Local Contact Tracing
Nigel Evans Excerpts(3 years, 6 months ago)
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Ms Marie Rimmer (St Helens South and Whiston) (Lab)
The world-beating test and trace system set up to control covid-19 has been an expensive failure. Covid-19 is having a devastating effect on lives and livelihoods at the speed we saw back in April, especially in less affluent areas and communities, such as Liverpool city region. The Government have difficulty admitting that, when the system has cost £12 billion, but recognise it and act they must, as lives are at stake.
For test and trace to work, the Government must learn lessons from the experiences and outcomes to date. Local knowledge is the key to success. When a business is looking to expand into new markets, local expertise is hired to help. This situation is no different. One centralised, outsourced system was destined to fail. For months, many people have called on the Government to support local authorities and public health and expand their role. Their teams have proven to be successful at controlling the outbreaks, once they have got over the business of testing and the lack of PPE in care homes in those areas.
National Test and Trace teams contact positive cases by phoning and leaving a message, but many do not get back to them. Sometimes, they pass those failures on to local government, and local government goes out, knocks on doors and gets responses, and that has been proven. These teams have invaluable knowledge of the people and places where they are working year in, year out. Higher contact tracing rates lead to reduced covid-19 spread. It is the only way to get it under control. Local authorities do not have the capacity to do it all themselves—they are already beyond stretched. One outsourcing company subcontracted 28 different companies with no knowledge or experience to succeed, and that has proven to be a failure.
Often, the solution is simple. We currently have too much of a disconnect between local and national teams. By the time the subcontractors contact local teams to help, days have passed with covid-19 on legs, spreading. Effective information-sharing leads to faster contact tracing. Redeploying the national pool of contact tracers directly with local teams would help that. That is how the country can get a test and trace system working, which is what we all want.
Local authorities and their public health teams should be given the lead on test and trace and the resource to do so. Adequate funding is necessary so that they can expand their teams, but it takes time to recruit, and that is why I urge that the 25,000 tracers employed by the private sector are redeployed somehow into local teams.
Mr Deputy Speaker (Mr Nigel Evans)
I am sorry, Marie, but we have to leave it there. I call Margaret Greenwood.
Olivia Blake
No, I will not give way because we are short on time.
Why are the Government prioritising those private labs over our NHS to implement the testing system when those labs are clearly failing? We have seen some really good success in our labs in Sheffield, which have been testing staff at the teaching hospitals, and that could have been a lesson learned and applied across the country.
I have conducted polymerase chain reaction tests. I know that it is not that difficult. Moonshot is a complete and utter dream. I can safely say that I have been watching the testing system with frustration and I have suddenly become very popular with my ex-colleagues. They have been very enlightening when describing the conditions in which they have been working—often as volunteers while they are furloughed from their other labs.
In Sheffield, we heard that a recruitment drive was requested by the Prime Minister in September—a little bit late and a little bit after the horse has bolted. By that time, the planning for teaching was well under way and the contracts of many of them had ended and the seconding of staff was no longer available.
I have much more to say on this issue. I could go on and on and on, but the last thing I wish to say is that the numbers speak for themselves—
Fleur Anderson (Putney) (Lab)
I am grateful for the opportunity to speak on the issue of track and trace. I and other Opposition Members are rightly furious at the amount of money being spent on private companies that could have been invested in our own NHS and in local public authority systems.
This issue is of huge interest to my constituents in Putney, Roehampton and Southfields. More than 100 people have written to tell me about where it has gone wrong with testing and tracing, and more than 700 people have signed my joint letter with my hon. Friends the Members for Tooting (Dr Allin-Khan) and for Battersea (Marsha De Cordova), asking for a permanent testing centre in Wandsworth borough. Deloitte has been sent to find one, but it cannot find a place, so we do not have one; we rely on the Army to pop up every now and again. One mother was left in a car park, having to travel to another testing centre. She could not find a QR code on her app. The testing centre was almost empty, but she was not able to go in.
The Minister talked about a spine and ribs, and the whole system working together. We have a spine in this country: it is the NHS. It is a national health system. We should have used that from the start rather than spending £12 billion on systems that have entirely failed us. SAGE has now said that track and trace had a minimal effect on stopping the virus, but it should have been the core of our reaction and our action to stop the virus.
The existing privately outsourced system has failed. We have no permanent testing area in Wandsworth—will the Minister meet me to talk about that? My constituents have told me it is not working; local councils have told the Government that it is not working; and now scientists are telling the Government it is not working. It is time to give Serco a reboot; in fact, it is time to give Serco the boot. I ask the Minister to trust our local authorities and give them the contract for testing and tracing.
Mr Deputy Speaker (Mr Nigel Evans)
I call Chris Stephens, who is to resume his seat at 6.47 pm.
Chris Stephens (Glasgow South West) (SNP)
Thanks very much, Mr Deputy Speaker. You had signalled to me that you were not going to call me, so I am a bit surprised.
To allow time for the Front-Bench speeches, I will briefly continue the Serco theme. I am concerned to hear that Serco got a contract without any competitive tendering. My real concern is that last year both Serco and the Home Office argued in court—sadly, they were successful—that because Serco was a private contractor delivering a public service, it was exempt from the Human Rights Act. To give Serco a contract like test and tracing, with all that could happen with data, and for it to be exempt from the Human Rights Act, is very dangerous territory for the Government.
It has been said before that Serco has now subcontracted to 29 other companies, including those that have failed on HMRC contracts and in other places. That is of real concern. There is a lack of scrutiny here and I will be supporting the motion.
Mr Deputy Speaker (Mr Nigel Evans)
I apologise to Matt Western and Zarah Sultana for their not being able to get in even though they were present.
Julia Lopez
I will take that suggestion back. We have listened to a lot of what has been said today, and there has been a lot of constructive feedback. I just want to let the hon. Member for Reading East (Matt Rodda) know that we are going to be opening a testing site on the campus in Reading next week.
As many have said, the work that we are doing on test and trace is absolutely critical. My hon. Friend the Member for Crewe and Nantwich (Dr Mullan), who is a doctor himself and one of the many Conservative MPs who work in the health service, made a superb contribution using his experience of the system. He rightly pointed out that the vocal comparisons made at the outset of the pandemic with other European nations have suddenly faded away now that the UK is testing more per capita than those same nations. He encouraged us to be realistic about the capacity of the public sector and talked about the challenges of making things happen in practice, rather than simply lecturing from the sidelines about theoretical magic bullets.
The hon. Member for Slough (Mr Dhesi) said that we must test, test, test, and we are. As I mentioned, we hope to be able to do 500,000 tests a day by the end of this month. On the points that he raised about the Slough testing centre, it is critical to underline that people must make sure they have booked their appointment before they arrive on foot or by car. I understand that that test centre is still accessible by both methods.
My hon. Friend the Member for Milton Keynes North (Ben Everitt) talked about the huge role that his town has played in the national effort, from the initial quarantine of British citizens from Wuhan to the incredible Lighthouse project that is employing robotics to boost our testing capacity. We are grateful for that contribution at this time of crisis. As he said, from vaccines to ventilators, medication to PPE, all have been produced at scale very quickly by the private sector, and British companies have achieved tremendous things.
I welcome those Opposition Members who recognised the challenges that we face as a Government and who made constructive contributions, highlighting genuine concerns from constituents. We are working through some of those concerns. However, I share the regret of my hon. Friend the Member for Winchester (Steve Brine), who pointed out that the era of constructive opposition from Labour Front Benchers appears this week to be over. It is important in this public health crisis that we reflect on criticism and try very hard to improve. However, this afternoon, they have sought to divide local from national, public from private, UK nation from UK nation, and to undermine public confidence in the system for their own political ends. That is a matter of deep regret for us all.
We recognise that contract tracing needs to reach as many people as possible and we are working hard to make sure that that happens, but this is about partnership, with a national framework and local support. Indeed, we are rolling out that strengthened partnership to more local authorities. We also now have the covid-19 app, downloaded over 17 million times in England and Wales, identifying contacts with those who might have tested positive for the virus, including people you might not know. Work is ongoing to make the Scottish app interoperable.
It of course remains critical that everyone does their bit and follows the rules—hands, face and space, and self-isolating where necessary to prevent the spread of the virus. That is why on 28 September, we introduced financial support to help individuals to self-isolate, meaning that those on low incomes who cannot work from home but need to self-isolate do protect themselves and others. They will receive £500. This is an important step forward in helping enable people to take the action that they should to prevent the spread of disease. We have also put in place requirements for businesses not to stop employees self-isolating if they need to. NHS Test and Trace is also making follow-up phone calls to those who are self-isolating to ensure that they are aware of what local support is available to them and signposting them to local services.
Alongside that, we have set out a series of tougher enforcement measures, targeting those who repeatedly flout the rules, including fines of up to £10,000, but testing and tracing is only one of our lines of defence, so I reinforce once again: if you have symptoms, you must self-isolate in line with public guidance and get a test. Even if you are feeling well, wash your hands regularly, wear a face covering in confined spaces and follow the 2 metre rule on social distancing, because it is these little things that can make a big difference.
In conclusion, we are entering a new and crucial phase of our fight against coronavirus, where the number of cases is rising and we can see that once again, the virus is spreading among the elderly and vulnerable. But we are also in a very different position as a nation from where we were when this virus first hit our shores. We have better data, better treatments and the testing and contact tracing that will be instrumental in getting the virus under control. There is a genuine partnership approach—a national framework with tremendous local support—and I commend the amendment to the House.
Mr Deputy Speaker (Mr Nigel Evans)
During the Division, Front Benchers must leave via the door in front. Everybody else must leave via the door behind me—socially distanced, please.
Question put (Standing Order No. 31(2)), That the original words stand part of the Question.
Public Health: Coronavirus Regulations
Nigel Evans Excerpts(3 years, 7 months ago)
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Nadia Whittome (Nottingham East) (Lab)
A week ago, Nottingham showed for the first time a dramatic increase in our covid-19 infection rate. We needed immediate action from the Government, but instead all we got was confusion and delay. We were left in the dark for a week, with no action and no communication from the Government, and during that time the infection rate doubled to be the highest in the country. The saddest thing about that is that it was avoidable.
The Government have failed us time and again during this crisis. They failed to protect elderly people and vulnerable people, who died at an alarming rate in care homes and nursing homes. They failed to implement a test and trace system and they failed to listen to the OECD’s advice that the best way to protect the economy was to prevent a second wave, instead telling people one minute to go out to pubs, to eat out to help out, and then blaming them for doing so the next. The Government prioritised the interests of the economy over saving lives, yet failed to do both, and we are now faced with the worst recession in the developed world.
Last week, MPs, councillors and members of the public were left to find out in the press that we were due to go under a local lockdown, without any details of what that would look like for residents and for businesses. People in Nottingham have made enormous sacrifices during this pandemic, but frankly people are fed up. People want the Government to do their part. That means a serious economic package to protect jobs and businesses, and fixing the privatised Serco test and trace system. Are the Government so wedded to privatisation that even when it is utterly failing and public health is at risk they just plough on? We also need to extend the eviction ban so that no one loses their home during this time.
We know that lockdowns work only if people can afford to self-isolate, so why is it that, eight months into this virus, statutory sick pay is still £95 a week? The Secretary of State said that he could not live on that, so why are my constituents expected to? My final question to the Minister, in the last few seconds, is why have the Government not even followed their own scientific advice, which was to ban households mixing, close pubs and bring all university teaching online? How many people have to die before the Government get a grip of this virus?
Mr Deputy Speaker (Mr Nigel Evans)
If hon. Members are on the call list between number 25 and 35, they really should be in the Chamber now, please.
Mike Hill (Hartlepool) (Lab)
It is a pleasure to follow the hon. Member for Morley and Outwood (Andrea Jenkyns). She makes a valid point that this is a public health crisis.
Over a week ago, my constituency of Hartlepool was placed under lockdown. It is currently in tier 2 of the new measures. Yes, it was requested by the local authority that such action be taken, but not in the guise in which it formed itself in the current measures. Lockdown was imposed on Hartlepool via a Government press release. Yesterday morning at 9 am, there was a hastily arranged conference call, hosted by a Minister, with all north-east leaders, yet Hartlepool, together with other authorities in the Tees valley, was left off the phone call. On behalf of my council, I would like the Minister to answer why they were not included in a phone call on the new measures in the north-east of England. If that was a mistake, has it been rectified or when will it be rectified? Consultation with my local authority has so far been woeful.
Turning to the public health issues, now that the whole of the Tees valley is under tier 2 we can hopefully work together and set party politics aside for the public good. Collectively, our local authorities face important challenges and they deserve to have appropriate resources allocated to them. In my council, it is estimated that £4.5 million is needed to provide extra support during lockdown. We desperately need to see a strategy developed by the Government for ending lockdown. Test and trace needs to be devolved, so that local environmental health teams, who know the patch and have the knowledge, can provide a more effective service. We need much more to assist us to get through tier 2. It is a public health crisis. I urge the Government to improve their communications and to answer the question I put earlier.
Mr Deputy Speaker (Mr Nigel Evans)
If you are on the call list between No. 40 and No. 70 and you no longer want to participate in the debate, please make sure that the message comes through to the Chair.
Munira Wilson
Okay, but he has not denied it. [Hon. Members: “Yes, he has!] Fair enough. I withdraw that remark. This is not a party political point. I care for my country, and lives and jobs are at risk. Please can we sort out test, trace and isolate, because none of the measures will work if the system is not operating properly.
Mr Deputy Speaker (Mr Nigel Evans)
It was a very decent thing to do to withdraw that remark.
Public Health
Nigel Evans Excerpts(3 years, 7 months ago)
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Justin Madders
If we are going into pub quiz territory, then perhaps we can have a pint later on. I am afraid that we probably do not have time to go into that, because I know that a number of other Members wish to speak.
Compliance is a very important matter. The vast majority of people do comply with the rule of six, but where they have not, they will obviously get a fixed penalty notice, and we need to understand how realistic it is that that will be enforced. John Apter, the chair of the Police Federation, has called for the Government to start an effective information campaign. He said:
“For policing, these constant changes to legislation are becoming the norm. The pressures on policing have increased significantly over recent months, and this latest change will add to this pressure.”
Brian Booth, who I quoted earlier, said that officers
“simply can’t enforce”
the new restrictions, adding:
“We just don’t have the resources, the world has woken up again and it’s busy… Resources are outstripped with that demand, never mind adding on Mrs Miggins reporting that seven people are having a barbecue next door.”
I am not aware of any official figures for the total number of fines that have been issued for breaching the rule of six, or indeed whether Mrs Miggins has had a fine, but it is notable that three weeks down the line, it is reported that many police forces, including North Yorkshire police, who handed out the greatest number of fines in the original lockdown, had not issued any fines for breaches of these regulations.
Will the Minister update us on the number of fines that have actually been issued? The police have had an incredibly difficult job in this crisis, and we know the very real pressures on them due to the reductions in their numbers over the past decade. They simply cannot continue to be handed responsibilities if those responsibilities are not accompanied by sufficient resources to enable them to do their job. With the number of enforceable restrictions increasing, will the Minister set out what additional resources will be handed to the police to ensure compliance? On that point, we know that Halloween is coming up very soon. It is always a busy night for the police, but this year they will have the added burden of breaking up groups of children if they become too big. Given that those children have probably spent all day with the very same kids at school in groups far larger than six, I say good luck to the officer who tries to explain to them why their parents will get a fine for it. I would be grateful if the Minister could confirm that that is what is going to happen.
There will need to be a very clear public messaging campaign, or will there be an exception? After all, the Prime Minister hinted that the rule of six could be dropped for Christmas day. Of course everyone would like to see that, but how on earth is saying that on a particular day the rule of six will not apply at all consistent with the clear public health message that the rule of six is meant to be?
Will the Minister also clarify what the rule is in relation to mingling? Apparently, a person can be fined for mingling with an existing group of six, but there is no definition within the regulations of what constitutes a mingle. The debate would be absurd if the consequences were not so serious.
In respect of police powers, the right hon. Member for New Forest West (Sir Desmond Swayne) asked the Minister whether the police can go into people’s properties to enforce the law. My understanding is that they cannot. I do not know whether the Minister expects the police to stand outside people’s properties until six people come out and then take appropriate action.
On fines, will the Minister clarify whether there was an oversight in the regulations around who has committed an offence under them? I ask that because the regulations require event organisers to carry out a risk assessment in order to comply with the regulations, but there does not appear to be any penalty for them if they fail to do so. It seems that the fine in that situation would apply to the people attending the event. How can it be right that a person attending an event in good faith is liable only because the organiser has not done their job? I appreciate that subsequent regulations came into place a few days later, on 18 September, requiring hospitality venues to enforce the rule of six or face a fine of up to £4,000, but again, I do not believe that applies to outdoor events. Can the Minister clarify whether that is the case? Are there any plans to introduce a penalty for the organisers of outdoor events who fail to comply with the regulations?
I am conscious that a number of people wish to speak, so I will conclude by confirming, as we have done on many occasions, that we want the Government to succeed in fighting the virus. However, let me be clear that the rise in infections we are seeing was not inevitable and the restrictions we are debating today were not inevitable. The Government cannot continue lurching from crisis to crisis. To take people with us, we need to see more transparency, the evidence behind the restrictions that are being introduced and better communication. We need new laws introduced after the democratic process has been completed.
How can we find ourselves, eight months into this pandemic, with confidence in the Government’s response draining away, rather than growing? How can we have one of the worst death rates in the world? How can we have a test and trace system so obviously failing to deliver the basics? The regulations might not have been necessary if the Government had fixed test and trace when the sun was shining. They wasted the summer. Let us hope that the price for that is not a very bitter winter.
Mr Deputy Speaker (Mr Nigel Evans)
There are eight people on the call list, and I will get everyone in if it kills me. To do so, I am introducing a rule of six. It is not an arbitrary figure; I have divided the time left by how many people want to speak. The rule of six could become the rule of five or the rule of four if there are a lot of interventions.
Mr Baker
I do agree. I call on Ministers to publish robust data about the balance of costs and benefits. I understand that there is no impact assessment to go with this statutory instrument—I was certainly told that when I picked it up. We really should now be looking extremely carefully at the balance of cost and benefit to overall human flourishing. I am certainly not currently persuaded that the benefit is net positive.
I pay tribute to 66 GPs, led by Dr Ellie Cannon, who have written to the Secretary of State to say that it is now time for him
“to consider non-covid harms and deaths with equal standing as the reported deaths from covid”.
They have suggested that there be a GP on SAGE; I suggest that we also have some economists on SAGE and have made some other proposals about competitive scientific advice, devil’s advocates and other measures that could improve things. The letter from GPs is extremely important. It is time to listen to GPs.
As I reflect on this statutory instrument, I have to say that it is also time to start to think about another way. The Government’s strategy is clearly to suppress the virus, through instruments such as the one we are discussing, pending a vaccine. But what if a vaccine does not come? What if a vaccine, when it comes, does not achieve the ends aimed at? What if we still need some kind of measures alongside a vaccine? I have talked to specialists in this area, and it seems to me—with great sadness—to be pretty clear that we might be in those circumstances, in which case the Government will need a plan B.
For that reason, I was very glad to sign the Great Barrington declaration and to encourage parliamentarians of all parties and both Houses to sign it to show that there is political consensus in both Houses and across all parties for another way. This is plan B, authored by Dr Martin Kulldorff, Dr Sunetra Gupta and Dr Jay Bhattacharya and signed by 1,120 medical and public health scientists, 1,241 medical practitioners and more than 19,000 members of the public, including me. I commend it to the Government.
Mr Deputy Speaker (Mr Nigel Evans)
Before I call Mark Harper, I would like to say that if business does end early, I hope that David Linden and Richard Drax, who are presenting petitions, will not be far from the Chamber, and that Richard Holden, who has the Adjournment debate, and Ed Argar, the Minister who will respond to it, are not far away either. I should hate for them to miss their opportunities.
Covid-19 Update
Nigel Evans Excerpts(3 years, 7 months ago)
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Matt Hancock
The short answer is yes. The proposals that we are working through and that I will bring to this House are to have a more simplified approach to the local action that we took. We have shared that approach with the devolved Administrations. Indeed, I have discussed it with Vaughan Gething, my opposite number in Wales. It is the sort of approach that would simplify matters further were it undertaken across the UK, but that is a decision for the Welsh Government in Wales, and for the other devolved Administrations, because public health decisions are devolved. I urge the Welsh Government to continue working with us. I urge my right hon. Friend, who is a very strong voice in Wales, to try to persuade the Welsh Government to take that sort of approach across the whole of the Principality.
Jonathan Edwards (Carmarthen East and Dinefwr) (Ind)
Diolch, Mr Deputy Speaker. Increasing evidence indicates that so-called long covid is impacting around 10% of those contracting the virus. What assessments have been undertaken of the potential long-term social and economic impacts of long covid, as well as of the lasting pressures on health and care systems?
Cat Smith (Lancaster and Fleetwood) (Lab)
On Friday, I and my constituents learned via local media and press reports that there are Government plans to close the hospitals in Lancaster and Preston, with plans to replace them with a super-hospital, which would have obvious implications for other Lancashire hospitals, such as Chorley and Blackpool Victoria. Closing two hospitals in Lancashire to build one super-hospital does not make it easier for my constituents or the people of Lancashire to access vital medical care. Does the Secretary of State believe, as I do, that the next time we hear a Minister talk about building 40 new hospitals, it should come with a health warning that that also means closing 80 hospitals?
Mr Deputy Speaker
Order. Before I invite the Secretary of State to answer that—I will give some flexibility—please make sure that your questions relate to the statement that has just been given.
Matt Hancock
As well as responding to coronavirus, we need to ensure that we invest in the physical infrastructure of the NHS. I would just correct the hon. Lady, because the proposal in her part of the world is to consult on whether one or two hospitals is the right approach and the right thing for her part of the world. I encourage her to welcome the massive investment in the NHS in Lancashire, and across the country, which will improve care right across this land.
Matt Hancock
For all my huge enthusiasm for technology, it is obviously critical for people to have a face-to-face appointment in primary care at their GP’s surgery, if one is needed. We have made it clear that every GP practice should offer those face-to-face appointments in a covid-secure way where they are needed. The vast majority of GPs are doing incredible work, and offering the public the service and the vocation that they went into medicine for. If my hon. Friend has specific examples, I will be happy to look into them, but overall, it is so important that we keep primary care running.
Mr Barry Sheerman (Huddersfield) (Lab/Co-op) [V]
Mr Deputy Speaker, my former student—thank you. I say to the Secretary of State that we are talking about human beings working systems, and I warn him that there will be more glitches. Technology means glitches, so I am worried about him, because we have a long, hard winter ahead. Does he agree with me that what we are doing in Huddersfield, in Kirklees—working together as a council, a local university and a local health trust, putting party political issues to one side—is what we must do this winter? We have to beat this virus, and we have to work together in order to do that.
Tim Farron (Westmorland and Lonsdale) (LD)
In the Secretary of State’s statement, he spoke with pride about the Prime Minister’s announcement on Friday of the additional capital programme for hospitals. In Cumbria, we met that announcement with some dismay. As the hon. Member for Lancaster and Fleetwood (Cat Smith) said, there is a proposal to close the Preston and Lancaster hospitals and merge them into a single hospital somewhere in between. Does the Secretary of State realise that that will mean even longer journeys for acute care for people from the South Lakes? Will he have a word with the Prime Minister, and drop that dangerous proposal from the consultation, so that people in south Cumbria do not have to make dangerous journeys for emergency care?
Mr Deputy Speaker (Mr Nigel Evans)
Order. That was only touched on briefly in the statement, which was a covid update. It would have been really nice if the hon. Member could have asked his question in relation to the covid update, which is what the statement was mainly about.
Matt Hancock
Thank you, Mr Deputy Speaker. As part of the coronavirus response across Lancashire and Cumbria, we want to ensure that the NHS is prepared for the long term, so we are putting a huge investment into Lancashire and the new hospitals in Lancashire. The hon. Gentleman almost mentioned that there is a consultation on whether to have two replacements or one. I entirely understand that he takes a position within that consultation, but it is worth explaining that there is a consultation on whether to replace them with two hospitals or one. There will rightly be full public engagement, with his constituents, those of the hon. Member for Lancaster and Fleetwood (Cat Smith), and potentially yours, Mr Deputy Speaker, on which is the right approach. However, this is a massive investment in the local NHS that everybody should welcome.
Matt Hancock
As part of the coronavirus response, we must ensure that we keep our physical NHS up to date, and we will build the new hospital in Kettering. We will complete it before 2030 at the latest, and I very much hope a long time before then. I want to say how much my hon. Friend has done to work towards delivering it, along with my hon. Friends the Members for Kettering (Mr Hollobone) and for Corby (Tom Pursglove) nearby. It has been a team effort, and I was thrilled to be able to let them know that this is happening, and it will happen before the decade is out.
Mr Deputy Speaker (Mr Nigel Evans)
There will be lots of opportunities to question the Secretary of State about the new hospitals at a more appropriate time.
Richard Burgon (Leeds East) (Lab) [V]
In the past 14 days, New Zealand has had 35 coronavirus cases, China, Hong Kong and Macau 260, Vietnam 28, Thailand 84 and Australia 238. The UK has had 108,000 cases. Our coronavirus strategy is failing. Others show we can fix this and get the test and trace system our people need. So will the Secretary of State do what is needed: kick out Serco, sack Dido Harding, and put the billions of pounds wasted on private companies that are failing into our NHS, which will do the job properly?
Matt Hancock
My hon. Friend makes an incredibly important point. We are of course vigilant and we have to bring in local action in some cases, as we have in his area, but we will also bring areas out of restrictions when it is safe to do so, as we did in his area, although unfortunately it then had to go back in again. I would prefer it if places did not come in, out and back in again in that way, but my view is that that is better than leaving the measures in place when they are not needed.
We publish the data, which has now been updated to take into account the issues we had over the weekend, and we will have in place the minimum interventions that are necessary to keep the virus suppressed and to protect the economy, education and the NHS as much as possible until the vaccine arrives. That is the strategy, which is true in Colne Valley and true right across the country, and I look forward to working with you, Mr Deputy Speaker, and colleagues across the House to help the country to get through this.
Mr Deputy Speaker (Mr Nigel Evans)
I thank the Secretary of State for Health and Social Care for updating the House on covid-19 measures and for answering questions for the last hour and a half. Thank you very much.
Virtual participation in proceedings concluded (Order, 4 June.)
Covid-19
Nigel Evans Excerpts(3 years, 7 months ago)
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Sara Britcliffe (Hyndburn) (Con)
I want first to thank the Department of Health and Social Care for responding so quickly throughout this and getting back to all colleagues across Lancashire. The people of Hyndburn and Haslingden have faced further restrictions imposed on them for a longer period of time than other areas across the country, and it has been extremely difficult for residents and businesses. This, again, raises concerns with regard to mental health, and we need to make sure as a Government that we do all we can to support the wellbeing of residents who are in the position that my residents are in. Family and friends are crucial when tackling this. Close contact services could not resume when others could. Household mixing was banned for some time and is now banned again due to the increase in figures and the evidence showing that this is due to household transmission. The childcare issue was one that was creating struggles for families and I was very pleased to see that the Government recognised that and acted on it.
It is necessary that as much of the science as possible is published so that I am able to bring my constituents of Hyndburn and Haslingden with us when measures are introduced. As I am sure the House can understand, when we face restrictions locally where we are unable to see loved ones in their homes, it is infuriating to my constituents to then see mass gatherings at protests, with no social distancing being adhered to. While many in Hyndburn and Haslingden are complying with the rules that are in place and taking personal responsibility, we have a minority who are not and who are blatantly flouting the rules.
We also need hope. We need to know what criteria need to be met for us to be moved out of these restrictions. I absolutely want local restrictions to be removed from us as soon as it is safe to do so, while also protecting the most vulnerable in our society. This is the feeling of many residents across Hyndburn and Haslingden. We need the balance between restricting the spread of the virus without infringing on civil liberties, while allowing the restoration of economic and social life.
Our cases are high locally and the threat of further restrictions looms. The prospect of a national lockdown is raising serious concerns. If that is to happen and further restrictions are to take place, further financial support will be necessary. Businesses are struggling. The 10 pm curfew is putting added strain on the hospitality industry. Further restrictions without further support will mean that many businesses in my area may close their doors for good. It is also very difficult to try to explain to residents how they are allowed only a certain number of people at a wedding or a funeral when they see events taking place that attract thousands of visitors each week to my constituency. That also needs to be addressed. If an area becomes an area of intervention, perhaps the restriction on numbers needs to be the same across the board.
The wedding sector has taken a particularly heavy blow over the past months. In July, weddings of up to 30 people were permitted and hundreds of couples seized the opportunity to get married. I want to wish those couples all the best, but also to outline that the change of rules from 30 to 15 wedding attendees announced by the Prime Minister not only forces couples to replan their weddings, but places further strain on our national wedding industry. At some point, businesses will start closing their doors for good and we need to do everything in our power to make sure that whole sectors do not collapse.
I am proud to have Accrington Stanley football club in my constituency. During the pandemic, it continues to support the players and staff and I am happy to say that they are back to doing what they are great at—winning games—but they need fans back through their doors.
I visited schools in my constituency, and they are telling me that the guidance needs to be implemented and given to them at an appropriate time. Finally, residents in Hyndburn and Haslingden and businesses want to support—
Rob Butler (Aylesbury) (Con)
I am grateful to have the opportunity to highlight the response in Aylesbury to the extraordinary measures that have been taken to deal with an equally extraordinary public health emergency. I pay tribute to those across my constituency who have shown resilience, compassion and imagination in adapting to live alongside the current pandemic. Just last Friday, I visited Aylesbury Crown court, which, under the inspirational leadership of His Honour Judge Francis Sheridan, has become the first in the country to be back working at 100%. Screens have been put in the courtroom to ensure jurors are covid-safe, video links connect with Amersham courthouse so that sentencing can be carried out there for offenders being held in a secure dock in Aylesbury, and some of the work of the employment tribunal has been relocated to the judge’s own chambers.
There are countless other excellent examples from across the Aylesbury constituency of firms that have recognised that our lives can no longer be put on hold, as the Chancellor himself put it. Last week, the Prime Minister introduced measures that were greatly appreciated for treading a very fragile line in balancing public health with the needs of the economy. Like my constituents, I was relieved that we did not begin a second full shutdown. I agree with the Health Secretary, who said today that we are in a different place from where we were in March, when so much less was known about covid-19. Since then, our public services and businesses have been able to implement wide-ranging measures to keep us as safe as possible, while retaining a semblance of a normal life.
Buckinghamshire Healthcare NHS Trust, and particularly Stoke Mandeville Hospital, is in a strong position to respond to an increase in cases of covid-19 and, crucially, to ensure that those with other health problems do not go ignored. People are still getting cancer, they are still suffering heart problems and they still have chronic conditions, and it must be right that we ensure our brilliant doctors and nurses are able to provide them with the treatment and care they need and deserve.
I have had a considerable amount of correspondence from constituents who say they do not want stricter measures. Notably, a good deal of this has come from those who themselves are in at-risk groups, as they themselves acknowledge—particularly some of the older members of the community. Put bluntly, they are grandparents who do not want to be forced to live their final days free of covid but banned from seeing their families.
We undoubtedly face an arduous and gruelling winter. Covid-19 has not yet been conquered, as we had all hoped. We must confront the real prospect that this horrendous pandemic will be with us for a long time to come, so I am glad that we have had an opportunity to discuss these matters today in Parliament. I recognise that the Government need to act fast to respond to a crisis that is still unfolding and is unpredictable. Equally, I know there is a huge amount of expertise and experience on these Benches that could be harnessed for the benefit of all if we are given the opportunity to debate and propose improvement in a positive and constructive fashion.
This is not the time for sniping or point scoring and it is not the time to try to catch out Ministers who are doing their level best in desperately difficult times, but it is the time when sincere, practical advice and mature scrutiny are most needed to help avoid unintended consequences and steer the path away from foreseeable peril, because we cannot allow covid-19 to shut off every other aspect of our lives, our economy, our liberties or our democracy.
Mr Deputy Speaker (Mr Nigel Evans)
I call James Daly —[Interruption.] Sorry—Lee Rowley.
Mr Deputy Speaker (Mr Nigel Evans)
I was going to give you some extra time as well, because it was my fault. Uniquely, for a second time in the debate, I call James Daly.
Jo Churchill
No, I am terribly sorry. I have only two minutes left.
I say to my hon. Friends the Members for Harrogate and Knaresborough (Andrew Jones) and for Wealden (Ms Ghani) that I understand the need to see loved ones, but there is a balance in protecting care homes. As I sat on the Bench, one of my care homes texted me and said, “All is well. I feel in control.” May that long continue. We are getting 100,000 tests out to care homes every week. The strategy for winter is about having national guidance and local systems, and enabling care homes, which know their individual residents, to do their best for them.
I thank my hon. Friend the Member for Wealden for acknowledging how far we have come. We have delivered more than 3.5 billion items of PPE. The strategy was put out today, and I pay tribute to Lord Deighton for all the work he has done. We are building supplies, and we have resilient supply lines that we did not have before. We started distributing to 226 NHS trusts, and we now send to 58,000 settings. The PPE portal is a blueprint for rapid mobilisation.
My hon. Friend the Member for Burnley (Antony Higginbotham) highlighted how we are using local factories in this country—in these four nations. That is where new business opportunities have arisen; it is not all doom and gloom. In treatment, we have secured good supplies of dexamethasone, which has helped mortality for the sickest patients. We also have the recovery programme, leading clinical trials, which has been called—not by us—the most impressive on the planet. By 2021, we will know more about the good and bad treatments. Once again, we are showing how the NHS, private business and academia work successfully together. I congratulate everybody involved in those. The global vaccine industry has responded with a speed never seen before. We are at the forefront of the science for finding a vaccine for this novel organism. There is a huge amount of planning going on to ensure we are ready to roll things out. We are walking a tightrope, as many Members have acknowledged. There are no easy decisions and there is no silver bullet, but we know that the thing is: hands, face, space. If even my hon. Friend the Member for Wycombe (Mr Baker) has downloaded the app, I urge everybody to download it. It is the fastest download in British history, and all these small measures will help us get the virus under control.
Covid-19 Update
Nigel Evans Excerpts(3 years, 8 months ago)
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Matt Hancock
In the short term, we have seen a rise in demand for testing, and the capacity—the supply—has been increasing too. We had some short-term problems with contracts; before the summer, I came to the House to describe the problem with a particular contract to do with swabs and the cleanliness of the swabs. The bigger challenge is to make sure that capacity stays ahead of demand, and when demand has gone up sharply, we need to make sure that capacity expands. There are two ways of doing that. The first is more expansion of the current technology, which we are doing, both within the NHS, as the Scottish National party spokesperson correctly called for, and by using more private sector capacity—the combination of the two. The second, where we can really break through this, is with the new generation of tests, which are much, much easier, much better value for money and easier for people to use. The combination of trying to drive up capacity in the existing system, as we have been doing for months and months, and then bringing onstream these innovative new tests is what we are trying to pull off.
Mr Deputy Speaker (Mr Nigel Evans)
The call list has the party of Mr Alyn Smith wrong—he is from the SNP.
Matt Hancock
Yes, I absolutely will. The UK Government and the Welsh Government working together is incredibly important. We have weekly calls, and Vaughan Gething and I speak and are in contact regularly. I support the action that he has had to take, as I say, with a heavy heart, but it is necessary action. My message to the people of Caerphilly, who are so ably represented in this House, is that this action and following the stricter local rules are absolutely critical to getting this virus under control locally, to protecting people themselves and to protecting their loved ones.
Mr Deputy Speaker (Mr Nigel Evans)
I would like to thank the Secretary of State for his statement today.
Before I take the point of order from Maria Miller, I ask those leaving the Chamber to please do so with care and in a socially distanced way.
Virtual participation in proceedings concluded (Order, 4 June.)
Coronavirus Response
Nigel Evans Excerpts(3 years, 9 months ago)
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Matt Hancock
The hon. Gentleman was doing so well when he was supporting what we were saying. I am grateful to him for support on what we are doing on vaccines. I am also grateful to him for his offer to stand shoulder to shoulder against the anti-vaccination movement. Those who promulgate lies about dangers of vaccines that are safe and have been approved are threatening lives. We should all in this House stand shoulder to shoulder against the anti-vax movement.
The hon. Gentleman asks what happens if there is no vaccine. If there is no vaccine—no vaccine can be guaranteed—then the next best thing is good treatment. We have the first treatment here in the UK, dexamethasone, and we have promising news of another today. We put all the support we can behind finding treatments. In fact, the UK recovery trial is the biggest—I would argue, the most effective—treatment clinical trial for covid-19 in the world. From the start, we backed our science. We supported our science, and with the help of the NHS we are able to do scientific research here with great rigour.
The hon. Gentleman mentioned the SAGE advice from March about lockdown. The SAGE advice that the CSA was referring to was implemented. That was precisely the point I was making on Thursday and I did so very straightforwardly. It was implemented straight away. If he looks at that SAGE advice and what happened, that is what he will find. I seem to remember that at the time he supported the action. Maybe now he is looking in the rear-view mirror. He should spend a bit more time looking forward, not backwards.
On social distancing, as on Leicester, the hon. Gentleman asked about the data and thresholds. We use all our data. We use all the data available to make these judgments. We do not put numerical thresholds on any particular figure. We use all data and we make judgments based on them. He also asked about data being made available to local authorities. On Thursday last week, I said I wanted to provide more data to local authorities and was going to provide more data to local authorities. We have done that today. We had provided patient-identifiable information based on postcode-level testing. We are now able to provide full information, including the name and address of those who tested positive, to local authorities where they have signed a data protection agreement.
The hon. Gentleman talked about the effectiveness of NHS Test and Trace. He needs to stop for a moment and recognise the enormous impact of NHS Test and Trace, and the 180,000 people it has been in contact with to advise them to isolate. On Blackburn, yes, it is hard sometimes in certain areas to find all the contacts, so we will be sharing with the local area the information on those whom NHS Test and Trace has not been able to contact, so that local directors of public health will be able to support the action there. Again, I think his tone on that, sniping from the sidelines, ill becomes that enormous effort and the previous work he did to support those measures across party lines.
Finally, the hon. Gentleman asks what we have learned. I would say that the thing he needs to learn—I have certainly learned it—is that things go best when we get the work of the public sector and the private sector coming together. He does not even believe his own attempt to divide us, but uses his argument just to play to his base. Honestly, there are more important things going on. We have set out a direction. We are going as hard as we can down that direction of travel, and we have announced to the House further action in that direction of travel. He should get alongside.
Mr Deputy Speaker (Mr Nigel Evans)
Order. If questions and answers can be as concise as possible, we will hopefully get many more Members in.
Jeremy Hunt (South West Surrey) (Con)
This may be the last coronavirus statement before the summer break, so I congratulate the Health Secretary on his stamina over the past six months and in particular on his decision to introduce the 100,000 tests target in April, which I think will be seen as a turning point in our battle against the virus.
The central challenge we now face is that according to the latest figures and as the Secretary of State knows, about 1,700 people a day are being infected by the virus and about 400 a day are going into NHS test and trace, which is about a quarter. As we think about how to prevent a second wave, will he give the House some details as to how we are going to bridge that gap so that we can go into our Christmas holiday with the same cautious optimism as we are going into our summer one?
Matt Hancock
I pay tribute to the public health services, the NHS and the councils across Staffordshire that have worked so hard to get this virus under control and have really got it right down in Staffordshire, including in Newcastle-under-Lyme, which my hon. Friend regards as the finest part of Staffordshire. The first point that he makes is also absolutely valid and something that I will consider going forward.
Mr Deputy Speaker (Mr Nigel Evans)
I thank the Secretary of State for his statement today. Please take care when leaving the Chamber. The House is suspended for three minutes.
Coronavirus Update
Nigel Evans Excerpts(3 years, 10 months ago)
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Dr Lisa Cameron (East Kilbride, Strathaven and Lesmahagow) (SNP) [V]
[Inaudible.]
Mr Deputy Speaker (Mr Nigel Evans)
Lisa, we cannot hear you. We will come back to you at the end. We will try to sort out the technical problem.
James Sunderland (Bracknell) (Con)
Will the Secretary of State please outline what is being done to enhance procurement resilience within the NHS? Also, what is being done to ensure that British companies get orders for PPE, not just China?
Matt Hancock
The hon. Lady raises an incredibly important question for the small but significant proportion of people who have long-term detrimental effects from coronavirus. I am glad that Michael Rosen got such excellent care at the Whittington, and I can assure him and the hon. Lady that we are putting in place NHS treatment for people with long-term impacts and research to make sure we understand as much as possible about those long-term impacts, because they are still little understood.
Dr Cameron [V]
Thank you, Mr Deputy Speaker. As chair of the all-party parliamentary group for disability, I have been hearing concerns from those who may be exempt from wearing face masks but are fearful of being confronted because not all disabilities are visible. Will the Secretary of State join me in congratulating East Kilbride’s Hannah Kelsall on developing free “chase the rainbow” carry cards that explain this exemption? Ultimately, no one should ever be challenging vulnerable people outside. It takes a lot of courage for many to leave their homes, but these innovative cards are providing reassurance for many across my constituency and beyond.
Matt Hancock
The programme that we have in hospitals is a risk-based one, according to the risk of the individual. It is much harder to put that risk base in place in care homes. Both of these proposals, while seemingly different, are based on the same clinical advice.
Mr Deputy Speaker (Mr Nigel Evans)
I would like to thank the Secretary of State for the statement today.
Points of Order
Nigel Evans Excerpts(3 years, 10 months ago)
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Munira Wilson (Twickenham) (LD)
On a point of order, Mr Deputy Speaker. As we are heading into another recess, with the ongoing pandemic and a potential second wave, as we have heard today, on the way, do you have any suggestions or provisions for how hon. Members can scrutinise effectively during that period what the Department is doing, given the challenges we have, which the Secretary of State has already alluded to, in terms of responding in a timely fashion to correspondence?
Mr Deputy Speaker (Mr Nigel Evans)
I am grateful to the hon. Member for her point of order and for giving me notice of it. While it is not for the Speaker or me to advise individual hon. Members or Select Committees how they may wish to carry out their work during recess, we may be able to help by emphasising again what the Speaker has said about the importance of correspondence from hon. Members receiving prompt replies. I agree that this will be of particular importance during the recess, while the country is still facing a major public health challenge. I hope that Ministers will give careful consideration to how they can support all hon. Members carrying out their duties during this recess by providing prompt and helpful replies to correspondence.
Bill Wiggin (North Herefordshire) (Con)
Further to that point of order, Mr Deputy Speaker. Thank you for that answer. You will be aware that 72 people tested positive in my constituency this weekend. I did apply for an urgent question. I put my name down to be on the call list today. Could I ask you to gently thank Mr Speaker for all he has done to make our hearings possible, but to make sure that constituency cases can be heard by the Minister, because I have tens of thousands of migrant workers in my constituency who probably need to be tested as well?
Mr Deputy Speaker
Thank you for that point of order. The Secretary of State for Health and Social Care is still sitting in his place and will have heard that point of order.
The Secretary of State for Health and Social Care (Matt Hancock)
Further to that point of order, Mr Deputy Speaker. I would be very happy to meet my hon. Friend the Member for North Herefordshire (Bill Wiggin), who is an assiduous representative for his constituency, and to make sure that his concerns are taken into account. He is right to raise them. I have been working on them all weekend, and it is very important. I can reassure him that, as far as we know, the outbreak has been confined to the farm in question, but we absolutely will be looking into it in great detail.
Mr Deputy Speaker
I am just grateful that I could be so effective in creating this meeting so quickly. [Laughter.] It was a very important point of order, though, and I am extremely grateful for it and extremely grateful to the Secretary of State for his response.
Jim Shannon (Strangford) (DUP)
Further to that point of order, Mr Deputy Speaker. I think this is important, as we look towards the autumn and winter times, when flus become more common. As one of those who gets a flu jab every year as a diabetic, I am very aware of the demands that there may be on the health service, and we are going into recess. Is it the intention of the Health Secretary and his Department to come to this House and make a statement on the preparations that will be in place so that when it comes to the autumn and the winter we are in a position to respond quickly and effectively?
Mr Deputy Speaker
I thank the hon. Member for his point of order. Clearly, that will be a matter for the Secretary of State. We still have a few days before we go into the recess. However, I re-emphasise the response I gave on behalf of the Speaker and the other occupants of this Chair to the hon. Member for Twickenham (Munira Wilson) at the beginning.
Chris Bryant (Rhondda) (Lab)
Further to that point of order, Mr Deputy Speaker. Now that you are being so effective, I raised with you last week the issue of how important it would be for many of us to be able to raise constituency issues in Westminster Hall, and I just wondered whether you have got anywhere yet.
Mr Deputy Speaker
Not at this moment in time. However, I am really hopeful that, as we go into September, after the recess, sufficient progress will have been made that we can then start to normalise the proceedings in this Chamber. I fully appreciate that the way that we are currently operating is not how we would all like it to be, but we have to do this at a rate of progress that is safe for all Members and staff here. I do hope that we will make sufficient progress.
Lloyd Russell-Moyle (Brighton, Kemptown) (Lab/Co-op)
Further to that point of order, Mr Deputy Speaker. In ministerial correspondence, the response repeatedly comes back from civil servants and not the Minister themselves, which is a trend that I have noticed more often recently. If I have written to a Minister, I find it uncourteous for the Minister not to respond. I am worried about going into a recess and receiving more civil servants’ responses that do not provide the political context that is often needed. Could you advise me on how I could encourage Ministers to respond directly?
Mr Deputy Speaker
I have been a Member of Parliament for 28 years, and the vast majority of replies I have had have always been from Secretaries of State or the relevant Minister. I know that those on the Treasury Bench will have heard the hon. Gentleman’s point of order, and I hope that the matter will be fed back into the system.
The House is suspended for three minutes.
Independent Medicines and Medical Devices Safety Review
Nigel Evans Excerpts(3 years, 10 months ago)
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Anne Marie Morris (Newton Abbot) (Con) [V]
The report from Baroness Cumberlege is more than welcome. It demonstrates to me, and to many of us, that the key to getting this right is having the knowledge, because with knowledge we have power—the power to prevent something like this happening ever again. Only with that knowledge and that data can we ensure patient safety for the future, and safe innovation. In that regard, will the Minister consider going further than Cumberlege and the current medicine and medical devices legislation? We need a single database with all devices, not just those that are in vitro, and we do not need a web of connected databases; we need one. Also, we need this to be linked—we need information about devices and information about patient records connected, and those patient records must include primary and secondary care. I would like to see something that is truly integrated, internationally compatible and searchable, whether by universities, academics or the medical profession. I would like to see something that is state-of-the-art and internationally the best. To enable that, will the Minister create some form of protocol so that existing databases can in future be migrated into the master plan? At the moment, there is no plan for that. The concept is seen to be too difficult, but—
Mr Deputy Speaker (Mr Nigel Evans)
Order. I appreciate the importance of this statement, but please could we have shorter questions? I want to get everybody in and I think it is important that we do so.
Ms Dorries
Absolutely. The MHRA itself is undergoing a culture change and an operational change and is itself looking into how it responds to patients and the way it considers patient safety as a priority. I am the Minister of State for Patient Safety. Making patient safety has to be one of our No. 1 criteria in the NHS. People who come into the NHS—who come into hospitals—have an absolute right to be confident and safe. All organisations in the healthcare structure need to do the same in that respect.
Mr Deputy Speaker (Mr Nigel Evans)
I thank the Minister for her statement and for answering all the questions on the call list.