose social consent, should we not replace the requirement to isolate for 10 days with a requirement for someone to isolate until they have had a negative PCR test, thus using that testing capacity that the Minister talked about to keep our national show on the road?
Nadhim Zahawi
I am grateful to my right hon. Friend for his two excellent questions—rather than one—which I shall try to address in reverse. He will have heard the announcement in my statement about the NHS app and frontline social care or healthcare staff, as well as critical workers. Part of the reason we want to do that is that we want to maintain the ability of that workforce to do what it does best. As my right hon. Friend rightly outlined, they will do that with a negative PCR test and seven days of lateral flow testing. The clear clinical advice from the Chief Medical Officer and the expert team is that 16 August will be the most appropriate time to do that, for the rest of the economy as well. As we open up—we are now at step 4—and are getting more people double jabbed and protected further, especially younger parents, teachers and other professions, this is the appropriate measure to take on 16 August.
On the issue that my right hon. Friend raises on nightclubs, by the end of September 18-year-olds will have received their second dose. We will work with the industry to ensure that we get the covid pass right—now and in September—while we collate the evidence.
Munira Wilson (Twickenham) (LD)
Like hundreds of thousands of other school children, my seven-year-old daughter is out of school at home today, self-isolating. I am sure that the Minister will agree that children have paid far too high a price in this pandemic in their mental health and in their education, missing out on school. Yet only last week, Professor Whitty said that we may see new restrictions in five weeks’ time, which is just before schools return. The Department for Education issued new guidance to schools, saying that they must be prepared to deliver remote education in the autumn. Today, the Minister said that we will not vaccinate all teenagers. What guarantees will this Government provide to pupils and parents across the country that schools will reopen in September fully and safely, and will stay open? Will he rule out any further school closures?
Nadhim Zahawi
We and the devolved Administrations have accepted the advice of the Joint Committee on Vaccination and Immunisation to vaccinate vulnerable children, those children who live with vulnerable adults, and 17-year-olds close to their 18th birthday. The committee is, however, keeping the situation under review and looking at more data emerging from other countries, including the United States of America, on whether we should vaccinate all children. I reassure the hon. Lady that children will have two supervised tests on their return and that testing will continue until the end of September. A combination of that and vaccinating at scale all adults helps us to control transmission. Double-vaccinated people reduce transmission rates by about 50%.
Richard Drax (South Dorset) (Con) [V]
My hon. Friend said at the start of his statement that the disease was still here and that we were not out of the woods yet. The fact is that variants of covid-19 will be with us for many years to come. If we are truly to live with this virus, freedom day must mean what it says; the alternative is utter confusion, with hundreds of thousands of people having to isolate after being pinged by the NHS app. Here in Dorset, the police are beginning to struggle, because of the numbers who have to isolate. Will my hon. Friend tell me that the emergency services to which I think he referred include the police—that if they are double jabbed, they do not have to isolate—before enforcement of law and order becomes a real difficulty here in Dorset, I believe down in Devon and perhaps in other parts of the country?
Nadhim Zahawi
My hon. Friend is absolutely right that we take this step confidently but cautiously. I remind the House that this is probably the most infectious respiratory virus known to humankind, with aerosol transmission, so we need to ensure that we are careful as we head into step 4.[Official Report, 21 July 2021, Vol. 699, c. 7MC.] I outlined the action that we are taking on key workers and critical workers, and of course the police fall within that.
Grahame Morris (Easington) (Lab) [V]
I congratulate the Catch Up with Cancer campaign, which I hope to join tomorrow in delivering a petition to No. 10 Downing Street, and thank them for their tireless work over the last year, pressing, petitioning and lobbying the Government to deliver urgently needed ring-fenced investment for our NHS cancer infrastructure so that cancer patients can get the timely diagnosis and treatment they need. The Minister mentioned the expert advice in his opening remarks. Will he outline his plans to ensure future protection for immunocompromised or immunosuppressed groups, such as those living with cancer, like me, who may still be at risk from covid-19, despite the vaccine roll-out?
Nadhim Zahawi
The hon. Gentleman attends the Friday briefings that I offer colleagues. He is absolutely right. Last week, Public Health England published some encouraging real-world data that showed that two doses of the vaccines offer around 74% protection for those who are immunosuppressed or immunocompromised. That comes with a caveat that that group of people is not homogenous and we need to unpack some of the data. The JCVI has already recommended in its interim advice on the booster campaign in September that that group goes top of the list for the third dose as a boost. Of course, we have a large clinical trial, which will report imminently on the immunosuppressed and the immunocompromised. We will look at that data with the JCVI. The chief medical officer continues to ask the JCVI to look at what else we can do to protect that group, including through the therapeutics taskforce, which is doing some tremendous work.
Caroline Nokes (Romsey and Southampton North) (Con) [V]
There is some real concern among my constituents that they might in some way have the wrong batch of AstraZeneca vaccine. My hon. Friend provided a useful update on Friday, but can he give any further reassurance that no British traveller will be turned away at the border because they have been given the wrong vaccine?
Nadhim Zahawi
My right hon. Friend is right that there is no such thing as a wrong batch of Oxford-AstraZeneca vaccine in the United Kingdom. Our independent regulator regulates all manufacturing sites for AstraZeneca, Pfizer and the other vaccines. The AstraZeneca vaccine produced in the Serum Institute is the same vaccine—the Vaxzevria vaccine brand that is approved by the MHRA and the European Medicines Agency. There was some confusion in parts of world such as Malta last week, which the MHRA, the EMA and the Commission helped to clear up. I reassure my right hon. Friend that anyone who has had an Oxford-AstraZeneca vaccine and has the UK app or the letter to demonstrate their vaccination can travel. I think that 33 countries now recognise our vaccine certification.
Debbie Abrahams (Oldham East and Saddleworth) (Lab)
Many of my former public health colleagues are very concerned about lifting mitigations today in the context of escalating cases—50,000 currently—12 million people who have not been vaccinated and an NHS and care workforce who are frankly on their knees. What estimates have the Government made of the effect of extending the wearing of masks and other mitigations three weeks after 80% of the eligible population have been vaccinated on incidence of long covid, hospitalisations and deaths?
Nadhim Zahawi
The vaccination programme could in no way have delivered the extraordinary uptake without the backbone being NHS doctors, nurses and pharmacists, working with our armed forces, local government and the private sector to deliver it.
Nadhim Zahawi
And volunteers and the police. The hon. Member for Rhondda (Chris Bryant) reminds us all of the role that policemen and women played in ensuring that the vaccination roll-out worked well. The very clear guideline is that we should take both personal and corporate responsibility. It is great to see Transport for London, other transport systems and the M10 of metro Mayors, which I speak to regularly, taking that corporate responsibility. We all have our part to play, as we have done by coming together and vaccinating the country at scale. This is the most infectious respiratory disease that is aerosol-transmitted.[Official Report, 21 July 2021, Vol. 699, c. 8MC.] We have to be very careful to ensure that we take this step carefully; for it to be irreversible, we have to continue to work together with a booster campaign. Beyond that, in the years to come, we have to get used to the transition from pandemic to endemic status.
Anthony Browne (South Cambridgeshire) (Con)
As various hon. Members have noted, the number of coronavirus cases is rising very rapidly, but the great success of the vaccination scheme means that the number of deaths remains very low. That means that the fatality rate of coronavirus is now similar to that of other endemic viruses. Does my hon. Friend agree that with coronavirus now in approximately 200 countries around the world—almost every country in the world—the chance of eliminating it is almost zero, so as a society we have to learn to live with it, as we do with other serious infections such as flu and pneumonia?
Nadhim Zahawi
I thank my hon. Friend for his excellent question; I agree. I remember that when I took on the role of vaccines Minister in November, I explained to the House and the country that the reason we began by vaccinating phase 1—the most vulnerable cohorts, as set out to us by the JCVI—was that categories 1 to 9 were where 99% of the virus’s mortality was coming from. That work has gone incredibly well: in all those categories we have uptake of more than 90%, in some of them it is at 95% or 96%, and in one it is even at 100%. There is very high uptake of the second dose as well. I think that it is right that we now take this step, pragmatically but cautiously, as we transition from pandemic to endemic status and help the rest of the world to do the same.
Chris Bryant (Rhondda) (Lab)
Because of the pandemic, nearly 5 million people in the UK are now waiting for hospital treatment of some kind or other. In many cases, they are waiting for really important operations, from eye operations that could save or improve their eyesight to hip or knee operations. Everybody gets that the NHS has been really stretched, but the problem is that thousands of people are now saying, “You know what? If I pay £3,000, £5,000, £10,000 or £20,000, I can get that new hip or that new knee done with exactly the same doctor that I would see in the NHS, but in the private sector.” Surely that is unfair. Surely we must say that the NHS will buy up every single piece of spare capacity in the UK to get the backlog down as fast as possible, including for cancer care and for things that might seem minor but that make a dramatic difference to quality of life, such as hips and knees.
Nadhim Zahawi
I thank the hon. Member for that thoughtful question. He is absolutely right: there are about 5.3 million people waiting for treatment. He is also right that we have to make sure that the NHS has the resources to do it, which is why two things have happened: the Secretary of State has made it a priority to deal with the pandemic, and he has made it an equal priority to deal with the backlog. He has made £1 billion available for the NHS to do that work.
Sir Bernard Jenkin (Harwich and North Essex) (Con) [V]
I thank my hon. Friend for his statement, but I confess to some disappointment that the daily vaccination rate is not being sustained at a higher level. What is the constraint? Is it supply, is it logistics or is it that the hard-to-reach groups are slower in coming forward? What consideration are the Government giving to what is happening in other countries such as the United States, where people are being offered some kind of reward for coming forward and accepting a vaccination?
Nadhim Zahawi
I am grateful to my hon. Friend for his question. The vaccination rates in the United Kingdom have been incredibly high. We are at 88% with the first dose and 68% with double doses. On double doses, we are actually ahead of the United States of America. That does not mean we become complacent, however. We are doing everything we can to ensure that every cohort, and every ethnicity has the ability to access the vaccine.
Let me give him an example of some great work in the London Borough of Newham. Last week it had 23 different vaccination sites in pop-ups, in mosques, in GPs and in community pharmacies across the borough. Young people were literally tripping over a vaccine site. Part of it is access. Part of it is taking the vaccine to those communities. I am working with a number of colleagues to make sure we get into rural communities, for example with vaccine buses, and in community centres where people feel safe and comfortable to have the vaccine. The work does not end today. We continue to double down on our effort to continue vaccination. Again, I want to place on record my thanks to the metro Mayors for the work they do with us to make sure that happens as well.
Jim Shannon (Strangford) (DUP)
The Minister has been thanking everybody else, but I think we also need to thank the Minister, his Department, his team and the NHS staff for all they have done for the vaccine programme. Given recent news that those aged 12 to 17 will be offered a covid vaccination to protect them in the colder weather, has the Minister come to an assessment of how effective that will prove to limit the spread of covid-19 in schools? What discussions has he had with Education Ministers to deliver the vaccine roll-out?
Nadhim Zahawi
I am grateful to the hon. Member, who is always wonderfully complimentary and polite. I am grateful for his compliments and I will take them back to the team. We have conversations all the time. We are making preparations for the co-administration, wherever possible, of the flu vaccine with the covid boost, beginning early September, based on the interim advice from the JCVI. The only caveat is obviously that it is only interim advice and it could change as the JCVI gets more clinical data through. We have a big trial on seven of our vaccines to see which delivers the best boost possible. When it gets that data back, we will firm up that advice, but operationally we aim to begin in September.
Steve Brine (Winchester) (Con) [V]
I am obviously pleased that we have reached step 4a of the road map, but I am keen to understand what lies behind the month-long gap between 19 July, when it feels as if we do not believe in our vaccines as much as we might, and 16 August when we do. What is the scientific basis for the decision to give my fully vaccinated constituents their real freedom after the middle of next month, but not now?
Nadhim Zahawi
I thank my hon. Friend for his excellent question, as always. Most restrictions have been lifted and many people have now been vaccinated, but it is still possible to catch and spread covid even if you are fully vaccinated. Introducing the exemption in August will allow more people to be fully vaccinated, as I mentioned earlier. Unlike in previous waves, the rise in cases driven by the delta variant is not translating into significant increases in hospitalisation and death. This is due to the effectiveness of the vaccine in reducing the risk of transition into severe illness.
Caroline Lucas (Brighton, Pavilion) (Green) [V]
As Ministers recklessly lift almost all restrictions in England, despite the UK now having the third-highest number of cases of any country in the world—only Indonesia and Brazil have more—the efforts of public health leaders to keep cases down are being hampered by delays in accessing and processing PCR tests, with reports that the national booking system is being regularly switched off for hours at a time and that turnaround times for tests are lengthening. And that is before the even greater surge in case numbers that Ministers freely admit we face now that they have offloaded responsibility for managing the pandemic on to individuals and businesses. Can the Minister clarify whether the 600,000 PCR test capacity he referred to earlier is per day? How many tests will we need per day if we get to 200,000 daily cases? Can he really guarantee that we have sufficient capacity, in terms of PCR tests, to cope with the rising tide of covid infections that this Government are responsible for?
Nadhim Zahawi
I am grateful for the hon. Lady’s question. On the PCR testing capacity, it is 600,000 per day. I looked at the data this morning for yesterday, and I think just about half of that was being utilised—300,000-odd tests. Of course, that does not include the millions of lateral flow tests that we are also capable of delivering.
Mr Peter Bone (Wellingborough) (Con) [V]
Last Tuesday, the House passed a statutory instrument making it compulsory for care home staff to be vaccinated. The last time compulsory vaccination occurred was in the 19th century. I was slightly confused by what the excellent Minister said in his statement, so could he confirm that a full impact assessment was completed before this contentious legislation came to the Floor of the House and that he saw that assessment before signing off on the policy? After all, this was a major change in Government policy.
Nadhim Zahawi
I am grateful to my hon. Friend for his excellent question. As I mentioned in my statement, an impact statement has been published today, and a full impact assessment will be made. Just to bring it to life for him, to reassure him and the House, I can say that Barchester Healthcare, one of the providers, has about 16,000 employees, so it is quite a large sample to look at, and it has implemented this policy early. When it consulted its workforce on the duty of deployment, it managed successfully to get the workforce to be vaccinated —they were on a priority list in phase 1 of the vaccination programme—and only 78 out of the workforce of 16,000, or about 0.5%, actually chose not to and no longer work for Barchester Healthcare. I hope that gives him some reassurance that we look at this data very carefully.
Neale Hanvey (Kirkcaldy and Cowdenbeath) (Alba)
I would like to pay tribute to the Minister for his work on probably the only functioning part of the Government’s response to covid, but all of that work is at risk because of the Prime Minister’s surrender strategy.
In my Kirkcaldy and Cowdenbeath constituency, I have one case—I will give it as an example—of a young girl who had eight negative lateral flow test results, but as she was symptomatic her parents insisted on a PCR test, and that was positive. A cluster has grown up around the young person and her family, and they are obviously in great distress not just because of her infection, but because of the consequences. So why do the Government, both here and in the devolved countries, persist in using discredited lateral flow devices that are not designed for use in asymptomatic subjects—they are designed for use in symptomatic subjects—and that are designed for use in the professional setting, not for self-administering that test? We have domestic tests that excel in both and that beat the current tests hands down, but they are not being contracted. Can the Minister please advise the House why the Government are blind to the domestic diagnostics industry?
Nadhim Zahawi
I thank the hon. Member for his question. I would just respectfully say that, on the contrary, the Government work with the diagnostics industry. Indeed, we were able to scale up. When we entered this pandemic, we were only capable of doing about 2,000 tests a day, but we now have a PCR testing capacity of 600,000, as he will have heard earlier, and millions of lateral flow tests. I think it is the combination of both those things that works, but if there are other companies in his constituency or indeed elsewhere in the country that he thinks are worth looking at, I will certainly put them through to the relevant team in the Department.
Andrew Selous (South West Bedfordshire) (Con) [V]
Can I thank my hon. Friend for his unfailing courtesy and diligence in responding to MPs week after week in respect of his duties, and also ask him if he could share with the House the results of the test to release experiment? Like many businesses in my constituency, the Dine Yard restaurant in Leighton Buzzard had to close for a week, and I have been told that GObowling in Dunstable may have to close as well, because of a lack of staff, so anything the Minister can share with the House on that issue would be very welcome.
Nadhim Zahawi
I thank my hon. Friend for his comments. We are, as he rightly outlines, incredibly aware of the stress of self-isolation and the effect of the policy on various workforces. Subject to the results of the clinical trials, which are expected within the next one to two weeks, we hope to be able to extend the use of daily contact testing for some workplaces, although the initial focus will need to be on workplaces with established asymptomatic testing sites, or possibly those that can rapidly stand up ATSs, given that the first clinical trial is for assisted rather than home-based testing.
Andrew Gwynne (Denton and Reddish) (Lab)
We all want to see the back of this pandemic and life return to normality. History will no doubt judge the wisdom or otherwise of “freedom day” at this point in time. I wish to focus on long covid, because it is a fact that the more covid there is, the more long covid there will be. At its worst, it is debilitating. It is just awful, and I know that because I am still suffering with it, after 16 months. If the balance of risk is more long covid, may I ask the Minister what more his Government will do to help those with it in their health recovery, to help employers impacted by an ill workforce and in providing social security for those on the long-term sick with long covid?
Nadhim Zahawi
I am very grateful to the hon. Gentleman for his excellent question and I wish him a continued recovery. I know from the work that I have seen that it is not easy. I believe there are just over 900,000 people suffering from different forms of long covid. We have made an additional £150 million available for the NHS, both in terms of looking at long covid, and having an infrastructure to be able to deal with it and help support GPs to diagnose it.
Dr Caroline Johnson (Sleaford and North Hykeham) (Con)
The Minister is aware of my reservations about asking children to be vaccinated where it may provide only very marginal benefit to them, but this relies on the importance of informed consent and people being given all the right information. Can he confirm, first, that where children with medical conditions are being offered the vaccine, the risk posed to that child from a serious effect from covid is greater than the risk to that child posed by any vaccine? Can he also confirm that, where children are being asked to be vaccinated to protect an adult who may be vulnerable for whatever reason, those parents, carers and the child will be provided with the absolute—not relative—risk reduction for those individuals they are being asked to be vaccinated for?
Nadhim Zahawi
My hon. Friend’s question is an excellent one. She has participated in the vaccination programme—she is one of the heroes I stand on the shoulders of—and she has done work in Sleaford and North Hykeham. I absolutely confirm to her that the JCVI advice is very specific on the conditions of young people who will be eligible to receive the vaccine to protect them from covid and, of course, those adults who are also vulnerable to it. That is why I talked in my statement about the NHS being in contact with those families to be able to advise them and then facilitate vaccination in a place and at a time convenient for them.
Geraint Davies (Swansea West) (Lab/Co-op) [V]
The Health Secretary was double jabbed and got infected. In Swansea Bay, 18% of those infected in June were double jabbed and 31% were single jabbed. So does the Minister accept that freedom day is not the freedom to infect others, that masks and social distancing remain vital and that jabs are stopping people from dying? Will he confirm that he is not pursuing a policy of herd immunity, which would overwhelm the NHS and leave a massive legacy of long covid, disabling our economy?
Nadhim Zahawi
I can certainly confirm that, and the guidelines are very clear that we are both supporting people and recommending that they continue to be careful when in indoor spaces and crowded places, to wear masks and to take personal and corporate responsibility, rather than having government by diktat.
Mr Mark Harper (Forest of Dean) (Con)
I have to say that I do not welcome the Minister’s statement, particularly his announcement of compulsory vaccine passports for crowded venues, which is effectively moving to compulsory vaccination. However, I look forward to the debate and the vote in Parliament in September when he will bring forward the evidence, because I do not think that that policy is supported by the events pilots that have taken place.
I want to ask the Minister about the self-isolation regime. It is important for public confidence that it is supported by evidence. It is the same regime that we had before we had any vaccination or before we had any lateral flow tests, and the Government seem to accept that logic because they are going to move to a new, more sensible model on 16 August. I listened carefully to his multiple answers to colleagues on both sides of the House, but I am afraid he could not really explain why we were waiting until 16 August. All the things that will be true on 16 August about the reduced risk for those who are fully vaccinated of getting infected also apply today. I have to say to the Minister that, if the Government do not move on this before 16 August, he will be back at that Dispatch Box, probably during the recess. Reality will intrude, and I would rather the Government did this in a planned, organised and controlled way, rather than having a bit of a shambles developing later this month. I urge him to bring forward that announcement and those measures to today or this week; do not leave them to 16 August. Do the right thing, and I think the country will thank him for it.
Nadhim Zahawi
My right hon. Friend always makes thoughtful and important interventions and I take his words incredibly seriously on both questions. One was about sharing with the House the evidence and working with the industry, whether it is the nightclub industry or at-risk large-scale indoor events. As I mentioned in my statement, we will come back to the House with that evidence. On the self-isolation issue, I hope he agrees that this was the right thing to do for frontline health and social care staff and for critical workers. The important thing is the clinical evidence. The chief medical officer’s very clear advice is that, as we go through step 4, we should have that additional buffer, if I can call it that, and continue to double vaccinate to allow us a bit more time to ensure that people who are double vaccinated can then come out of self-isolation because we can move to a PCR-negative or daily testing regime. That is the right thing to do. We will keep it under review, and I take his words very seriously.
Peter Kyle (Hove) (Lab)
Come September, the settings that will be most vulnerable to covid will be schools. School classrooms are going to have a higher percentage of non-vaccinated people than anywhere else. The Government have scrapped the need for face masks and the bubbling system, and they have now forbidden schools and nurseries from doing in-house track and trace and forced them on to the failing nationwide track and trace system. I understand why we need to be really sensitive and cautious about vaccinating young people aged 12-plus, and I am cognisant of the comments made by the hon. Member for Sleaford and North Hykeham (Dr Johnson). However, in other areas, the JCVI has ensured that we are at the forefront of the global vaccination programme.
Could the Minister explain the conversations he has been having with the JCVI as to why the Government are being so cautious in this regard? Will he explain to the House when the JCVI will give updated advice, because really those young people should be vaccinated over the summer if it is safe? To be very clear, I am not asking for a forced programme for children. I am asking for this to become available when the JCVI says it is safe, and for parents and families to have all the information they need so that they can make the decision on behalf of the interests of the child, the family and the community, and take into account educational scarring as well.
Nadhim Zahawi
The hon. Member asks a really important question; it is one that we have asked the JCVI. There will be two supervised tests on return to school, but the other advantage will be the wall of vaccinated adults that will continue to increase.
Nadhim Zahawi
I hear the hon. Member and I absolutely understand. That is why the JCVI will continue to review the data on the vaccination of children. Specifically on his question, it has a concern. It has received data from around the world; from countries that are already vaccinating. We are with those countries at the forefront, but at the moment we are an outlier as they have chosen to move forward on children’s vaccination and we have not fully; we are moving forward for children who are vulnerable and those who live with vulnerable adults. It wants to look at second-dose data; at the moment it has first-dose data. There is a very rare signal of myocarditis that it is concerned about and it wants to see second-dose data from places such as the United States before it makes its decision. That decision, however, is under review.
Dr Rupa Huq (Ealing Central and Acton) (Lab)
It is good to see the Minister still standing on this freedom day, when it feels like half the Cabinet has been struck down, knocked out or whatever it is. Does he agree that, at a time when worryingly we hear of increased threats to vaccination centres, be they from the vile anti-vax propagandists outside this building right now or even people so keen to get jabbed that they leave vaccinators feeling vulnerable, nobody should feel intimidated when seeking perfectly legal healthcare? Does he also agree that there is scope for investigating an offence of violence towards NHS professionals, whether verbal or physical, in such a setting? It would bring the law into line with the “protect the protectors” legislation we already have for ambulance staff and the police. That was suggested to me by the Florence Nightingale nursing trainees I met last week. If he did that, he would be a hero among them—even though they did not get their pay rise. What does he think?
Nadhim Zahawi
I thank the hon. Lady, who made an excellent video about the vaccination centre in Acton—she had a bit of a go at me for not delivering it within a few weeks, but we finally got it delivered in Acton. She has done a tremendous job in leading the vaccination communication in her community.
I agree that it is abhorrent and completely wrong for anyone to intimidate people looking to get their vaccination, the incredible NHS staff delivering it, the volunteers or anyone else in the extraordinary mobilisation we have experienced of the nation coming together and delivering the largest vaccination programme in history. I will look at anything we can do to continue to protect our frontline staff. A senior responsible officer embedded in the vaccination deployment team looks seriously at security every single day, and we will not hesitate to take action against anyone who threatens any member of staff or volunteer taking part in the vaccination programme.
Robbie Moore (Keighley) (Con) [V]
We cannot ignore the slight reduction in vaccine uptake in the past couple of weeks, which is in spite of the fantastic work being done across Keighley and Ilkley to deal with this, including at the Silsden medical practice, Keighley’s central mosque and Airedale Hospital, which this week are providing walk-in services for young people to get their vaccine. Will my hon. Friend join me in encouraging all those who have not yet taken up the offer of the vaccine to do so to prevent transmission and to help protect themselves and others?
Nadhim Zahawi
I commend my hon. Friend for his exemplary work in taking the message out to his constituents that vaccines protect people, families and communities. He is right to continue to double down on his efforts. I assure him that we will do the same across the system, whether through pop-ups, mobile sites or opening for longer hours. The Eid festival begins tomorrow and we have a whole programme around that. I wish the Muslim community a happy Eid Mubarak, but I also encourage them to come forward and get vaccinated.
John Spellar (Warley) (Lab)
As the Minister will know, I have long campaigned for a vaccine passport to enable individuals, society and the economy to speed up the return to normality, so I very much welcome the long-overdue and realistic NHS covid pass, but how will the Minister ensure take-up? Will he tell us which venues will be included and—equally importantly—whether any sporting, hospitality or leisure venues will be excluded?
Nadhim Zahawi
I am grateful for the right hon. Gentleman’s support. We are looking at high-risk, large capacity indoor venues. My colleagues in the Department for Business, Energy and Industrial Strategy—the Under-Secretary of State for Business, Energy and Industrial Strategy, my hon. Friend the Member for Sutton and Cheam (Paul Scully) and others—are currently working with the industry to take advantage of step 4, to get those businesses back on their feet and then, of course, to take all that learning so that I can be back here at the Dispatch Box in September to share with the House how we can sustain the industry going forward while we live with covid, because we will have to transition this virus from pandemic to endemic status.
Greg Clark (Tunbridge Wells) (Con)
The now famous test and release pilot was first announced on 29 April. Is the lack of any results from that pilot, nearly three months after it started, a failure on the part of Public Health England, or are the results being suppressed because the Minister might be concerned that NHS Test and Trace does not have the testing capacity available to make test and release available to everyone?
Nadhim Zahawi
In answer to an earlier question I informed the House that the test and release pilot results will be available in one to two weeks’ time. When they are, we will come to the House and share them with Members.
Tony Lloyd (Rochdale) (Lab) [V]
The Minister has proved himself to be helpful and thoughtful in the way he has handled his brief, but will he tell us what research there has been into the impact of long covid on younger people? If in the end long covid is an issue not simply for adults but for children as well, will that affect the way we assess the need for a vaccination programme for young children?
Nadhim Zahawi
I thank the hon. Gentleman for that excellent question and for his support on the weekly MPs’ briefing that we deliver on a Friday. Long covid is a serious issue among adults and children, and the JCVI of course looks at the available evidence. I caveat what I say by reminding the House that obviously this virus has been with us for only 17 months and we have had vaccines for only the past eight of those months, so we are learning all the time. As I said in answer to an earlier question, we have made money available to the health service so that it can look at how to support, for example, GPs in diagnosing long covid.
Sir Roger Gale (North Thanet) (Con) [V]
In addition to holidaymakers, hundreds of UK citizens want to go to France, a country with a much lower infection rate than the United Kingdom, to visit family, and there are also hundreds of UK citizens—expats—who wish to visit families in the United Kingdom. As a result of the decision taken by the Department of Health and Social Care, all those people now face exorbitant test costs and isolation when they come into the United Kingdom. The House of Commons has an excellent test system that generates a result within around 30 minutes and is reliable. Will my hon. Friend, who is the most effective of Ministers, use his influence to make sure that at the very least people who come back into the United Kingdom and have to be tested can do so at a reasonable and not disproportionate cost?
Nadhim Zahawi
I am very grateful to my right hon. Friend, who is always diligent in his questioning, including on the Friday calls, on behalf of his constituents. He raises a really important point about the beta variant, which as a precautionary measure is clearly a variant of concern to us. It is the one that would give us the greatest headache, in terms of vaccine escape—hence why we took those precautionary measures. We keep that under review, and the biosecurity team does that very effectively.
My right hon. Friend also raises a really important point about the cost of testing. I will certainly take away his comments and discuss them within Government, including with the Secretary of State for Transport, who has looked at this and talked to those involved in the testing process to ensure that people are not penalised by exorbitant PCR test costs.
Mr Mark Harper (Forest of Dean) (Con)
On a point of order, Mr Deputy Speaker. I listened very carefully to what the Minister said in response to the excellent question from my right hon. Friend the Member for Tunbridge Wells (Greg Clark), who chairs the Science and Technology Committee. The Minister said that when the information is available from the test and release pilot in the next couple of weeks, he will come back to the House straightaway.
You will have noticed, Mr Deputy Speaker, as I am sure all Members will, that the House will be in recess at that point, and Ministers are unable therefore to answer written questions, lay written ministerial statements or make oral statements. I therefore ask those on the Treasury Bench, through you, Mr Deputy Speaker, whether the Minister will ensure that the House is recalled to hear that evidence. Of course, the decision point is on 16 August —during the recess. This will be of interest to millions of people in our country who by that point may be self-isolating, so we need a commitment that the Minister will return and the House will be brought back to enable Ministers to be questioned on this important matter. It would be helpful if the Minister can confirm that at the Dispatch Box now.
Covid-19 Vaccines
Nadhim Zahawi Excerpts(2 years, 9 months ago)
Written StatementsRead Full debate Read Hansard Text Read Debate Ministerial Extracts
The Minister for Covid Vaccine Deployment (Nadhim Zahawi)
The independent Joint Committee on Vaccination and Immunisation (JCVI) has published its advice on the vaccination of children and young people. Her Majesty’s Government (HMG) has accepted this advice and all four parts of the UK expect to follow the JCVI’s advice and align their deployment in each nation.
JCVI’s advice is based on currently available data and is kept under review as new data emerges, the JCVI has advised that the Government:
Maintains the existing eligibility criteria for 16 to 17-year-olds;
Offers vaccination (for operational flexibility) to all 17-year-olds who are within three months of turning 18;
Offers vaccination to 12 to 15-year-olds with the underlying health conditions specified below:
severe neuro-disabilities,
Down’s syndrome,
underlying conditions resulting in immunosuppression, and
those with profound and multiple learning disabilities, severe learning disabilities or who are on the GP learning disability register.
Offer vaccination to 12 to 15-year-olds who are healthy but are household contacts of individuals (adults or children) who are immunosuppressed. The purpose of this is primarily to protect the household member who is immunosuppressed (16 to 17-year-old household contacts are already offered vaccination).
Through the covid-19 vaccines programme, we have administered over 80 million vaccine doses in the UK, with recent Public Health England data suggesting that this has prevented between 6.4 and 7.9 million infections and between 26,000 and 28,000 deaths in England alone. The vaccine is the most effective way of protecting the most vulnerable and minimising hospitalisations and deaths. An early estimate from PHE suggests that in adults under the age of 40 a single dose of the Pfizer vaccine is 61% effective against symptomatic disease, and 72% for a single dose of the Moderna vaccine.
For children and young people, the risk of serious outcomes from covid-19 is much lower than for older people and we recognise that decisions on vaccination for this group are therefore much more finely balanced than for adults. The JCVI has been clear that for those children and young people with specified health conditions the balance of evidence is that they will benefit from vaccination.
With the deployment to these new groups of children and young people those out, I am now updating the House on the liabilities HMG has taken on in relation to further vaccine supply via this statement and attached departmental minute containing a description of the liability undertaken. The agreement to provide indemnity with deployment of further doses to the population increases the statutory contingent liability of the covid-19 vaccination programme for the only vaccine currently authorised for use in those aged under 18, the Pfizer/BioNTech vaccine.
It has been and remains the Government’s strategy to manage covid-19 until effective vaccine/s have been deployed at scale. Willingness to accept the need for appropriate indemnities to be given to vaccine suppliers has helped to secure access to vaccines with the expected benefits to public health and the economy alike much sooner than may have been the case otherwise.
Given the exceptional circumstances we are in, and the terms on which developers have been willing to supply a covid-19 vaccine, we along with other nations have taken a broad approach to indemnification proportionate to the situation we are in.
Even though the covid-19 vaccines have been developed at pace, at no point and at no stage of development has safety been bypassed. The MHRA approval for use of the currently deployed vaccines clearly demonstrates that this vaccine has satisfied, in full, all the necessary requirements for safety, effectiveness, and quality. We are providing indemnities in the very unexpected event of any adverse reactions that could not have been foreseen through the robust checks and procedures that have been put in place.
I will update the House in a similar manner as and when other covid-19 vaccines or additional doses of vaccines already in use in the UK are deployed.
HM Treasury has approved the proposal.
[HCWS201]
Oral Answers to Questions
Nadhim Zahawi Excerpts(2 years, 9 months ago)
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Afzal Khan (Manchester, Gorton) (Lab)
The Minister for Covid Vaccine Deployment (Nadhim Zahawi)
My apologies, Mr Speaker; I have lost my voice slightly. I was at Wembley on Sunday night and I have to say that those young lions outperformed. We are so proud of them, and I am certain that in 15 months’ time the nation will get behind them in Qatar and they will outperform again.
I thank the hon. Member for raising this really important question. We are committed to protecting vulnerable children and ensuring that every child receives the best start in life.
Afzal Khan [V]
Children’s and young people’s health has been severely impacted by the pandemic, but it is the mental health impact of lockdown and school closures that is perhaps most concerning. Some 12% of in-patient paediatric beds are now occupied by those admitted because of severe mental health problems. That is double what it was in 2019. Does the Minister agree that children and young people have suffered greatly as a result of lockdown and that their health should now be prioritised in our recovery? If so, what steps will he take to put children at the heart of all policies and implement an overarching child health strategy?
Nadhim Zahawi
I am grateful for the hon. Member’s question. Our mental health recovery action plan will allow us to deliver additional support for 22,500 more children to have access to community health services—I know that the Minister for Patient Safety, Suicide Prevention and Mental Health would say that community access is incredibly effective—and for 2,000 more children to access eating disorder services. It will also help to increase the coverage of mental health support teams in schools and colleges from 29 to 400 by April 2023. That makes it all the more important, as the Secretary of State has outlined, that we get to step 4: it is critical to delivering the recovery action plan.
Ben Lake (Ceredigion) (PC)
The Minister for Covid Vaccine Deployment (Nadhim Zahawi)
While the Department of Health and Social Care takes a keen interest in any tax situation that may affect patients, any discussions surrounding the VAT treatment of patient transport services would need to be conducted with relevant officials in Her Majesty’s Revenue and Customs. Services for the transportation of the sick and injured are exempt from VAT.
Ben Lake
Non-emergency patient transport services provide vital support to those who have no other way of reaching hospital and medical appointments, in addition to those who require specialist transport. An inconsistency in the VAT treatment of providers currently means that some can claim VAT relief while others cannot, despite providing the same services in the same type of vehicles. Would the Minister consider meeting representatives of the sector to better understand the impact and, hopefully, find a way forward?
Nadhim Zahawi
I am very happy for myself and the Under-Secretary of State, my hon. Friend the Member for Bury St Edmunds (Jo Churchill), to meet with others about that. Of course, I cannot comment on specific cases, and I would recommend that the services in question take up their concerns with Her Majesty’s Revenue and Customs as well.
Margaret Ferrier (Rutherglen and Hamilton West) (Ind)
The Minister for Covid Vaccine Deployment (Nadhim Zahawi)
I thank the hon. Lady for her question. We are working with the United States authorities, with the EU and with other international partners to ensure a safe return to international travel while managing public health risks. We support a global consistent minimum technical standard for covid status notification. Of course, the NHS app with the NHS covid pass is now accepted in 33 countries around the world.
Margaret Ferrier
The continued lack of recognition of vaccination status between the UK and the EU is putting the UK at a competitive disadvantage, according to the Association of British Travel Agents, especially when compared with the steps taken by the EU and the US. Both the US and the EU now have standardised digital ways to prove vaccination status, so will the Minister clarify why there is an ongoing delay in resolving this matter?
Nadhim Zahawi
The European Medicines Agency and our regulator, the Medicines and Healthcare Products Regulatory Agency, work incredibly closely together, and the EMA has authorised the vaccines that are approved by the MHRA. All vaccines that are authorised and deployed in the UK have been subjected to rigorous checks, including individual batch testing and site inspection. Our two regulators work incredibly closely together and I am confident that we will continue to do so and ensure that any issues are resolved as quickly as possible, working with the manufacturers as well.
James Wild (North West Norfolk) (Con)
Life Sciences Vision
Nadhim Zahawi Excerpts(2 years, 10 months ago)
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The Minister for Covid Vaccine Deployment (Nadhim Zahawi)
My noble Friend, the Parliamentary Under-Secretary of State (Minister for Innovation) (Lord Bethell), has made the following written statement:
In “Build Back Better: our plan for growth”, the Government committed to publishing a series of sector visions that back the sectors and technologies that will shape the UK’s future. I am delighted to announce the publication of the first of these, on life sciences.
The “Life Sciences Vision” sets our ambitious plans, jointly developed by Government, the NHS and the sector, to maintain the UK’s position as a global life sciences leader. It builds on the successes of the science and research response to the covid-19 pandemic, especially in vaccines and research, and benefits from new regulatory freedoms and opportunities now that we have left the European Union.
The policy content of the vision focuses on three areas:
1) science and research, capitalising on the UK’s deep industrial and academic expertise, and realising the significant potential of genomics and health data to consolidate the UK’s status as a world leader in research;
2) NHS as an innovation partner, ensuring the NHS is using the latest and most innovative science and technology; and
3) business environment, making sure the incentives are right for life science companies to start, grow and invest in the UK.
The vision also highlights seven core disease and technology areas where there is an opportunity for the Government, industry, the NHS, medical research charities and academia to work together to meaningfully improve treatment options. These key disease areas are: cancer, dementia, mental health, obesity, ageing, respiratory disease and vaccines.
The pandemic shows the importance of a flourishing life sciences sector to resilience and economic growth across the nations and regions of the UK. This vision will plot the course for the UK to maintain its global leadership in this important sector.
In developing this vision, we have undertaken extensive engagement with stakeholders representing small and large businesses, charities, patient interest groups, and businesses representative organisations around the country, as well as the NHS and the devolved Administrations. We will continue to do so as we begin to develop our implementation plans.
[HCWS156]
Covid-Secure Borders
Nadhim Zahawi Excerpts(2 years, 10 months ago)
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The Minister for Covid Vaccine Deployment (Nadhim Zahawi)
I welcome today’s debate on a matter that is, rightly, of significant public interest. It is slightly disappointing to hear the right hon. Member for Torfaen (Nick Thomas-Symonds) being found out by my hon. Friend the Member for East Surrey (Claire Coutinho) for really not understanding how viruses spread. If we are going to live with this virus, there will be variants. He has been asked over and over again, “What would you do?”, and unfortunately he has been found failing. Throughout the pandemic this Government have taken all the steps necessary to protect the public and help prevent the spread of the virus.
Jim McMahon (Oldham West and Royton) (Lab/Co-op)
Absolute nonsense.
Nadhim Zahawi
Well, we shall see. As of today, 30 million-plus people have had two doses. We are at 72 million doses in the United Kingdom, and we aim in the next four weeks to offer the double dose to two thirds of all adults. That is delivery, my friend.
Sometimes taking all the steps necessary means making difficult decisions—not that the Labour party understands these things—such as the Prime Minister’s announcement yesterday of the decision, informed by the data, to pause the move to step 4 of the road map. We are clear that the public expect a clear message that these decisions are based on the science. Public health has always been our No. 1 priority and we will not risk throwing away our hard-won achievements through the vaccination programme that have only been possible through the work of the British people.
Being led by the data and the science has also informed our approach at the border. The Government have put in place some of the most stringent covid border measures in the world. Each of the measures that we have put in place—informed by the latest scientific advice—adds layers of protection against importing the virus, including through reducing the risk of importing new variants.
Mr Tobias Ellwood (Bournemouth East) (Con)
May I just praise the work that my hon. Friend is doing? It has been an incredible journey to vaccinate this nation. With his leadership, the team that he has put together have done a massive job. We all know that the way to get out of this dilemma is to vaccinate, so I pay tribute to him for what he has done.
We have spoken much about the Indian variant. Would my hon. Friend take a second or two to talk about a new variant that is coming on the horizon—the echo variant—which has been seen in Nepal?
Nadhim Zahawi
I am grateful to my right hon. Friend for his comments. He is absolutely right that we have to remain vigilant. Part of the reason why the decision was made to place countries such as Portugal on the red list, unfortunately, was because we are seeing further mutations from the Indian variant to the variant that has first been spotted in Nepal. That is why we have invested so heavily in our genome sequencing capability and capacity in the United Kingdom. In many instances, we are able to identify variants in travellers from those countries before those countries actually identify them.
The really important point to land is that no single measure can remove the risk entirely; I think it is on this point where the real division lies between the two sides of the House. However, each layer of protection that we have introduced helps to reduce the risk and protect the hard-won progress that we have seen, including for our world-leading vaccine programme. Let me set out for the House some of those measures, which include our clear r assessment of the risk posed from overseas, as set out in the traffic light system; our approach upstream at the border, including the vital work carried out by Border Force staff; our robust in-country measures around enforcement and managed quarantine; and the world-leading scientific expertise informing our entire approach.
The traffic light system essentially categorises countries based on risk, in order to protect public health and the vaccine rollout from variants of covid. The Joint Biosecurity Centre produces risk assessments of countries and territories. Decisions on red, amber or green list assignment and associated border measures are taken by Ministers, who take into account the JBC risk assessment alongside wider public health factors.
The JBC’s risk assessment includes a number of critical factors, including the general epidemiological situation in a country, and the presence and prevalence of known variants of concern, or new variants, as my right hon. Friend the Member for Bournemouth East (Mr Ellwood) has just pointed out. Genomic surveillance capability is critical to the second issue, and the reality is that many countries cannot match the UK’s world-leading capability in that field. We have been open about this approach, and indeed a summary of the JBC’s methodology has been published on gov.uk, alongside the key data that supports Ministers’ decisions.
The rules are firm but fair for passengers arriving in the UK. Red country arrivals must quarantine in a managed quarantine facility for 10 days and take tests on day 2 and day 8. Amber country arrivals must self-isolate in their own accommodation and have a test booked for day 2 and day 8. For green country arrivals, no quarantine is required, but they must have a test on or before day 2 after arrival. All passengers from red, amber and green countries must have a negative pre-departure test. In the interest of continuing to protect public health, the public are advised against leisure travel to countries categorised as amber and red.
Upstream, the success of our travel system relies on everyone playing their part. Carriers have a key role here and are under a legal obligation to check that each passenger has proof of a negative test. They are liable for a fine of up to £2,000 for not complying. The Civil Aviation Authority has issued 630 fines since 1 February to airlines carrying passengers without the right documentation. International arrivals from red countries are required to arrive at designated ports.
Border Force works tirelessly to check all passengers coming into the country. It is continuing to ensure that it has the right level of resources to carry out its duties, maintaining border security and public health, while trying to minimise wait times at the borders at all times. To put that in context, we currently have the highest level of staffing since the 2012 Olympics.
We have been taking steps to significantly improve and speed up processes at the border by digitising a number of checks, including the passenger locator form so that it can be used at e-gates. Those automated checks happen behind the scenes, meaning that people may not be asked to show their passenger locator form to a Border Force officer, but that does not mean that the checks are not happening. However, we have been clear with the public and industry that queues and wait times will be longer if passengers have not completed the necessary requirements to enter the United Kingdom.
Our border measures are backed by a robust enforcement regime. As of 8 June this year, there had been 328,860 amber quarantine compliance visits by a service run by the Home Office, as well as over 600 fines for breach of home isolation. The Home Office runs a service to check that amber arrivals are in fact quarantining at home or other appropriate locations.
We have also taken strong steps where travel from certain countries poses a particularly acute risk to the United Kingdom. On 15 February, we introduced a managed quarantine facility for those arriving from red list countries. That list is under regular review, and we have taken the decision to add countries to the red list to help prevent the spread of variants of concern to the United Kingdom.
All international arrivals from red list countries are expected to quarantine in a Government-approved hotel for 10 days. Before flying, they need to pre-book their hotel, and their testing package for day 2 and day 8 tests, on a Government booking system. They are not allowed to use the test-to-release scheme for early release from quarantine. Those measures are kept under constant review, including the important impact on individuals with family ties in other countries.
Andrew Jones (Harrogate and Knaresborough) (Con)
The Minister has outlined the protections that are taken, and the work that has taken place has been very impressive. Will he just explain a little more some of the separation arrangements in airports themselves—those points of transit where people come together?
Nadhim Zahawi
My hon. Friend is absolutely right: as of 1 June, Heathrow has introduced a red list country terminal. Of course, all airports and ports have a responsibility to ensure that passengers arrive and are separated safely when entering.
I am proud that we are also protected by our world-leading genomic sequencing capability, including testing those positives that are discovered on entry. That allows us to analyse the test results of arrivals to identify any new variants of concern as quickly as possible. It not only helps us at home to protect ourselves, but helps the rest of the world, too. It is this world-renowned sequencing capability that informs the traffic light system, allowing us to take swift informed decisions to protect public health. That is something we have not shied away from doing, even in the most difficult of circumstances.
Recognising the strong strategic rationale and success of the vaccine programme, we have commenced work to consider the role of vaccinations in shaping a different set of health and testing measures for inbound travel. Individuals in England who have had a full vaccine course will be able to demonstrate their vaccine status through the covid-19 vaccine certification for outbound international travel, while border health measures at destination countries will be set by the receiving country. Those requirements will be set out for the public to check entry requirements before travelling.
In closing, this Government understand the importance of international travel to the UK public and the success of the United Kingdom itself. We are determined to ensure that the United Kingdom restarts international travel in a safe and considered way, when the science tells us the time is right to do so.
Nick Thomas-Symonds
The Minister talks about international travel going forward, and it is obviously important for the Government to be as open as possible. Will he give a commitment from the Dispatch Box that the risk assessments on India that were done by the Joint Biosecurity Centre will now be published by the Government?
Nadhim Zahawi
The right hon. Gentleman continues to hark back. Let me give him some details: on 23 April, India was added to the red list; on 29 April—that is, seven days later—that variant became a variant of interest, not a variant of concern, and at that very point, the Secretary of State for Health and Social Care insisted that we take further measures because of his concern; and it was on 7 May that that particular variant became a variant of concern. This Government will not take any lectures from those on the Opposition Benches.
This Government understand the importance of international travel to the UK public and the success of the UK itself. We are determined to ensure that the UK restarts international travel in a safe and considered way when the science tells us that the time is right to do so, and I repeat that message because it is an important one to land. The global travel taskforce, led by the Department for Transport and reporting to the Prime Minister, is working across Government and industry to do just that.
We have made enormous progress this year in tackling the pandemic across our country. That progress has been hard-won in Northern Ireland, Wales, Scotland and England, and it is vital that we do not risk undermining it now. This Government will continue to work tirelessly to ensure that our response, including on international travel, continues to meet the challenges that covid brings us.
Oral Answers to Questions
Nadhim Zahawi Excerpts(2 years, 11 months ago)
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Mark Eastwood (Dewsbury) (Con)
The Minister for Covid Vaccine Deployment (Nadhim Zahawi)
I join my hon. Friend in congratulating the whole team on the incredible work that they did in pretty difficult and urgent circumstances. I reassure him that, as the Prime Minister has said and as the Secretary of State has said from the Dispatch Box, we want the whole country to come out of this lockdown together.
Mr Virendra Sharma (Ealing, Southall) (Lab) [V]
Covid-19
Nadhim Zahawi Excerpts(2 years, 11 months ago)
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Urgent 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
Jonathan Ashworth (Leicester South) (Lab/Co-op)
(Urgent Question): To ask the Secretary of State for Health and Social Care if he will make a statement on covid-19.
The Minister for Covid Vaccine Deployment (Nadhim Zahawi)
Our race between the vaccine and the virus continues. As a nation, we have taken some huge strides forward: there are now 908 people in hospital with coronavirus, a fall of 9% in the past week, and the average number of daily deaths is now six, the lowest number since the middle of March. On top of this positive news, our vaccination programme is accelerating at pace. Over 72% of all adults have now been given their first dose, and 43% of all adults have the protection of two doses.
This weekend, we reached the milestone of 60 million vaccines administered across the United Kingdom, and Public Health England also published new research showing that the effectiveness of vaccination against symptomatic disease from the variant first discovered in India is similar after two doses when compared to the B117 variant dominant in our country. As with other variants, even higher levels of effectiveness are expected against hospitalisation and death. This is encouraging data, and it reinforces once again the importance of our vaccination programme in giving us a path out of this pandemic, as well as showing just how important it is that everyone comes forward for both jabs when the call comes through. It is the progress made by the British people in following the rules, and in taking up the protection offered through our vaccination programme, that means we were able to take step 3 in our road map last week.
However, we take these steps with vigilance and caution, staying alert to new variants that can jeopardise the advances we have made. We have come down really hard on the variant first identified in India wherever we have found it, surging in testing capacity and vaccines for those who are eligible. Over the past few days, we have extended this rapid approach to even more areas: as well as Bolton and Blackburn with Darwen, which the Prime Minister spoke about at his press conference on the 14th of this month, we are taking rapid action in Bedford, Hounslow, Burnley, Leicester, Kirklees and North Tyneside. As the Prime Minister set out two weeks ago, we are urging people in these areas to take extra caution when meeting anyone outside their household or support bubble, including meeting outside rather than inside where possible; keeping 2 metres apart from people they do not live with; and trying to avoid travelling in and out of the affected areas unless it is essential, for example for work—if a person cannot work from home—or for education.
As the Prime Minister said, we want the whole country to move out of these restrictions together. We are trusting people to be responsible and to act with caution and common sense, as they have done throughout this pandemic, and to make decisions about how best to protect themselves and their loved ones that are informed by the risks. That is exactly what we should be doing. We are always looking to see how we can communicate more effectively with local authorities, and we will of course take on board the views expressed by the House over the course of this debate. By acting quickly whenever the virus flares up and protecting people through our vaccination programme, we can guard the incredible gains we have all made, and get ourselves on the road to recovery.
Jonathan Ashworth
Does the Minister appreciate that cities such as mine, Leicester, or towns and boroughs such as Burnley, Bolton, Batley and Blackburn, have borne the brunt of this crisis over these past 15 months? We have often been in lockdown for longer than elsewhere. At times, we have felt abandoned. We did not have adequate financial support: families did their best, but they struggled. Can the Minister understand how upsetting, how insulting, it is to have new restrictions imposed on us—local lockdowns by stealth, by the back door—without the Secretary of State even having the courtesy to come and tell us?
Why was the guidance plonked on a website on Friday night and not communicated to everyone? Why were local directors of public health and local authority leaders not consulted? Why were MPs not informed? What does it now mean for our constituents? What does it mean for the family in Leicester who have booked a few days next week by the coast for the school half-term? Do they have to cancel that break? What does it mean for university students in Leicester when they have finished their exams? Do they have to go home—or can they go home? Can prospective students come and look at the campuses?
What does the guidance mean for the parents in Bolton who are planning to take their children to see grandparents on the other side of Greater Manchester this bank holiday Monday? Should they rearrange their plans? What does it mean for the young couple in Burnley, Blackburn or Batley, who have postponed their wedding for over a year and invited friends and family from across the country to come and celebrate their special day with them? Is the message to them that they have to delay their wedding again?
Can the Minister answer these questions today? Can he take a message from me, as the Member of Parliament for Leicester South, back to the Secretary of State—“Withdraw this guidance now and convene a meeting this afternoon of the relevant directors of public health to produce a plan involving isolation support and enhanced contact tracing”? As the hon. Gentleman knows from his work as vaccines Minister, a single dose of the vaccine is less effective against this particular variant. Will he produce a plan with local directors of public health to roll out vaccinations to everybody and consider including bringing forward a second dose for a larger cohort of people?
A year ago, Ministers such as the hon. Gentleman were defending Dominic Cummings on Twitter. Now, Mr Cummings tweets about the lack of competent people in charge. Many of our constituents, looking at this latest lockdown fiasco, will think that Mr Cummings has a point.
Nadhim Zahawi
I thank the right hon. Gentleman for, I hope, his equally supportive comments when it comes to supporting his constituents and others around the country—in Bedford, Blackburn, Bolton, Burnley, Kirklees and Leicester, his own patch, as well as Hounslow and north Tyneside.
I spoke to the M10 metro Mayors this morning, and the one thing I would urge is that we all work together and take the politics out of this. Our constituents deserve that. Essentially, as I said in my opening statement, we are asking people in the affected areas to be cautious and careful. The right hon. Gentleman asked about visiting family: people should meet outside rather than inside, where possible. Meeting indoors is still allowed, in a group of six or as two households, but meeting outdoors is safer. People should meet 2 metres apart from those they do not live with unless they have formed a support bubble; that obviously includes friends and family they do not live with. So yes, people can visit family in half-term if they follow social distancing guidelines. The guidelines include specific sections on meeting friends and family. Avoid travelling in and out of the affected areas, as the Prime Minister said on 14 May, unless it is essential—for work purposes, for example.
The whole principle is that we need to work together. The right hon. Gentleman has a responsibility, as do I and the metro Mayors, to communicate to our residents and constituents that this is a time to be vigilant and careful. We are putting more surge testing and turbocharging vaccinations in those areas, to make sure that we do the work with local directors of public health. I hope he will agree that we have had that plan in place and seen it operate in Bolton and Blackburn; we will see it operate in his constituency and other parts of the country as well.
Jeremy Hunt (South West Surrey) (Con)
I congratulate the Minister on the outstanding roll-out of the vaccine programme, which is a source of enormous pride to all of us, on all sides of the House. As we emerge from lockdown, we all want it to be a permanent change. For most families, the biggest priority is to make sure that schools remain open, even if we find that new variants arrive in the UK in the course of the autumn. We know that children do not tend to get bad symptoms, but they can spread the virus, so is it time to look at vaccinating the over-12s, as they are doing in the United States? Is it time to look at whether we can use some of the US Food and Drug Administration analysis to speed up that decision-making process, so that by the time children come back in the autumn, schools are protected and we can be confident that they will be able to stay open?
Nadhim Zahawi
I am grateful for my right hon. Friend’s question. He is absolutely right to focus on the protection of children but also of families and their community. That clinical decision has not been taken in the United Kingdom. He will be aware that, as well as the US regulator, the Canadian regulator has approved the Pfizer-BioNTech vaccine for 12 to 15-year-olds. Operationally, we will be ready, but ultimately the decision has to be a clinical one and our regulator will have to be satisfied that the vaccines are extremely safe. When you are vaccinating children, essentially, you are offering some protection to them—children can be infected with covid and there is some evidence of long covid among children—but on the whole it is to protect their families and to protect against transmission in communities. Vaccines have to be incredibly safe before we administer them to children, but we have the infrastructure in place to be able to do that, as and when the regulatory and clinical decision is made.
Dr Philippa Whitford (Central Ayrshire) (SNP) [V]
Can the Minister explain if the new restrictions for areas such as Bolton are only advisory? Will hospitality companies affected still be eligible for financial support? Why was the Public Health England report on variants snuck out at 11 pm on Saturday, during the Eurovision final and minus the promised data on school outbreaks? The B.1.617.2 or April 02 variant appears to be 50% more infectious and is affecting even younger children, so can the Minister explain why on earth the Government have ended the wearing of face coverings in schools? It is good that two doses of the vaccines still provide good protection from the variant, but testing shows that one dose is only 33% effective. The gap between doses has been shortened from 12 to eight weeks, but with less than half of those between 50 and 65 years of age having had their second dose, are there plans to close the gap further?
Nadhim Zahawi
I am grateful for the hon. Lady’s question and just remind her that Public Health England makes those decisions for itself: it is not up to the Minister when it releases its data.
On pubs and hospitality, indoor areas of venues—cafés, restaurants, bars and so on—can reopen. In any premises serving alcohol, customers will still be required to order, to be served and to eat and drink while seated. Venues are obviously prohibited from providing smoking equipment such as shisha pipes. It is just to make sure that we do everything we can to limit the ability of the virus to infect others. Within that, reducing social contact is incredibly important. Some businesses, such as nightclubs, must remain closed and follow the restrictions. It is very much about making sure that we work together to control the B.1.617.2 variant, exercising the common sense that the Prime Minister spoke about. The guidance is there to do that. People on the whole have been following the guidance.
On transmission and the effectiveness of the two doses—the hon. Lady’s question on accelerating the vaccination programme—the whole idea of us following the Joint Committee on Vaccination and Immunisation guidelines and advice on vaccination is to be able to vaccinate at scale. We have two big weeks ahead of us and we will continue to focus on the second dose. When people get that text message or the call to bring forward their second dose, they should please take that up, because it is incredibly important in controlling the variant.
Greg Smith (Buckingham) (Con)
It is tremendous news that the vaccines that are being so successfully rolled out across our United Kingdom are highly effective against the variant first identified in India, but many businesses continue to be delicately balanced on a cliff edge of either a successful summer or bankruptcy. Does my hon. Friend agree that we need a positive message of hope and certainty that all the evidence continues to back up the complete end of all restrictions and social distancing by 21 June?
Nadhim Zahawi
It is good news from Public Health England on the B.1.617 variant that two doses of either Pfizer or AstraZeneca-Oxford are as effective on infection and are very likely to be even more effective on serious illness and hospitalisation in real-world circumstances. Ultimately, we are effectively pursuing an evidence-led strategy. The four weeks plus one—the five-week interval—are for us to be able to assess the data and share it with Parliament and the nation. At the moment, I am cautiously optimistic that we are in a good place. We have to remain vigilant and we have to work together. As I said earlier, let us take the politics out of this and make sure that all our constituents are careful, and we will get there together.
John Spellar (Warley) (Lab)
I am sure that the Minister will agree that throughout the pandemic our community pharmacies have performed magnificently on the frontline of the health service, but unfortunately there still seems to be institutionalised bias against them in the Department of Health and Social Care, even now. Only a couple of pharmacies in Sandwell have been authorised for the covid vaccine. I urge the Minister to get a grip on his bureaucrats and get vaccines rolling in our Sandwell pharmacies before the bank holiday.
Nadhim Zahawi
I know that the right hon. Gentleman is a passionate advocate for community pharmacies; he and I have discussed them in the past. I do not recognise his characterisation of the NHS team, who I absolutely know work every day with community pharmacies. I think that just over 500 community pharmacies and independent pharmacies are now part of the vaccine deployment. In phase 1, they have proved themselves to be excellent at reaching out and giving confidence to their communities and at getting people vaccinated; where primary care has decided not to carry on with phase 2, they have also stepped up to fill the gaps so that we keep going. I will absolutely look at the right hon. Gentleman’s constituency to see whether we can do more.
Shaun Bailey (West Bromwich West) (Con)
The record vaccine roll-out has absolutely vindicated the decision of my constituents in Wednesbury, Oldbury and Tipton to believe that this country can succeed in standing on its own two feet. Vaccination is going to form a really big part of our lives. What work is my hon. Friend doing to ensure that, as we continue our vaccination roll-out, we have the localised infrastructure to ensure that our great progress is not hindered?
Nadhim Zahawi
I absolutely agree with my hon. Friend. If the virus were designed to test liberal democracies, because the only way we could combat it was to withdraw people’s freedoms with the dreaded non-pharmaceutical interventions, the vaccine has played to the real strengths of the four nations that make up the peoples of these isles. We have had that Dunkirk spirit of coming together as 1,000 flotillas: the 80,000 volunteer vaccinators, the doctors, the nurses, the pharmacists and, of course, our armed forces and local government colleagues, who have stepped up not only to identify communities that we need to protect, but to find sites.
We are already making plans for the booster jab to be ready by September. I remind the House that the clinical decision has not yet been made, but when it is—whether that is in September, in October, in November or early in the new year—we will be ready to go. We are also planning how it will dovetail with our flu vaccination programme and seeing how we can increase the uptake in flu vaccination, because the worst of all worlds would be to do well against covid and then be hit by a heavy flu season in the autumn.
Mohammad Yasin (Bedford) (Lab) [V]
Last evening, I learned that the Government had sneaked Bedford borough into local lockdown without even bothering to warn the public health team. The Minister knows that for almost two weeks I have been calling for surge vaccines in Bedford for all over-16s, yet until last Friday many of my constituents were forced to travel miles to access the Pfizer vaccine. The variant first identified in India has been imported here because of the Government’s lax approach to border control. Why are the people of Bedford paying for the Government’s gross negligence and incompetence once again?
Nadhim Zahawi
The hon. Gentleman and I discussed the turbocharging of the vaccination programme in Bedford, which I know he appreciates. The real difficulty is that, if we now begin to vaccinate people who are 18, outside the JCVI’s advice, we are taking vaccine away from others who are eligible and need that protection. So the strategy we are pursuing is to turbocharge. I need to explain that a little. We are effectively putting in more resource, later opening and mobile vaccination centres and we are expanding vaccination centres, so that those who are already eligible and, for whatever reason, have been unable to access the vaccine or have been waiting to see, can get the protection of the first dose. Of course then we get the second dose into all those over the age of 50, because we know that the two doses in those areas, against the B.1.617.2 variant, make a huge difference.
Jacob Young (Redcar) (Con)
I congratulate the Minister on the success of the vaccine roll-out and the rate at which the age limit is dropping. At the age of 28, I am regularly checking the NHS website to see when it is my turn. However, those who are a little older than me are trying to get their first jab at the Riverside Stadium in Middlesbrough but struggling to do so, reportedly because only the AstraZeneca jab is being stocked at the vaccine centre there. Will he use his office to try to find out what the problem is and resolve it, so that people are not having to travel unnecessarily to get their first jab?
Nadhim Zahawi
I will absolutely look at what the issue is. The good news we have had recently from our regulator, the Medicines and Healthcare products Regulatory Agency, is that the Pfizer-BioNTech vaccine can now be stored for up to a month—it used to be only five days from once it was thawed from minus 70° C—which means it is much more versatile and less challenging than it used to be. So I will absolutely look at that and contact my hon. Friend.
Munira Wilson (Twickenham) (LD)
One area of concern for which new restrictions have been published but no advice has been communicated is the London Borough of Hounslow, which shares a boundary with Whitton, Hampton and St Margarets in my constituency. Hundreds, if not thousands, of people go back and forth every day, for school, for work, to get food and other essential supplies and for medical appointments. So, first, could the Minister advise my constituents whether they should be getting on buses and trains that cross the borough boundary and whether they should be going to supermarkets and accessing medical services over the borough boundary? Secondly, will he consider vaccinating, as a priority, people, such as teachers, key workers and airport staff, who have to go to work in Hounslow but live outside the borough?
Nadhim Zahawi
I am grateful for the hon. Lady’s question and I discussed this with the Mayor of London this morning. Of course Hounslow is on the list of affected areas and we are turbocharging the vaccination programme, as well as doing the surge testing and the sequencing and isolation. But as I have outlined in response to others, people need to exercise caution and common sense, and travel outside of the area only if it is essential. That is important. The right thing to do is for us to work together to make sure we deliver that message, as I did this morning with the Mayor of London.
Mr Mark Harper (Forest of Dean) (Con)
In The Telegraph story this morning about what the rules for self-isolation might be post 21 June, a Government source was quoted as saying, in response to the suggestion that they will not change:
“There is still a risk of getting the virus and spreading it on,”
That is of course true—there is a risk—but of course once people have been vaccinated the risk is much lower and, importantly, the vaccines are very effective at stopping serious disease, hospitalisation and death. So may I say to the Minister that post 21 June it is important not only that legal restrictions and social distancing go, but that all the remaining rules are adjusted to reflect the much lower risk that exists once we have vaccinated the population? Otherwise, we are going to have those rules in place forever.
Nadhim Zahawi
It is worth waiting for 14 June, when we will be saying more on this, but suffice it to say two things: first, even if someone has had two doses of either vaccine —I have had this experience in my own family—they can still contract covid and should therefore be isolating and quarantining; secondly, we are also looking at ways in which contacts of people who may have contracted covid can be regularly tested instead of isolating.
Jim Shannon (Strangford) (DUP)
I thank the Minister for his responses so far and for the magnificent effort. I had my second vaccine yesterday, and just to show how national that was, the person who gave me the injection was a doctor from Lincolnshire. I believe that this very much shows that the United Kingdom of Great Britain and Northern Ireland works better together, and that this is a supreme example of that.
We understand that things will change depending on the circumstances and that localised lockdowns may be the way to ensure that areas with low numbers are able to allow people to live safely. Can the Minister outline what parameters will establish localised lockdowns and tell us whether the same approach will be taken UK-wide by the devolved regions?
Nadhim Zahawi
I am very pleased to hear that my hon. Friend has had his second dose; when people get that text message, they should please come forward and have their second dose. We are looking to ensure that the whole country comes out of this together, hence the advice being very much about exercising caution and self-responsibility. People actually get this; we see in much of the research data that they know the things that can add to the risk and that they should therefore abstain from doing those things while we vaccinate at scale to get to the place where we can all hopefully get our lives back.
Sir Desmond Swayne (New Forest West) (Con)
Some of us will be viscerally opposed to the use of covid passports in the domestic economy. When will the Government set out their proposals in some detail?
Nadhim Zahawi
We are considering a range of evidence around covid status certification and whether it may have a role in opening up higher-risk settings, so it would be remiss of a Government Minister or a Government not to look at technologies around the world that would allow us to open up not 20% of Wembley stadium but the whole of Wembley stadium for the FA cup final. No final decisions have been made, and we are of course committed to setting out our conclusions on the review ahead of step 4.
Mr Tanmanjeet Singh Dhesi (Slough) (Lab)
Some people have been making a lot of money from Government-approved quarantine hotels, but many of my Slough constituents are continuing to suffer during their stays. Their long list of angry complaints includes a lack of water, with people being told to drink from the bathroom tap; poor food standards often not meeting dietary or religious requirements, with people having to fork out for takeaways; poor ventilation with no chance of opening a window; and I have not even started yet on the shambolic state of mixing in hours-long airport queues so that even if somebody does not have coronavirus, they soon will have. Why are the Government failing to get a grip of the situation, despite repeated requests from right hon. and hon. Members of this House?
Nadhim Zahawi
I do not recognise the hon. Gentleman’s description of the way the system is working. There were some distressing videos posted online of people in airports, but we work with the airports and require them to ensure that social distancing protocols are followed. Indeed, at Heathrow, we recently looked at people from red list countries arriving at a particular terminal. I will take away his point about particular hotels, and if he lets me have the exact details I can look at what is happening, because it is wrong and distressing if people cannot have fresh drinking water.
Tom Hunt (Ipswich) (Con)
In Suffolk and north-east Essex, 97% of the over-80s have now had two jabs, which I think puts it at the top of the league table. I predict that, as a 32-year-old, I am on the cusp of being offered my jab, but I will wait for my contact to confirm that. Huge thanks should also go to BSC Multicultural Services, which has worked incredibly hard with hard-to-reach groups to get the vaccine out, and I also want to give a special mention to community pharmacies, which the right hon. Member for Warley (John Spellar) mentioned. It seems like a long time since the Aqua Pharmacy on Duke Street approached me, but it has gone on to deliver 15,000 doses. I sometimes feel that community pharmacies do not always get the attention they deserve. Can the Minister assure me that in the NHS White Paper community pharmacies will be at the heart of what we are doing to recover from this pandemic?
Nadhim Zahawi
I can certainly give my hon. Friend that reassurance. Community pharmacies are an incredibly important part of our deployment infrastructure.
David Linden (Glasgow East) (SNP)
Like everybody else, I pay tribute to those who are delivering the vaccine and those who have developed it. I am not quite at the age to have been offered my first dose yet, but I am hoping that it will be soon. When I get that blue envelope through the door, I will go to get my jab. The Minister will be aware that there are a number of people who have a phobia of needles. Is he in a position to update the House on the development of a nasal vaccine?
Nadhim Zahawi
I am glad the hon. Member will get his jab when the call comes. We are obviously working with a number of manufacturers, who are looking at different delivery technologies for vaccines in the future. It is still some way off, I am afraid. At the moment, the needle dominates the vaccination deployment technologies, but I know that a number of manufacturers are working on other ways of delivering vaccines, including through pills.
Andy Carter (Warrington South) (Con)
Seventy per cent of my constituents have now had one vaccine. I am sure the Minister will join me in congratulating and thanking all those people in Warrington who have played such an important part in this incredible vaccination programme. As he will know, vaccines are one part of the solution. Can he give us an update on drugs and research into treatment for those who find themselves in hospital suffering from covid?
Nadhim Zahawi
I join my hon. Friend in thanking the local team for going above and beyond, and, as I said earlier, it is all about that spirit of Dunkirk and the coming together of the nation to deliver the vaccination programme. A couple of weeks ago, the Prime Minister announced the therapeutics taskforce, which is moving at pace to identify therapeutics and antivirals to help people who, for whatever reason, cannot be vaccinated and to give us a greater arsenal in our armoury against this pandemic.
Neale Hanvey (Kirkcaldy and Cowdenbeath) (Alba) [V]
I get my second vaccine tomorrow, so I would also like to thank all of the NHS staff and other staff who have made this possible in such a quick turnaround. However, all of that cannot conceal the opacity of the UK Government’s position on accusations of cronyism and corruption, but, thanks to the Good Law Project, that is finally being challenged in the High Court this week. I have been attempting to get to the heart of the procurement of unlicensed lateral flow tests and been met with glib obfuscation from the Department. Can the Minister therefore tell me: when was the contract for these devices signed; was it known at the time that these tests were not licensed by the MHRA for asymptomatic testing; which Minister approved this contract; and if the Government really have nothing to hide, why do they just not come clean?
Nadhim Zahawi
I just remind the hon. Member that, at this Dispatch Box, the Prime Minister announced a full inquiry that will take place in the spring of 2022, where we can learn all the lessons of the covid pandemic and the Government’s response to it. Suffice to say that all contracting is published in the appropriate way, and civil servants follow the exact rules around contracting.
Mr Richard Holden (North West Durham) (Con)
Fifty-seven thousand people in North West Durham have had their first jab and 34,000 the second, so we are doing really well and progressing excellently. I have my first jab this Saturday. I say to my hon. Friend the Member for Ipswich (Tom Hunt) that he is 32, so he can also get his jab now. Anybody else in my constituency or across the country can book now through the app. There are concerns, though, about the vaccine. Can the Minister ensure that all the possible issues and side effects are constantly monitored and published so that people can make informed positive choices to get the vaccine, especially in the younger age groups, to ensure that everyone is protected as much as possible, especially from the new variants?
Nadhim Zahawi
I can certainly give my hon. Friend that assurance. We have an independent regulator here in the MHRA and, of course, Public Health England, and we have a yellow card system where adverse incidents are recorded—they can be reported directly by a GP, a clinician or the person themselves. All that data is published and people can access it on their MHRA website, or google it and see it. An incredible part of the success story of the vaccination programme is that sharing of data, which has led to the highest level of vaccine acceptance among adults in the world. The figures suggest that about 90% of all adults say that they will take the vaccine, or are very likely to take the vaccine.
Janet Daby (Lewisham East) (Lab) [V]
What steps are the Government taking to ensure that the UK is a leader in the global response to tackling covid-19, especially given the fact that we are not safe until everyone is safe?
Nadhim Zahawi
When the Prime Minister set up the vaccines taskforce he gave it two priorities: first, to discover the vaccines that would work, in order to contract for them or to manufacture them in the UK; and secondly, to work out how to help the rest of the world, which is why we were the first country to put £548 million into COVAX and very much establish COVAX, which now has more than 450 million doses, the bulk of which are Oxford-AstraZeneca, which is our gift to the world. Some 98% of the COVAX jabs that have been delivered and have protected people have come from Oxford-AstraZeneca. Pfizer has also been doing the same thing: from day one its chief executive, Albert Bourla, spoke about vaccine equality, and Pfizer is offering vaccines at cost to low and middle-income countries.
Rachel Hopkins (Luton South) (Lab)
It is simply unacceptable that my constituents in Luton South found out about the changed advice on travel to Bedford through the back door, via the media last night. They need thorough clarity and formal information to be provided through our local authorities.
On local authorities, what steps are the Government taking for the prioritisation of turbocharged vaccinations, not just for areas with the new variant but for areas with enduring transmission?
Nadhim Zahawi
I think I have dealt with the first part of the hon. Lady’s question, in the sense that the guidance and information was shared with the country on 14 May. We continue to endeavour to improve our communications, in partnership with local government and by addressing local health systems.
On vaccine turbocharging, the hon. Lady will know that we are looking at mobile vaccination sites, increasing sites’ opening hours and putting in more resource so that we can vaccinate the people who are eligible to be vaccinated—it is important to make that distinction. We will continue to do all that in Bedford to make sure that the people of Bedford are protected and we get the variant under control.
Theresa Villiers (Chipping Barnet) (Con)
Over the weekend I was contacted about two instances of people having difficulties getting the access that they wanted to their frail relatives in Barnet Hospital. It was particularly distressing because in both instances the patients had difficulties communicating with and understanding hospital staff. I appreciate that hospitals have a paramount duty to ensure proper infection control, but will the Minister encourage hospitals throughout the country to facilitate visits so that relatives can support the frail elderly while they are in hospital?
Nadhim Zahawi
I will certainly take my right hon. Friend’s constituents’ details and look into that. We urge all hospitals to make sure that when the frail elderly need social contact, they are able to get it.
Mick Whitley (Birkenhead) (Lab) [V]
No one is safe from covid-19 until we all are, but the UK continues to stubbornly resist calls for a waiver of covid-19 vaccine patents. Given that people in many of the world’s poorest countries cannot expect to be vaccinated until 2023, and given the failure of the COVAX initiative to distribute vaccines at the volume and speed that is needed, will the Government now follow the lead of the Biden Administration and reverse their position on a patent waiver?
Nadhim Zahawi
That is a really important question. Let me share with the hon. Member a little about the operational challenges around vaccine manufacture. We will of course look at any text that our US colleagues put forward on the intellectual property issue, but in reality if the exam question is to get more jabs in the arms of those who live in low and middle-income countries, the bottleneck is not the IP but the transfer of technology to manufacturers around the world. What Oxford-AstraZeneca has done incredibly well is to transfer that technology to 20 sites that can manufacture at scale. We have already delivered 450 million doses of the Oxford-AstraZeneca vaccine. The hon. Gentleman might recall that Pfizer did the same thing; it actually paused its manufacturing in Europe and expanded it, to go from 1.2 billion doses a year for 2021 to almost 3 billion doses. If the exam question is to get more jabs in arms, we need that technology transfer. It is not easy, as we saw in Halix in Europe, which had great difficulty operationalising the manufacturing, as did Catalent in the US. That is the real effort that needs to go in—as well, of course, as helping other countries with deployment. It is only one part of the jigsaw to get the vaccine into warehouses in those countries; those countries have to be able to get it out and into people’s arms.
Robert Largan (High Peak) (Con)
The experience over the last year has shown that local lockdowns are not effective, because cases simply rocket in the areas immediately outside the local restrictions. With that in mind and to get ahead of the curve, this morning I have been in discussions with Derbyshire County Council and my local director of public health to establish a pop-up vaccination site at Gamesley, where there has been a high number of new cases, so that we can deliver surge vaccination. Will the Minister work with me, my local director of public health and the NHS to ensure that we get the doses we need to get everyone in the High Peak vaccinated as soon as possible?
Nadhim Zahawi
My hon. Friend is absolutely right. The important thing is to get those who are eligible vaccinated and for those who need their second dose to get that second dose within the eight-week period. That is the way we control this variant. I will happily work with him on any local initiative that he is working on.
Stella Creasy (Walthamstow) (Lab/Co-op) [V]
The evidence is clear: women who are pregnant who get covid are twice as likely to have a premature birth and twice as likely to experience stillbirth. Other countries have recognised this and have ensured that pregnant women of any age are a priority for vaccination, but in this country the conversation about the data has not even happened yet, despite months of asking. There will be thousands of pregnant women in the areas where the variant is on the rise, and across the country, terrified about what might happen if they get covid. What can we do to help them get hold of the vaccine, regardless of age, so that we are protecting the youngest members of our community?
Nadhim Zahawi
The hon. Lady will know, because she is on the weekly MPs’ call that I host, that the Joint Committee on Vaccination and Immunisation is looking at this data. In the meantime, because of data provided by the United States of America, we have made the Pfizer-BioNTech and Moderna vaccines available to all pregnant women who are in the eligible cohort. That is happening as we speak. I know that Professor Anthony Harnden, who is the deputy chair of the JCVI, has promised the hon. Lady that the JCVI is looking at the data; when it delivers the advice to us, the system will follow that advice.
Andrew Jones (Harrogate and Knaresborough) (Con)
The scale and pace with which we are delivering our vaccine programme is a marvellous achievement and a testament to everybody involved. It is how we are able gradually and safely to come out of the restrictions. Will my hon. Friend confirm that we will always be following the science and the data, so that activities can resume as safely and as soon as possible? I am particularly thinking about indoor gatherings for groups such as community choirs, and other events that bring people together. Such activities are so needed to combat the isolation that has hit so many people during the lockdown.
Nadhim Zahawi
My hon. Friend will know that the reason for restrictions on activities such as choirs and singing is the added transmission through aerosols or droplets. The faster that we can move the vaccination programme, the sooner we can end those restrictions. Therefore, my absolute focus—and my commitment to him—is that we continue at pace. We have a big week this week and a big week next week.
Florence Eshalomi (Vauxhall) (Lab/Co-op)
I thank the Minister for his weekly updates, which I have found really helpful, and for his work on vaccine hesitancy across the black, Asian and minority ethnic community. I had my vaccine on 14 May at St Thomas’ Hospital—the same hospital that cared really well for our Prime Minister. The Prime Minister thanked those nurses, including Luis, who gave me my vaccine. But we saw that Jenny resigned from the NHS last week, so will the Minister use his will and his power to speak to the Treasury to get our hard-working nurses the pay they deserve?
Nadhim Zahawi
I am grateful for the hon. Member’s commitment in ensuring that we get the vaccine message out to harder-to-reach communities and for her work with me on the weekly meetings. We have delivered an increase to nurses. We await the outcome of the deliberations of the panel that will look at nurses’ pay, and then the Treasury will make an announcement in the usual way
Holly Mumby-Croft (Scunthorpe) (Con)
I thank my hon. Friend for his assistance in ensuring continuity of supply to the Baths Hall in Scunthorpe and our other vaccination hubs. Over 71% of our adult population in North Lincolnshire have received their first vaccine and almost 50% have had their second vaccine. Will he join me in thanking the fantastic volunteers who I see outside in all weathers at the Baths Hall, welcoming patients to receive their vaccination? We quite simply could not have done it without them.
Nadhim Zahawi
I absolutely join my hon. Friend in that, because I see it up and down the country all the time. I spoke earlier about the Dunkirk spirit, with people coming up and saying, “I want to be counted. I want to be part of this.” We demonstrated it to the world a little bit in the 2012 Olympics. This is a whole other scale of operation. Nevertheless, we have delivered on it and will continue to deliver on it, and I stand on the shoulders of the real heroes and heroines of the NHS family, our armed forces and local government.
Lee Anderson (Ashfield) (Con)
The vaccine works—it prevents serious illness and helps to prevent transmission—but I read in the papers this morning that even if someone has had two jabs, if they come into contact with someone who is positive after 21 June, they will still have to isolate for 10 days. Could my hon. Friend confirm whether or not that is correct?
Nadhim Zahawi
I answered a question on this issue earlier. Obviously if someone contracts covid, they have to isolate and quarantine, but in terms of their contacts, we are looking at regular testing to see whether there is an alternative. I am afraid that my hon. Friend will have to wait a little longer before step four, and we will say more on this on 14 June.
Vicky Foxcroft (Lewisham, Deptford) (Lab)
It is a pleasure to be back in the Chamber, but for many like me who are immunocompromised, returning in person to the workplace is concerning, as we do not yet know how effective the vaccines are for us. Will the Minister consider allowing immunocompromised people to have access to antibody testing, thereby giving us some idea of the vaccines’ efficacy and some knowledge of our level of protection from the virus?
Nadhim Zahawi
The hon. Lady asked a similar question last week, and Professor Harnden of the JCVI said that the problem with antibody testing is what it really tells us. I will happily ask the question again on her behalf of the JCVI. Suffice it to say that on 17 May we put out guidance to employers saying that those who are shielding and immunocompromised should be allowed to work from home if they need to.
Chris Green (Bolton West) (Con)
Will my hon. Friend confirm that the Government’s position on the coronavirus pandemic is that it is still a question of life and death, that communications are vital in this effort and that compliance follows confidence, which in turn follows competence? Will he confirm when these local lockdown measures were agreed with the leadership at Bolton Council and when the Prime Minister formally agreed to this updated guidance being imposed?
Nadhim Zahawi
My hon. Friend will recall that the Prime Minister addressed this issue on 14 May.
Nadhim Zahawi
Yes, he did address this issue in his press conference. I can read the right hon. Member for Leicester South (Jonathan Ashworth) the words from that press conference, because he says from a sedentary position, “He did not.” The Prime Minister said, speaking about Bolton:
“given the caution that I think we have to exercise with this new variant, the risk of extra transmissibility, I would urge people just to think twice about that. That’s what we’re saying. I think that we want people in those areas to recognise that there is extra risk, an extra disruption, a threat of disruption to progress caused by this new variant and just to exercise their discretion and judgment, in a way I’m sure that they have been throughout this pandemic and will continue to do so, I hope very much.”
Those were his words, and the guidance was in place.
Yvette Cooper (Normanton, Pontefract and Castleford) (Lab)
The Minister has done a good job on the vaccines, but this statement is utterly chaotic and completely confused. What advice is he actually giving to people in the north-west or in West Yorkshire about going to the pub, about weddings and about travel—even about whether, if they are allowed to travel out of Bolton, they are allowed to travel to Portugal, on the green list, for holidays? Is not the reality that he is so uncomfortable about giving any advice because he knows the reason he is putting these people in Bolton, in West Yorkshire and in other places in this position is that the Government failed to put India on the red list earlier? Over 400 people from India came into the country with the Indian variant, and putting India on the red list would have prevented it from spreading to thousands of other people in the community. Will he apologise to people in the areas that are affected with the additional restrictions he is advising because of the Government’s failure?
Nadhim Zahawi
I do not agree with the right hon. Lady, as she will not be surprised to hear. I have already talked about how visiting families are impacted and pubs and hospitality are affected, and about the exercise of caution and being careful. She will recall that when India was put on the red list on 23 April, it was a full six days later that this particular variant was identified by the experts—the virologists—as a variant of interest, and a full two weeks later before it became a variant of concern. So her point, actually, is made unfairly.
Dr James Davies (Vale of Clwyd) (Con)
When does my hon. Friend anticipate that the NHS smartphone app will be enabled to allow those in Wales to demonstrate their covid vaccination status? Further to that, does he expect that other features of the app, such as the ability to book GP appointments, to order prescriptions and to view notes will also be enabled in Wales?
Nadhim Zahawi
We are working closely with the Welsh Government to enable the integration of Welsh citizens’ data with the NHS app, NHS.uk, for the purpose of covid status certification, including undertaking the required scoping and impact assessment that will enable us to set out a detailed timeline for the delivery of that integration.
Dr Luke Evans (Bosworth) (Con) [V]
The people of Bosworth are a pragmatic bunch, as are the people of Leicestershire. Leicestershire surrounds Leicester. What advice does the Minister give to those people who are in Leicestershire who send their kids to school in Leicester, who work in Leicester, and who are thinking of having bank holiday time with family in Leicester?
Nadhim Zahawi
I thank my hon. Friend—[Interruption.] I hear the right hon. Member for Leicester South saying “Good question.” He is absolutely right. We have to exercise caution and common sense, as I described earlier, around visiting. People absolutely can visit family and friends at half-term if they follow social distancing guidelines. I think people absolutely will exercise that personal responsibility and common sense when they go about their family time or school time.
Sarah Owen (Luton North) (Lab)
Last year the Prime Minister gave in to pressure from trade unions and cross-party opposition and announced refunds for health and care workers from overseas for the £624 charge they are paying to use the NHS. Yesterday the Minister for Health, the hon. Member for Charnwood (Edward Argar) could not tell me how many healthcare workers had been refunded, and in Committee earlier, the Care Minister did not know either. Does this Minister know how many, if any, healthcare heroes have had their NHS charges refunded, or was it just another empty promise from this Government?
Nadhim Zahawi
I am happy to write to the hon. Lady with the answer to her question. Suffice it to say that this is an important amount of money to those people and I do not think we should be playing politics with it in a sort of “gotcha” moment.
Esther McVey (Tatton) (Con)
The Minister will recall that we were told that the first lockdown was required to give time to build capacity in the NHS. Can he therefore tell us how many more hospital beds are available now than in March last year?
Nadhim Zahawi
I will write to my right hon. Friend with that detail. Suffice it to say that we now have 908 people with covid, as I said in my statement—the lowest number since lockdown.
Mrs Emma Lewell-Buck (South Shields) (Lab)
South Shields and North Tyneside are interconnected. Today, my community and businesses are incredibly anxious. We know that local lockdowns do not work and inevitably lead to national ones. We know that it is likely that there will be other variants of this virus, which may well be with us for ever. Lockdowns break our economy and society, cause mental distress, delay vital cancer treatments, lead to further unemployment and exacerbate inequalities. Can the Minister explain why the Government’s response—instead of fixing test, trace and isolate, for example—is always more restrictions and endless cycles of lockdown?
Nadhim Zahawi
I hope the hon. Lady agrees that the vaccination programme has given us a way out of non-pharmaceutical interventions, which were the only thing we had at our disposal to try to slow down the pandemic and the virus. As we transition from pandemic to endemic, we are planning for a booster shot in the autumn to protect the most vulnerable or all people in phase 1—that clinical decision has yet to be made. We are already making plans for next year to deal with covid, as we deal with seasonal flu, through annual vaccination programmes. By next year, this country will be able to manufacture 700 million doses of vaccine, not just for the UK but to help the rest of the world.
Jason McCartney (Colne Valley) (Con)
My constituency is in Kirklees. I could ask about how the new travel advice for Kirklees was communicated to my constituents, but instead I want to clarify three things with the Minister. The first is travel advice. It is half-term next week, and families will be visiting and going on short breaks. Should they now cancel those trips? Secondly, hotels, bed and breakfasts, and restaurants are getting cancellations. What support will hospitality get? Finally, my constituents can see the data on where the hotspots are. When will we start using granular data to tackle the outbreaks, rather than lumping whole council areas into these advised restrictions?
Nadhim Zahawi
Let me take those questions in reverse. On granular data, we already have the capability in the vaccination programme to see by postcode area where the uptake is at. That is how we can focus our resources to turbocharge the programme, as we have done and will continue to do, including in Kirklees.
On pubs and hospitality, indoor areas and hospitality venues can continue to serve seated clientele, diners and drinkers, as I described earlier. If people have booked visits to their families, they are absolutely able to have them as long as they follow social distancing guidelines and common sense.
We need to make sure that we are vigilant, because the B1617.2 variant is concerning, and we have to bring it under control by turbocharging vaccinations, surge testing, isolating and genome sequencing.
Antony Higginbotham (Burnley) (Con)
I agree with my hon. Friend the Member for Colne Valley (Jason McCartney): what we need now more than ever before is clear communication from the Government, so that residents of Burnley, Blackburn and Bolton know exactly what is expected of them. Will the Minister confirm that this guidance is guidance and that my constituents can still exercise the freedoms that they reclaimed last Monday? Will he meet me and other colleagues to talk through what more we can do to make sure that communication is clear in the areas where we need it most?
Nadhim Zahawi
I am very happy to meet my hon. Friend. On the guidance, as I have made clear on a number of occasions at the Dispatch Box, people have to be careful and vigilant, as they have been already.
A number of colleagues have asked about the Batley and Spen by-election. We have just demonstrated in the local elections that we can conduct elections safely; we will be able to conduct that by-election safely, too. People just need to be sensible. Let us work together, bring this together and take the politics out of it.
Mr Speaker
I now suspend the House for three minutes to enable the necessary arrangements to be made for the next business.
Oral Answers to Questions
Nadhim Zahawi Excerpts(3 years ago)
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Elliot Colburn (Carshalton and Wallington) (Con)
The Minister for Covid Vaccine Deployment (Nadhim Zahawi)
First, I would like to pay tribute to our fantastic NHS and all the frontline vaccinators, our volunteers, armed forces and local authorities and all those working on the vaccine deployment programme. I am very grateful for their tireless efforts in vaccinating those most at risk across the country.
I am absolutely delighted, Mr Speaker—no haircut puns at all here—that another significant milestone has been reached, as we have met our target of offering a vaccine to those in cohorts 1 to 9 ahead of schedule. Over 32 million people have had their first dose and more than 7.6 million have had their second dose. We are making phenomenal progress, but we remain focused on ensuring that no one gets left behind.
Tom Randall
Last week I became one of those people who had their first jab, at Boots the chemist in Nottingham. Will my hon. Friend join me in thanking all those in places such as Boots and all those involved in the roll-out of the Pfizer-BioNTech, Oxford-AstraZeneca and Moderna vaccines? Does he agree that the best way out of this situation is to get that jab, and that when the time comes and people get the call, they should take that opportunity as soon as they can?
Nadhim Zahawi
I absolutely agree with my hon. Friend, and I thank Boots the chemist not only for its frontline capability but for its distribution arm, which has helped us to distribute Pfizer-BioNTech, Oxford-AstraZeneca and, now, Moderna. I agree that when people get the call, they should come forward and have their jab.
Elliot Colburn [V]
I welcome today’s news that the over-45s are being invited to receive their first dose of the vaccine, and I thank everyone in Carshalton and Wallington who is involved in the roll-out. I recently held a vaccine roundtable with NHS leaders in Carshalton and Wallington to encourage everyone, including ethnic minority groups, to come forward and get the vaccine when their time comes. Could my hon. Friend update the House on what steps the Government are taking to work with community leaders and others to ensure that every part of our community comes forward and gets the vaccine?
Nadhim Zahawi
I am grateful to my hon. Friend, and I echo his comments about the incredible work that is happening across the London borough of Sutton. I thank him for his work in promoting the vaccine, and according to the latest NHS figures almost 90,000 individuals have had their first dose of covid-19 vaccine in Sutton. To this end we are working closely with faith and community leaders to help to spread information about vaccines through trusted, familiar voices and in a range of different languages and settings. That also means leveraging the influence of celebrity figures such as Sir Lenny Henry and the powerful and incredibly moving “call to action” letter and video to black and Afro-Caribbean communities. This is really important. We are also working to support the vaccine programme over important religious observances such as Ramadan, which begins today. We are working with the Muslim community and reiterating the verdict of Islamic scholars and key Muslim figures within the NHS that the vaccine does not break the fast and is permissible, so come and get your vaccine.
Karin Smyth (Bristol South) (Lab)
Covid-19 Vaccine Deployment
Nadhim Zahawi Excerpts(3 years ago)
Written StatementsRead Full debate Read Hansard Text Read Debate Ministerial Extracts
The Minister for Covid Vaccine Deployment (Nadhim Zahawi)
I am tabling this statement for the benefit of hon. and right hon. Members to bring to their attention the contingent liabilities relating to the contracts signed between Her Majesty’s Government (HMG) and covid-19 vaccine suppliers for the phase 2 deployment of vaccines.
Today, the Joint Committee on Vaccination and Immunisation (JCVI) has published its final advice about the next phase of the covid-19 vaccine deployment. In line with its interim advice, it has recommended an age-based strategy for prioritisation as the best way to further reduce mortality and hospitalisations.
The JCVI has advised that rapid vaccine deployment is the most important means to maximise public health benefits against severe outcomes from covid-19. There is good evidence that the risks of hospitalisation and critical care admissions from covid-19 increase with age, and that in occupations where the risk of exposure to SARS-CoV-2 is potentially higher, persons of older age are also those at highest risk of severe outcomes from covid-19. It is for these reasons that the Committee has recommended that the offer of vaccination be age-based, starting with the oldest adults first, and proceeding in the following order to facilitate rapid deployment:
All those aged 40 to 49 years
All those aged 30 to 39 years
All those aged 18 to 29 years
Throughout the vaccination programme the independent regulator, the Medicines and Healthcare products Regulatory Agency’s (MHRA), has published data on the effects and side effects of the vaccine. It has independently assessed that all three vaccines in use in the UK are safe and effective. The European Medicines Agency and the World Health Organisation have reached the same conclusion. Having considered this data, which has been published, and in order to make the vaccine programme as safe as it possibly can be, the JCVI advises that it is preferable for adults aged under 30 years without underlying health conditions that put them at a higher risk of severe covid-19 disease, to be offered an alternative vaccine, if available.
The JCVI has weighed the relative balance of benefits and risks, and advises that the benefits of prompt vaccination with the AstraZeneca covid-19 vaccine far outweigh the risk of adverse events for individuals 30 years of age and over and those who have underlying health conditions which put them at higher risk of severe covid-19 disease. The Government have accepted this advice in full, and the rollout will put this advice into operation.
With the deployment of phase 2, I am now updating the House on the liabilities Her Majesty’s Government have taken on in relation to further vaccine supply via this statement and the departmental minute available as an online attachment.
It has been and remains the Government’s strategy to manage covid-19 until an effective vaccine or vaccines can be deployed at scale. Putting in place appropriate indemnities for vaccine suppliers has helped to secure access to vaccines much sooner than may have been the case otherwise.
Given the exceptional circumstances we are in, and the terms on which developers are willing to supply a covid-19 vaccine, we along with other nations have taken a broad approach to indemnification proportionate to the situation we are in.
Even though the covid-19 vaccines have been developed at pace, at no point and at no stage of development has safety been bypassed. The independent MHRA’s approval for use of the currently deployed vaccines clearly demonstrates that these vaccines have satisfied, in full, all the necessary requirements for safety, effectiveness, and quality. We are providing indemnities in the unexpected event of any adverse reactions that could not have been foreseen through the robust checks and procedures that have been put in place.
I will update the House in a similar manner as and when other covid-19 vaccines are deployed.
Attachments can be viewed online at: http://www. parliament.uk/business/publications/written-questions-answers-statements/written-statement/Commons/2021-04-13/HCWS911/
[HCWS911]