Covid-19 Update
Rachel Hopkins Excerpts(5 years, 1 month ago)
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Matt Hancock
Yes. The second doses are important. Although the time from the first dose to the second is 12 weeks, that does not make it any less important that we have the vaccines ready. We have a high degree of confidence that they will be there and we are already planning for the roll-out of the second doses; we know when each of those doses becomes due, because it is 12 weeks after the first dose. That planning is in hand and, frankly, compared with the time we have had for planning during most of the pandemic, 12 weeks is an absolute age.
Rachel Hopkins (Luton South) (Lab) [V]
The Joint Committee on Vaccination and Immunisation states that the implementation of the vaccine should also involve flexibility in vaccine deployment at a local level, with due attention to, among other things, mitigating health inequalities. Will the Health Secretary outline whether his Department believes that homeless people who have complex health conditions because of their accommodation status should be prioritised for vaccination?
Matt Hancock
Yes, I am working with the Housing, Communities and Local Government Secretary on a specific programme for the roll-out of the vaccine to people who are homeless.
Covid Security at UK Borders
Rachel Hopkins Excerpts(5 years, 2 months ago)
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Rachel Hopkins (Luton South) (Lab)
The failure of the Government to fully secure our borders against covid-19 from the start of the pandemic has undermined the effectiveness of the UK’s public health measures. I support a hotel quarantine system, but it will not be effective in preventing the spread of covid-19 unless it encompasses all arrivals into the UK. The limited quarantine restrictions imposed on travel from only 30 or so countries have come too late and, with 21,000 travellers currently entering the UK every day, are just not sufficient to safeguard the advances being made by the vaccine roll-out.
We are at a critical point in the vaccination process, and we cannot risk importing covid-19 cases and variants that are resistant to the vaccine.
While public health must be the priority, alongside greater public health restrictions must come greater economic support for airports. The Australian and New Zealand Governments have backed up aviation shutdowns with thorough aviation-specific support packages, but here in the UK, the Government’s sector support package is half-hearted. Luton airport in my constituency has been hit hard by the pandemic, and the impact is having a cumulative effect on our local and regional economy, as the airport supports more than 10,000 jobs in supply chain businesses.
As it is owned by Luton Borough Council, significant income from the airport is used to directly fund local services and voluntary organisations. However, Luton airport is only eligible to apply for around £5 million from the recently announced airport and ground operations support scheme, which equates to only 6% of its annual fixed costs—a drop in the ocean. The meagre support offered smacks of a Government who do not fully understand the aviation business cycle and the current precarity of the sector, given the extent of the fixed costs. As the Airport Operators Association states:
“With airports effectively closed again by the Government’s travel restrictions, much more significant support is now needed.”
Aviation needs Government to commit to extending the business support and job retention schemes, to extending the airport and ground operations support scheme to cover 2022 and to alleviating airports from regulatory and policing charges for 2021-22. To help airports bounce back, there needs to be phased support while commercial activity is rebuilt—support that facilitates the protection of jobs and provides an ideal opportunity to accelerate the transition towards green technology.
On a final note, with the recent announcement that Public and Commercial Services Union members working for Border Force at Heathrow have voted for industrial action against the imposition of fixed-term rosters, I urge the Transport Secretary to work with the Home Secretary to ensure that the pandemic is not being used as a cover to force through new working arrangements.
Covid-19: Dental Services
Rachel Hopkins Excerpts(5 years, 2 months ago)
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Rachel Hopkins (Luton South) (Lab) [V]
The breakdown of talks on NHS dentistry targets between NHS England and the General Dental Practice Committee is a failure of leadership on the Government’s behalf. The Government should intervene to reach agreement and alleviate the concerns shared widely across our dedicated dental profession.
Like others, I have been contacted by a dentist in my constituency who is concerned that, with the new covid variant being highly transmissible, and with the national restrictions, or lockdown, it is
“unfathomable that the government has chosen this time to introduce an increase in the target for activity required by dental practices holding an NHS Contract, by effectively more than doubling the minimum requirement of activity to 45%”.
I agree that, with covid rates still high, many patients will be understandably reluctant to go to the dentist. Indeed, British Dental Association analysis shows that more than 20 million appointments were lost between March and November 2020, more than half the treatment in a typical year. I agree with my constituent who queries why Ministers are encouraging potentially unsafe volumes of patients into NHS dentist practices under the imposed new activity targets.
The imposition of severe penalties for not reaching these minimum targets will be untenable for many practices already struggling to meet additional costs due to covid. Many will be at increased risk of closing for good. This would be a terrible situation for my constituents in Luton South, as Luton struggles with a very high level of poor oral health in our children: the severity of tooth decay in children aged five years is above the national average, at four teeth affected. Evidence suggests that deprivation accounts for 40% of the variation in levels of dental decay. Children aged five years living in the most deprived areas of Luton have higher rates of tooth decay than their counterparts in the least deprived areas and are two and a half times more likely to have experienced dental decay. If dental practices are forced to close, it will be harder for my constituents and their children to access the vital dental care they need. The long-term impact of poor oral health affects people not only physically but psychologically, as it influences how they look, speak, eat and socialise.
As my hon. Friend the Member for Putney (Fleur Anderson) said, access to dental care must not become a middle-class luxury. The current target and penalties are bad for practices and patients. I urge the Minister to get back round the negotiating table and revisit the activity targets for January to April to protect our vital dental practices during the pandemic and give them the support they need.
Oral Answers to Questions
Rachel Hopkins Excerpts(5 years, 2 months ago)
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Matt Hancock
Extra funding is available through the NHS Test and Trace budget for state schools for the testing programme. We are working with independent schools to make sure that they can reopen as soon as safely possible to reopen schools across the country.
Rachel Hopkins (Luton South) (Lab) [V]
Public Health
Rachel Hopkins Excerpts(5 years, 2 months ago)
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Rachel Hopkins (Luton South) (Lab) [V]
First, I thank our dedicated and brilliant scientists who have given us the hope of a way out of this extremely difficult period.
At the start of the first lockdown, the Prime Minister stated that the virus would be under control within 12 weeks, yet 10 months on, we are rerunning the devastation caused at the inception of the crisis. The virus is spreading exponentially, many people are in hospital and thousands of lives are at risk. This lockdown is necessary to restrict the spread of the virus and to protect our NHS, and yet again the public—my constituents in Luton South—at very short notice are doing their bit to tackle the spread of covid-19. But lockdown is a blunt tool. Being able to move out of it is contingent on the success of the vaccination programme across the country, so the Government must ensure that they carry out their side of the deal effectively, by acting quickly to make sure the programme is a success.
Meeting the target of vaccinating those in the top four priority groups by mid-February will require the vaccination of 2 million people a week and a total of 14 million vaccinations. Although we all want the vaccine to be rolled out as quickly as possible, I am concerned about the capacity of the UK’s vaccine manufacturers to meet that target, given that the sustained lack of investment in vaccine manufacturing has left the UK acutely underprepared. The chief medical officer has stated that the vaccine shortage is a reality that cannot be wished away, and the Government recognise that, having already dropped the 30 million dose vaccine target set in May.
At the beginning of 2020, the UK did not have the capacity to produce vaccines to meet the demand created by a pandemic, so, shockingly, we are seeing the UK relying on repurposed infrastructure to make the Oxford vaccine. Sir John Bell has stated:
“The government has been completely disinterested in building onshore manufacturing capacity for any of the life-sciences products”.
In addition, one of the companies manufacturing the AstraZeneca vaccine in bulk is transporting vaccine doses to Germany to be put in vials. A decade of Government austerity has hampered our ability to tackle this pandemic, and after the Government’s failures in PPE procurement and the outsourced test and trace system, and their failure to provide sufficient economic support, particularly to those who have been excluded, they must now not fail in the roll-out of the vaccine programme. I hope the Minister will explain to the House how the Government intend to address the frailty of the vaccine manufacturing supply chain and to rapidly increase the number of doses available.
I am also concerned that the Government have not published a detailed strategy for the vaccination of all key workers. As we go into another lockdown, we will once again see the real value of key workers, who keep our country going. There have not been sufficient assurances that teachers, posties, firefighters, police officers—all frontline key workers—will be prioritised in the vaccination process. Will the Minister outline—
Mr Deputy Speaker (Mr Nigel Evans)
Order. Sorry Rachel, but we are going to try to squeeze someone else in.
Covid-19 Update
Rachel Hopkins Excerpts(5 years, 3 months ago)
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Matt Hancock
I understand my hon. Friend’s disappointment at this decision. We looked very closely at Trafford, Stockport, Tameside and nearby High Peak, and the proposal to take a different decision for them from the one that had been taken for their near neighbours. The challenge is that each time we have done that in the past, we have then seen cases rebound, and there continues to be significant pressure on the NHS in the north-west, including in Manchester. I know that my hon. Friend and I have proposed different approaches on this one, and I look forward to working with him and people right across Manchester to get this sorted.
Rachel Hopkins (Luton South) (Lab)
We need to make sure that schools continue to be a safe environment for students and staff, and I would like to take the opportunity to thank all school staff and headteachers across Luton, who have done so much to make their schools as covid-secure as possible. I note the point made by the Secretary of State about the announcement later regarding testing in schools, but will the Government be publishing the evidence to support the use of lateral flow tests for serial testing of students, as this is outside the licensed use and requires a change to the legal duty to isolate?
Matt Hancock
We are working on exactly that proposal, because the need to use testing and use the easily available and rapid-return lateral flow devices is incredibly important. They have an important role to play, used in the right settings, in the same way that the PCR tests have an important role to play, but it takes longer to get the results back with those tests. I look forward to working with the hon. Lady, with Luton council, and with all those across Bedfordshire to try to get this sorted. Clearly, case rates in Bedfordshire are shooting up in a very worrying way, and I thank her for her efforts and public health messaging to say to everybody right across Bedfordshire, including in Luton, “Let’s work together to get this sorted.”
Covid-19 Update
Rachel Hopkins Excerpts(5 years, 4 months ago)
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Matt Hancock
We look at all five indicators essentially equally. The point about pressure on the NHS is a more sensitive indicator on the decision to go into tier 3. If an area is in the situation that Buckinghamshire is, for instance, where the case rate is elevated, but not as high as in many other parts of the country, the key thing to do is to keep that case rate where it is or lower. We could not make the decision to put Buckinghamshire into tier 1 because, if it went up from where it is, it would not be long until Buckinghamshire were in trouble. Therefore, the decision was to put it into tier 2.
I very much hope that the cases can continue to go down until they are very low—like they are in Cornwall and on the Isle of Wight, for instance. We will then be able to review and consider tier 1. I hope that that is a reasonable explanation. We need to continue to debate this matter as we try to ensure that we get the judgments around these geographies exactly right.
Rachel Hopkins (Luton South) (Lab)
The good people of Luton will want to get out of tier 2 as soon as possible, but the current resources provided to Luton Borough Council for the lateral flow rapid testing pilot are insufficient to enable it to provide the level of mass testing that is being described nationally. The contained funding—£8 per person—just will not cover tests for 10% of Luton’s population, as the funding also needs to be used for the wider covid response, including wellbeing support for vulnerable residents. Can the Secretary of State confirm that there are national plans to provide additional support and resources to expand testing if the intention to test close contacts daily is pursued?
Matt Hancock
Yes, there will be further funding for those areas that go into tier 2 and yet more funding for the areas that go into tier 3. That funding will go to the councils for the extra support that is needed.
Coronavirus Regulations: Assisted Deaths Abroad
Rachel Hopkins Excerpts(5 years, 4 months ago)
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Matt Hancock
As I said, the Government are neutral on this matter. It is a question for Parliament. There are many ways in which such a review could be brought forward, but the Government’s position of neutrality is important, because this is a matter of conscience on which there are deeply held and very sincere views on all sides. I think it should rest that this is a matter for Parliament, rather than Government.
Rachel Hopkins (Luton South) (Lab)
In the past two years, we have seen a significant shift in the views of the medical profession, with the Royal College of Physicians neutral on assisted dying and the British Medical Association poised to drop its opposition. Does the Secretary of State recognise that where there was widespread opposition to changing the law, there is now support for a full review of how the prohibition of assisted dying affects healthcare professionals and patients?
Matt Hancock
Yes. I think it is clear that there are changing views on this subject and that there is a very strong view that any change should be dealt with carefully and sensitively. In fact, the tone of this debate and discussion today reflects the seriousness and sensitivity of this topic and the need to make sure that all the issues are very carefully considered.
Covid-19
Rachel Hopkins Excerpts(5 years, 6 months ago)
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Rachel Hopkins (Luton South) (Lab)
I want to make a short speech about two key issues that I am deeply concerned about. Like many others, I held a Macmillan coffee morning last Friday, and I heard about the terrible impact of coronavirus on cancer treatment. Macmillan research notes that cancer care provision was in crisis before the pandemic because of understaffing among cancer nurses, which has placed incredible pressure on an overstretched workforce and support services. NHS figures show that only 319 people began receiving cancer treatment in July after attending a screening programme for breast, cervical and bowel cancers. That is 65% lower than this time last year. As well as drastically low numbers coming through the system, only a quarter started treatment on time. That is far lower than the 90% standard. I do not believe that reciting figures reflects the urgency of the situation, as this problem is having a devastating impact on people and on the lives of their loved ones. Life-saving treatments are being cancelled or postponed. I heard on Friday from a Macmillan nurse that, due to accessing screening services late, some patients’ cancer has progressed too far for treatment to be affected and they are now just following a care pathway.
The British Medical Association has already warned that thousands of people would suffer if vital routine care was shut down during a second wave. This should not have happened in the first place, but will the Minister outline what additional measures are being implemented to avoid potentially preventable deaths from cancer, particularly with regard to reducing waiting times and tackling the backlog of patients?
My second area of concern is related to humanist marriages. Today, Humanists UK flagged up the fact that the latest coronavirus regulations to come into force in England today allow religious and civil marriages to have up to 15 guests, but, initially, this did not include humanist weddings. Instead, the regulations said that humanist weddings must be limited to six attendees. However, within the last hour, it seems that the Government have recognised that this would be discriminatory and have now said that humanist weddings can have 15 people. This is vital to many of our constituents. Just last year, a British social attitudes survey recorded that 52% of British people state that they have no religion. Will the Minister to confirm that this is the case and that there will be parity between humanist weddings and others as it stands?
Madam Deputy Speaker (Dame Eleanor Laing)
With a time limit of four minutes, I call Mr Chris Clarkson.
Covid-19 Update
Rachel Hopkins Excerpts(5 years, 6 months ago)
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Matt Hancock
I will happily look into the testing in Southend, but it is nice to have some good news for the people there today.
Rachel Hopkins (Luton South) (Lab)
Luton was an area of concern earlier in the summer, but it came out of it because people were able to get tested whether they had symptoms or not. Now, however, with the prioritisation of only those with symptoms because of the abject failure of the Government to get the testing process right, residents in my constituency are worried that we will see the simple blunt tool of a national lockdown. Can the Secretary of State give some clarification?
Matt Hancock
The hon. Lady is absolutely right that Luton is an example of local action that worked to bring the case rate right down. The outbreak was specific to certain parts of Luton. The council worked with the national bodies brilliantly.
Over the last week in Luton, about 3,000 tests have been done, so those tests are available. I look forward to working with the hon. Lady to make sure that people who have symptoms are able to get the test.