Covid-19 Update

Nusrat Ghani Excerpts

Thursday 26th November 2020 Commons Chamber

[Matt Hancock]

We have taken the decision to roll out the vaccine UK-wide at the same pace. I want to get it as soon as possible to the west midlands and to everywhere else, but it is fair to the areas that have had a low, or relatively low, incidence of the disease to make sure that they also have access to the vaccine. Also, the incidence in different parts of the country changes, and the vaccine roll-out programme is very complicated. It does not speed up the delivery of the vaccine in one area to have slowed it down in another. That is why we have taken a UK-wide approach.

[Ms Nusrat Ghani (Wealden) (Con)]

In keeping with my right hon. Friend’s spirit of working together, I stand not only to represent Wealden, but to speak on behalf of my hon. Friends the Members for Bexhill and Battle (Huw Merriman), for Eastbourne (Caroline Ansell) and for Hastings and Rye (Sally-Ann Hart). We wish to collectively thank the CEOs of the clinical commissioning group and East Sussex Healthcare NHS Trust, our county leader, Keith Glazier, and our local department for public health for working with us day in, day out to understand the data and the reason for the infection rates.

We are deeply disappointed that, considering all the five indicators, where we mark extremely low, we are in tier 2, and we are disappointed that central Government have not consulted local leaders, because they would then have been able to investigate the data and, hopefully, show us how we can move into tier 1 from tier 2. Will my right hon. Friend provide some assurances that these conversations will take place with local leaders and confirm that transparent objective criteria will be published for each tier, and how we can slide between each tier?

[Matt Hancock]

Yes, absolutely—I can give both those assurances. Across Sussex, case rates are at 120. They do need to come down. Like my hon. Friend, I would like to see Sussex get to tier 1 as soon as possible, and we will keep talking to the local area. As I said earlier, all directors of public health have been invited to discussions and consultations with the public health team. That feedback fed into these decisions, but we have to make sure that those conversations continue. The key message to everybody across Sussex and in the Weald, in particular, is that if we all stick together and follow the rules, we know that we can get this virus under control, and that will then lead directly to the lifting of restrictions, which we will regularly review.

Covid-19 Update

Nusrat Ghani Excerpts

Programme motion
Monday 19th October 2020 Commons Chamber

[Matt Hancock]

The proportion of contacts that are reached that are in what are called complex settings in the system—for instance, in care homes it is relatively easy to find all the contacts by the nature of the setting—has itself fallen, as the number of cases has risen. If we look at the effectiveness of the system as a whole, both national and local, at reaching people in the community, we see that it has been broadly flat, as has the proportion reached in those complex settings where it is much easier and often the proportion is close to 100%. The challenge has been that as the number of contacts in the community has risen, so the overall proportion of those who are harder by their nature for the contact tracing system to reach has gone up. That is the direct explanation for the figures that the hon. Lady describes. The best solution to that problem is the combination of the national and local systems working together, and we are putting in place closer connection and extra financial support, both in Liverpool and Knowsley, as she sets out.

[Ms Nusrat Ghani (Wealden) (Con)]

I commend my right hon. Friend for overseeing 300,000 tests a day across the country. Will the Minister thank care workers who do such tremendous work in care homes in Wealden? He will know our concerns about winter flu coming to care homes as well. I had a long meeting with care home providers across the constituency and they are incredibly pleased with the access to testing, but one care home in Uckfield complained that 25% of tests were not picked up by a courier—I know that my right hon. Friend will want to nip that in the bud immediately.

[Matt Hancock]

Throughout this, and even with the challenges with demand for testing that we saw last month, we kept the tests going to care homes because people who live in care homes are the most vulnerable. No matter what we do to protect care homes from coronavirus, the higher the number of cases in the community, with staff living in the community and, of course, people visiting where visits are allowed, there is more likelihood of a case getting into a care home. It is a sad fact of life. We do everything we possibly can to prevent that, as do the brilliant care staff who work in her constituency, to whom I pay tribute. On the particular point about a courier being late for a pick-up, I will look into that immediately and see if we can resolve that.

Public Health: Coronavirus Regulations

Nusrat Ghani Excerpts

Tuesday 13th October 2020 Commons Chamber

[Ms Nusrat Ghani (Wealden) (Con)]

I am pleased to contribute to the debate. Many of us on the Back Benches fought for this opportunity to contribute, although I was hoping that we would have longer than three minutes. I do not doubt that Ministers are grappling with the most difficult trade-offs in managing the spread of the virus. In particular, I know that the Minister for Health bears a huge responsibility in trying to ensure the lowest possible number of covid fatalities.

I support the Government in their efforts to manage the virus and their three-tier system, but I have concerns similar to those of my hon. Friend the Member for South Thanet (Craig Mackinlay), and I want to raise three of them. First, the Prime Minister was brutally honest yesterday in telling my hon. Friend the Member for Wycombe (Mr Baker) that a vaccine may or may not be available, depending on what science delivers. If that is the case, we need a long-term covid strategy that does not involve areas being put in and out of restrictive measure for many years to come, which will not only damage local economies but have a tragic impact on the diagnosis and treatment of other potentially fatal health conditions among my constituents in Wealden.

In particular, cancer comes to mind. The national health service has been called the national covid service by many of my constituents. I received an email from a local resident, Mike, who is trying to get a neurosurgery consultation appointment. He has been told that, for his condition, he has to wait 48 weeks, not the 26 weeks that it would have been in February. Amusingly—even though my residents in Wealden are struggling, they still have a sense of humour—he says that patients are asked to use their “fastest finger first” when ringing to try to get a same-day hospital appointment:

“Anyone without a swish redialling telephone and the persistence of Miss Marple has little chance of getting an appointment.”

That is the problem we face. Our efforts to protect the NHS and protect our constituents from getting covid are unfortunately leading to people being unable to manage their other health conditions.

Secondly, testing and tracing continues to be an issue in my care homes and schools, and I urge the Minister to do what he can to ensure that the turnaround time for tests is much swifter than it is at the moment. The final point I wish to raise is about hospitality. It is clear that there is no scientific basis for the 10 pm curfew. The SAGE scientists say:

“Curfews likely to have a marginal impact. Low confidence.”

We are repeatedly told that this virus spreads indoors. A story in today’s Telegraph says that spending on alcohol is £261 million more than it was in September. That is no doubt because people are spending money on booze to drink at home, where the virus spreads much more. We need to be clear about the unintended consequences of the decisions we take.

Coronavirus Act 2020 (Review of Temporary Provisions)

Nusrat Ghani Excerpts

Wednesday 30th September 2020 Commons Chamber

[Matt Hancock]

If I may, I will make a bit of progress, because otherwise I will take the whole 90 minutes myself.

The central point is that we need to ensure that we strike a balance so that we get the scrutiny right and also meet the need to act fast. The vote tonight is about whether to renew the Coronavirus Act, and I emphatically urge Members on both sides to vote in favour of that Act because of the broad range of powers without which it would simply be impossible to have an effective response to this virus.

First, the Act has helped us boost the health and social care workforce. One of the achievements in this crisis is that we are able to protect the NHS, and one of the reasons we were able to do that was that we were able to support people on the frontline. This Act allowed the emergency registration of health and social care professionals—nurses, midwives, paramedics, social workers —who wanted to return to the national effort. Skilled and experienced staff were able to return to work and add capacity at a time of emergency.

Secondly, this Act does not just support the NHS frontline: the second part of the Act protects all public servants who keep the UK running safely and securely. Over the past few months we have seen huge changes in the way our public services have operated. This Act allows for remote working and for moving meetings online, and it is about acting quickly to prioritise essential activities. The Act supports vital temporary measures that have allowed public services to keep their work going. This includes courts keeping running in a covid-secure way through the use of virtual hearings; up to 65% of hearings each day now involve somebody joining remotely, so it is integral to maintaining the rule of law that we keep these measures in place. The measures have also kept local democracy going by allowing councils to hold their meetings virtually. These are sensible and pragmatic steps that have helped us keep vital institutions operating in the midst of the pandemic.

The Act gives the Home Secretary powers to close and suspend operations at UK ports and airports if there are insufficient staff to maintain border security. This is one of the powers that has not yet been used, and I hope we will never have to use it, but it remains an important tool at our disposal.

[Ms Nusrat Ghani (Wealden) (Con)]

I welcome my right hon. Friend’s earlier statement. My constituents are incredibly concerned about the powers given in this Act, but I would argue that this debate is not only about scrutiny and allowing the House to debate and vote; it is also about giving the Secretary of State the credibility to continue the work he is doing. It also exposes the difficult decisions and trade-offs he has to make, balancing the spread of the virus against all the restrictions we have to face, so I welcome the opportunity for further debates—much longer, I hope—and votes, too.

[Matt Hancock]

We are absolutely open to further and longer debates—for instance, the debate we had on Monday. Under the Standing Orders of the House, this debate is 90 minutes, and neither the Speaker nor we had the choice over that, but we introduced a full day’s debate on Monday, and there will be many more debates to come.

I turn to a measure that we will not be renewing. I have said that we will keep measures in place only for as long as is necessary, and I can tell the House that in one area we will revoke a power that was part of the original Act. When creating the Act, we included provisions to modify mental health legislation to reduce from two to one the number of doctors’ opinions needed to detain someone under the Mental Health Act 1983 and to extend legal time limits on the detention of mental health patients. These were always powers of last resort, and I was not persuaded, even in the peak, that they were necessary, because our mental health services have shown incredible resilience and ingenuity. I have therefore decided that these powers are no longer required in England and will not remain part of the Act. We will shortly bring forward the necessary secondary legislation to sunset these provisions.

The third part of the Act contains measures to suppress the virus. As a nation, we have succeeded in suppressing the virus once, thanks to so many sacrifices by so many people, but with cases on the rise, we know that more needs to be done, and we need to do it together. Our central strategy of suppressing the virus while protecting the economy, education and the NHS until a vaccine arrives is underpinned by this part of the Act. It gives us stronger powers to restrict or prohibit events and public gatherings, and where necessary to shut down premises. It gives police and immigration officers the power to isolate a person who is or may be infectious, and it allows us to close educational settings or childcare providers. Again, these are not measures that anyone wants to use, but we must keep them in place for the moment, because we need every weapon in our arsenal to fight this virus, and these are a proportionate response.

--- Later in debate ---

[Jeremy Hunt (South West Surrey) (Con)]

I will support the Government today because, although I fully understand the concerns about parliamentary scrutiny eloquently expressed by my hon. Friend the Member for Altrincham and Sale West (Sir Graham Brady), the biggest threat that we face as a country is not the erosion of liberty but the explosion of the virus. We now know, as we go forward into a second wave, that for every death directly caused by covid there is at least one death indirectly caused by the disruption to cancer services, the interruption of emergency care and people being discharged early from hospital.

I wish to ask the Government about measures that could reduce such indirect deaths, particularly the introduction of the routine weekly testing of NHS staff, which we have discussed many times in the House—I see the shadow Secretary of State, the hon. Member for Leicester South (Jonathan Ashworth) smiling. In fairness to the Government, they have moved on this issue. In July, Chris Whitty told the Health and Social Care Committee that he supported the routine testing of asymptomatic NHS staff in hotspots. I would like there to be such testing everywhere, including in my constituency, where recently we seem to have seen live cases trebling, but even in the hotspots it is not currently happening with any consistency. That is a worry, because up to a fifth of staff in hospitals got the virus during the first wave and up to 11% of deaths of coronavirus patients were caused by patients having caught the virus in their own hospital. That is the context.

I recognise that some hospitals are trying to do routine testing, but it is very difficult for them to do it on a weekly basis when they cannot access pillar 2 testing, so will the Secretary of State ask all hospitals to make weekly testing happen, under their own steam if they can, or with the support of NHS Test and Trace supplying the reagents, or using pooled testing?

[Ms Ghani]

Does my right hon. Friend agree that when we talk about NHS staff and testing, we need to focus on the most vulnerable—those BAME NHS workers who are dying at a much faster rate? We need data and they need support.

[Jeremy Hunt]

My hon. Friend has done a lot of campaigning to highlight that issue, as have Select Committee members from all parties. The Select Committee will publish a report tomorrow that considers that very issue and will be coming back to it.

The Government’s own figures show that at least a thousand additional cancer patients died because of the interruption caused by the pandemic. As we go into a second wave, it does not have to be the same again. The Government have rightly introduced weekly testing for people in care homes; the arguments are exactly the same for our hospitals. Patients need to know that their NHS hospital is safe and NHS staff need to know that they are not infecting their own patients. As we go into this very difficult period, please, will the Government act and make this happen?

Covid-19

Nusrat Ghani Excerpts

Monday 28th September 2020 Commons Chamber

[Ms Nusrat Ghani (Wealden) (Con)]

It is a pleasure to follow the hon. Member for Newport East (Jessica Morden). I, too, want to thank all our frontline key workers.

This has no doubt been a very difficult job for Ministers, especially those in the Department of Health and Social Care. They have done tremendous work to try to understand this new virus and manage the spread of covid. I want to put on record my gratitude to the Under-Secretary of State for Health and Social Care, my hon. Friend the Member for Bury St Edmunds (Jo Churchill). She has taken my phone calls in the evening, at weekends and during the day. Sometimes my requests on behalf of my constituents have not even fallen in her portfolio, but she has always tried to track down the right response, and for that I am incredibly grateful.

We have had some successes. We have had successes on testing—we are testing more than the rest of Europe—but we now need to get the tracing element right. I had huge concerns about PPE early on. There is now a PPE strategy, and 70% of PPE will now be produced here in the UK compared with 1% earlier on. And who can forget the huge efforts to get the Nightingale hospitals up and running?

However, I have huge concerns about how the Government want to progress with the extension of covid laws. I do not feel it is appropriate that Members of Parliament read about new restrictions in the press—restrictions that cover criminal offences, duties and penalties that can reach up to £10,000—and I am hugely concerned about the role of covid marshals. I am sent to the House of Commons to represent my constituents in Wealden, and I cannot do that if parliamentary democracy is suspended. That is why I will support the amendment tabled by my hon. Friend the Member for Altrincham and Sale West (Sir Graham Brady) and share the concerns of many Government Members about the lack of scrutiny.

I do not doubt that Ministers want their arguments to be tested, so that they can be assured that these laws will have minimal side effects. We need to understand more of the evidence, and we need more diverse scientific evidence put in front of us. I do not feel that I am in any position to tell my constituents that they cannot see their kids for Christmas—I do not understand how we can even implement that. I do not feel comfortable telling my constituents that they cannot visit their loved ones in care homes whose mental health is deteriorating fast because we do not have the track and trace or testing in place.

I want to touch on three themes that we should be focusing on. We need to get back to basics and focus on what we can get right. I had an email recently from Peter Appleton, who oversees a care home and said that once again, the issue of getting testing results back in time has reared its ugly head. If care home staff do not get their test results back in time, they cannot provide a service to the residents, who are already struggling without the support of their families.

I turn to the impact on our young people, who have not had access to formal education for many months, and now we are making decisions that mean they will not get any sort of educational activity outside school. In my constituency of Wealden, we have two outdoor centres: Bowles Rocks and Hindleap Warren. They enable youngsters who may not even have access to a garden to experience a bit of outdoors, whether it is climbing or doing a bit of mentoring or leadership training. They could do that within bubbles, and they have all the covid-safe protections in place, but once again, broadbrush restrictions based on covid are undermining not only businesses but young people’s experiences outside the classroom.



I will conclude with an issue that the Minister will be familiar with, which is Public Health England. As the Minister will know, I have put on the record my belief that Public Health England lacks transparency, accountability and leadership. We have had three times more deaths among the BAME community, and higher deaths among BAME medical practitioners. At one point Public Health England claimed that it did not have the data. One can hope only that it has the data now, but I have yet to see what changes it has made to ensure that vulnerable groups within the BAME community are kept safe. As we introduce new restrictive laws, I am concerned that we are not applying the laws we already have in place.

Last Wednesday I was at a funeral in my village of Nutley—of course, only 30 people were present. A member of the family gave a very moving speech, but nobody was allowed to hug her. That is the state we are in. The Government need Back-Bench support from across the House, and we need parliamentary scrutiny for that. I hope the Government will understand why we would support such an amendment.

Covid-19 Update

Nusrat Ghani Excerpts

Thursday 10th September 2020 Commons Chamber

[Matt Hancock]

I pay tribute to Kirklees and colleagues who represent the seats within it, who have worked across party lines with national and local government. We have put more resources in, and they will continue for the time being when they are needed. We are, of course, driven by the data, so in a way, it would be good news if they were not needed, because that would mean that the number of cases had come down. The hon. Lady represents exactly the sort of approach that we should be taking. We are all on the same side against this virus. It is far better to be constructive and work together in a team effort. That is what the public want and expect. They do not want sniping from the sidelines, like we have seen from the Labour Front Bench.

[Ms Nusrat Ghani (Wealden) (Con)]

I welcome my right hon. Friend’s commitment to mass testing. In rural constituencies like mine, mobile testing units such as the one in Uckfield are key, but there seems to be a glitch in the system. A constituent called Colin, who lives in the village of Fletching, was directed miles away when he could have been directed to the local mobile unit. Will my right hon. Friend ensure that the glitch is fixed?

[Matt Hancock]

With pleasure.

Coronavirus Response

Nusrat Ghani Excerpts

Monday 20th July 2020 Commons Chamber

[Matt Hancock]

We have been building the test and trace system and improving the data that flows from it and underpins it all the way through this crisis, and I am glad that the hon. Lady is pleased by the continued progress that we are making. That is the way to look at this. We have been building this extraordinary service at extraordinary pace, and I am really glad we are able to get more.

[Ms Nusrat Ghani (Wealden) (Con)]

I welcome the Health Secretary’s statement and share his concerns that we do not know how the virus will react when we enter our cold weather season. Wealden constituents are already concerned about winter flu. When he has the data on cold weather and the virus, will he ensure that it is shared with East Sussex Healthcare NHS Trust, East Sussex County Council and Wealden District Council so that we can prepare and be resourced to deal with both covid and winter flu?

[Matt Hancock]

I will do better than that: when we get scientific evidence on the impact of cold weather on this virus, we will publish it.

Covid-19 Update

Nusrat Ghani Excerpts

Monday 29th June 2020 Commons Chamber

[Matt Hancock]

I am absolutely determined to address the questions and the impact of covid on those who live with disabilities. The hon. Lady’s point is important and this will form part of our work on inequalities and the response to covid. The Minister for Equalities is taking that work forward.

[Ms Nusrat Ghani (Wealden) (Con)]

Will my right hon. Friend share what factors lie behind the infection rate being so high in Leicester? Will those factors be shared with local resilience forums, such as mine in the south-east, so that they can also prepare? Secondly, he said that children in Leicester were particularly vulnerable. That is not the norm for covid, so is this a separate strand of covid or can he say why the youngsters in Leicester are so vulnerable?

[Matt Hancock]

To be clear, children have a very low risk of suffering from covid, but we have been looking at the proportion of children who have tested positive and therefore may be transmitting the disease. Thankfully, the disease poses a very low risk to any individual child in terms of their becoming ill or worse, but the challenge is that it still transmits through children. That is why we have taken the decision that we have on schools in Leicester. Of course, there are many reasons and potential reasons why the outbreak has occurred in the way it has in Leicester. We are still getting to the bottom of those, but I undertake to ensure that directors of public health in other areas understand those reasons. For instance, we are doing work specifically on food processing factories, which seem to have a higher rate of infection around the world, including in America, Germany and also in north Wales. Of course, there is a challenge in the community to ensure that we understand properly the origins and the spread of the outbreak in Leicester and then look at similar cities where the case rate is thankfully much lower, but ensure that we learn the lessons for similar cities, precisely as the shadow Secretary of State said.

Covid-19: BAME Communities

Nusrat Ghani Excerpts

Thursday 18th June 2020 Commons Chamber

[Ms Nusrat Ghani (Wealden) (Con)]

It is a pleasure to follow the passionate speech of the hon. Member for Slough (Mr Dhesi). I first want to thank all NHS workers, who have done a tremendous job during this covid period. My speech will not be so friendly, so I want to start by thanking the Minister, who has been tremendous in supporting me in Wealden, where we have a particularly large care home system—I have a lot of older constituents. Regardless of the day of the week and the time of day, she has been incredibly responsive. Unfortunately, the rest of my speech will not be so flattering, so I will just crack on.

Like so many people in this country, I have lost loved ones to covid. I also have loved ones working on the frontline dealing with covid. We had the experience and network to highlight quite early on that we saw a pattern forming, but we were met with, “We don’t have the data”—it is 2020, and we do not have the data. I understand the argument that this is an unusual situation, and that we did not have the statistics to deal with this particular pandemic, but we do have data about how viruses spread. We also understand the long-standing institutional biases of NHS England and Public Health England, which have failed in their leadership, are unaccountable, and hide behind the catch-all, “We just don’t have the data.” It is shameful.

[Caroline Nokes]

Does my hon. Friend agree that we did not actually need data, given that we could open up the pages of any newspaper and see the photographs?

[Ms Ghani]

I agree with my right hon. Friend. That goes back to my earlier point: Public Health England needs far more functioning leadership.

Public Health England’s report says:

“It is clear from discussions with stakeholders the pandemic exposed and exacerbated longstanding inequalities affecting BAME communities in the UK.”

That is nothing new. Moreover, it confirms to me the wilful blindness of Public Health England and NHS England in addressing racial inequalities and their inability to put in place measures to address workplace risk and make sure that so many BAME staff were not exposed. In the time it took for Public Health England to review the disproportionate number of BAME deaths, another 17 doctors passed away. Sixteen of those were BAME.

What else do we know? We know that there is a significantly higher proportion of BAME healthcare workers in England across our health system; without BAME workers, there would not be a health system. We know that BAME workers are in lower-paid jobs and that they cannot work remotely. We know that BAME workers tend to work in high-risk areas, and that the families they go home to are high-risk individuals. It was a high-risk strategy, yet Public Health England and NHS England continued to expose high-risk staff to high-risk shifts.

We know that 94% of doctors who died were of a BAME background. In the biggest survey of its kind, ITV News asked the UK’s BAME healthcare community why they thought more of their BAME colleagues were dying than their white counterparts, and 50% felt that discriminatory behaviour played a role in the high death toll. One respondent described the treatment as “very unfair”, adding that “all BAME nurses” have been

“allocated to red wards and my white colleagues”

are “constantly in green wards.” Perhaps more worryingly, ITV found that 53% of BAME respondents said that they felt they could not comfortably raise concerns about deployment, so they risked their health as against their employment.

To me, that suggests that the problem is related not to covid but to long-standing institutional inequalities. I want to hear from the Minister a resolute commitment to hold Public Health England and NHS England to account, and to ensure that the recommendations are acted on, reviewed and assessed by the real workers on the frontline who are most at risk—by that I mean BAME workers—and that all the data, good and bad, is shared in good time. I hope that the Minister understands that I have very little confidence in particular in Public Health England.

As we champion our frontline key workers, we also need to give them confidence that we have their backs. Like all public workers, they want to do their jobs, but many are concerned that if there is a second wave of covid they will be risking their lives or their families’. The BAME community has already been severely hit. I am not sure that it could take a second wave. For BAME health workers to die at such a rate frankly amounts to negligence on the part of NHS England and Public Health England, but perhaps it is not that surprising. Their leadership boasts 46 individuals; yet only four of them are from BAME backgrounds.

The country was united in tackling covid, but Public Health England and NHS England let down BAME health workers. They have time to put the record straight. Either we are in this together or we are not. I hope that the Minister can confirm that the Department is committed to ensuring that Public Health England and NHS England will treat, manage and support all their staff equally, so that we do not see a second wave of disproportionate BAME health worker deaths.