Medicines and Medical Devices Bill
Tim Farron ExcerptsTuesday 23rd June 2020
(3 years, 10 months ago)
Commons ChamberRead Full debate Medicines and Medical Devices Act 2021 View all Medicines and Medical Devices Act 2021 Debates Read Hansard Text Read Debate Ministerial Extracts Amendment Paper: Consideration of Bill Amendments as at 23 June 2020 - (23 Jun 2020)
Madam Deputy Speaker (Dame Rosie Winterton)
I call Tim Farron. [Interruption.]
Tim Farron (Westmorland and Lonsdale) (LD)
Jim, you could have carried on a bit longer, couldn’t you? It is an honour to follow the hon. Member for Strangford (Jim Shannon).
When it comes to the regulation of the introduction of new, innovative medicines, treatments and technologies, I am bound to say that cancer will be at the forefront of many of our minds. It is an area that deeply concerns every single one of us, and it could be severely impacted if we do not get the negotiations right. The NHS long-term plan, which is full of very good and wise things, recognised the significant problem that we have in the United Kingdom with our cancer survival rates. Our survival rates, and it has been the case under many Governments of different colours, are among the worst in Europe. We have the second lowest survival rate for lung cancers and below average survival rates for nine of the 10 major cancers. The terrifying statistic for us personally is that one in every two of us is likely to get cancer at some point in our lives. That means we will, all of us, almost certainly be touched by cancer in some way in our families at some point during our lives, if we have not been already.
The need to step up our efforts to fight this horrific disease is amplified by the current context. We have seen a 60% drop in cancer referrals and a 20% fall in the numbers of those starting treatment during the covid crisis—for obvious reasons, and some of them justifiable reasons. Clearly, there are people who are at risk of their immunity being suppressed during the virus or who could gain the infection via surgery during the pandemic, so we understand why clinicians make such decisions.
Jim Shannon
The week past was Men’s Health Week, and I know the hon. Gentleman is of the same opinion as me about the importance of highlighting prostate cancer. Bowel cancer is another example. Those are two of the cancers that take people out of this world very quickly. I know the Minister will respond very positively, but is it his understanding that those are two of the cancers that, critically, we need to address early on?
Tim Farron
The hon. Gentleman makes a very good point. The two statistics I rattled out—and not for the first time, even today—are the 60% drop in referrals and 20% drop in treatments beginning. The referrals one is broadly down to people not coming forward because they do not want to trouble the NHS. It is massively important to amplify what I know Ministers and clinicians are saying around the country, which is that if people are even the remotest bit concerned, they must come forward and seek advice, because the NHS undoubtedly is open. Some of the cancellations of treatment have been for other reasons, such as not having had full access to kit and, in the early days, NICE advising against it taking place when perhaps it could have done. However, I am pleased that the Government have managed to make significant progress in recent weeks.
The statistics on the reduction of people coming forward for treatment and for referral, and on the reduction in treatments beginning, are, of course, all true, yet the numbers of people with cancer at this point is the same as it would be in any other year, give or take. That tells us that we are in danger of seeing a serious peak in late diagnoses, and, therefore, sadly, in people tragically not living as long as they would have done otherwise.
In the context of the Bill, removal from the European Medicines Agency would do our people harm. Choosing to go from being part of an organisation that represents 25% of medicine sales on the planet to one making up only 3% will inevitably see us fall down the list for those applying for new drugs and treatments. In that case, the wisest course of action would be to negotiate associate membership of the European Medicines Agency. We must be at the cutting edge of cancer treatment, yet we will hobble ourselves if we reduce access to new treatment and scale back research and development.
Of course, Britain’s membership of the EMA is no guarantee of progress. I am thinking particularly of radiotherapy technology. NHS England has just agreed to roll out the commissioning of stereotactic ablative radiotherapy—SABR technology—and to bring it forward by a year. This comes after an arduous 10-year battle for this precise and powerful treatment to be rolled out to every cancer centre in the country. To be clear, 100% of radiotherapy centres are equipped to give this treatment, but only half of them are currently commissioned to do so. I am very grateful to Ministers and in particular to the one in her place, who intervened to ensure that all centres will now be commissioned. We are very grateful.
The reason given time and again by NHS England for wasting this resource was that it did not have enough data. This is relevant, because this was a treatment being used effectively across Europe with significantly improved outcomes. If this is the case when the data is there, I dread to think what the impact will be of having reduced access to data on medicines and medical devices when we are outside the EMA.
If effective and co-ordinated implementation does not follow regulation, regulation becomes utterly meaningless. Many colleagues have rightly raised concerns about maintaining access to the best possible treatment for those in the UK, but we also need to recognise that countless people are not able to access the treatment that they need and that has been approved even now. The idea that this could be further curtailed and cost further lives is deeply troubling. Indeed, it would be an outrageous injustice. The process between the approval of a medicine or medical device and its use to treat illness and save lives is hugely important, as the experience of the development of radiotherapy in this country proves.
Oral Answers to Questions
Tim Farron Excerpts(3 years, 10 months ago)
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Helen Whately
The hon. Lady is absolutely right that there will be a time when we will look back and learn lessons, and I wish that not so many people had died in social care, but right now we are looking ahead. We are making sure that we have in place the plans to support the social care sector through the months ahead, and we are also pressing ahead with work on social care reform.
Tim Farron (Westmorland and Lonsdale) (LD)
The Parliamentary Under-Secretary of State for Health and Social Care (Jo Churchill)
I thank the hon. Gentleman and the other members of the all-party group on radiotherapy and cancer for meeting me and officials recently. It is expected that each of the 50 NHS trusts that provide radiotherapy will be able to deliver stereotactic ablative radiotherapy no later than 31 March 2021. Increased external quality assurance capacity means that we could complete the roll-out process for all commissioned indications quicker than that. I am sure the hon. Gentleman would agree that such a result would be fantastic.
Tim Farron
I very much welcome the Minister’s response and thank her personally for her excellent attention to this matter and the progress that she has helped to make possible. Of course, with a 60% drop in the number of cancer referrals and a 20% drop in the number of people starting cancer treatment, we have late diagnoses and a backlog that could, tragically, kill more people than covid. Will the Minister therefore go further and faster and deploy expanded radiotherapy treatment this summer to clear the backlog? Will she commit to appointing a radiotherapy tsar and to a rolling radiotherapy fund, so that we can stop more lives being unnecessarily lost?
Jo Churchill
The hon. Gentleman will know which parts of that are still open for discussion between us, but we are of course driving hard to make sure that patients get their radiotherapy and treatment as quickly as they can. The NHS has a “Help Us Help You” campaign: it is open for business and people should make sure that they attend any appointment they are called to.
Public Health
Tim Farron Excerpts(3 years, 10 months ago)
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Tim Farron (Westmorland and Lonsdale) (LD)
What an honour to follow that! I agree with much of what the hon. Member for Broxbourne (Sir Charles Walker) said. It is important that we debate civil liberties and indeed vote on them, and recognise that at the moment we are choosing to put some of them in abeyance for the greater good, which is to protect people’s lives and, in the long term, livelihoods.
Leadership is hugely important, but what are we saying to the public? “Those people who can work at home should and if you can’t, we will do everything we can to try to make it safe for you to work in your normal workplace.” If people can work at home, they should, yet here we are, the leaders of the country, having proved—the screens around the Chamber are proof of it—that we can work at home and we have chosen not to. That is the opposite of leadership; it is poor leadership. I therefore disagree with the hon. Gentleman on that.
Madam Deputy Speaker (Dame Rosie Winterton)
Order. I am anxious that we return to the substance of the regulations. We have had quite a wide-ranging debate about virtual Parliament versus any other kind of Parliament, but we are here to discuss the regulations.
Tim Farron
My remarks were merely a bridge from the excellent speech of the hon. Member for Broxbourne.
The restrictions that we are discussing have been a huge imposition on our lives and livelihoods. I would argue that they have been necessary to protect us, our loved ones and especially those who are most vulnerable in our society. Millions around the country have made colossal sacrifices. In every community, countless people selflessly battled with loneliness, and families and businesses plunged into financial insecurity, even destitution. Our communities in Cumbria have been among the hardest hit. In Westmorland and Lonsdale, there was a 312% increase in unemployment last month—the highest in Britain. For thousands back home, it is not a case of fearing that financial hardship might come at the end of the lockdown; it has already arrived. Thousands are at risk and hundreds are in the midst of destitution.
In Cumbria, we are deeply concerned about the survival and sustainability of the tourism and hospitality sector in particular. I want to focus my remarks on how the restrictions affect that industry. Visitors come from Britain and all over the world, not only for the landscape, but for a world class industry that receives and serves them. We have the best pubs and restaurants using local produce, the best accommodation and the best attractions from steam railways to lake cruises. We have heritage and history from Wordsworth to Donald Campbell and an innovative first-rate retail sector that is integrated with that visitor economy. Cumbrian tourism normally brings in £3 billion a year. It is the biggest employer in Cumbria and of course tourism is the fourth biggest employer in the country.
Jim Shannon (Strangford) (DUP)
The news from back home in Northern Ireland today is that the hospitality sectors can open on 3 July. That means the restaurants, the cafés, the coffee shops, the pubs and the visitor centres are opening. Is that an example of what should and could happen here for the hon. Gentleman’s constituency?
Tim Farron
I am grateful for that relevant intervention. The point is that we need to do what is safe and compensate those people who are unable to go about their normal business if it is not safe. I am not one of those people who says, “We just follow the science.” A judgment still needs to be made on the basis of the science, but we need to have the guidance up front and early. As the hon. Member for Strangford (Jim Shannon) said, Northern Ireland is opening up on 3 July and perhaps England will open on 4 July, but we need the information on which to base those decisions.
In the Lake District national park—the most populated national park in the country—80% of the working-age population works in tourism and hospitality, an industry that has basically closed down for the past three months. It is not the case in every part of the country, but the tourism in the national parks and in the coastal zones of the UK is largely cyclical. Visitors rely on the feast of the summer to see them through the famine of the winter. Lockdown turned our summer to winter. Even if businesses are permitted to open in a limited capacity, the restrictions on customers will continue to prevent them from making up all that lost income. If the tourism economy is able to fully reopen only in the autumn, we condemn people to three winters in a row: three winters of making a loss; three winters of financial hardship. As the Government ease the lockdown restrictions, it is entirely sensible for the Chancellor to begin the slow unwinding of the furlough scheme for many businesses. After all, there is light at the end of the tunnel and hope for the future—but not for everyone. We must not fall into the trap of thinking that the ending of the lockdown will mean that business can begin to make profit again; being open for business is no guarantee of having business. A business cannot pay its staff even 10% if it is not making any income to pay them with, and that is going to be the case for a good number of businesses in the tourism and hospitality sector. If the Government insist on no exemptions to the phasing out of the furlough from August, many businesses in Cumbrian towns and villages will be forced to lay off huge swathes of their staff or to fold altogether.
As well as the huge increase in job losses on my patch, 37% of the working population are now on furlough—that is the fourth highest level in the country and the highest by far in the north of England. If we do not recognise that the tourism and hospitality industry is in a unique and precarious position, we will simply end up killing hundreds of otherwise healthy businesses in the autumn, in which case, what would have been the point of the Government’s expenditure so far? The furlough scheme would just become a waiting room for unemployment, and I will not settle for that.
Craig Mackinlay (South Thanet) (Con)
The hon. Gentleman is making a powerful point about tourism. It is worth £3 billion to Cumbria, and £320 million lands in Thanet—North Thanet and South Thanet as a whole—because of it. Would he now consider it appropriate that people should be able to sleep on their boats, and use their caravans and campervans, because these family units could be spending money on things locally, although not in the pubs and restaurants, obviously? Would he consider that to be sensible at this time?
Tim Farron
The hon. Gentleman makes a good point, which is that we should be considering intelligent ways of unlocking. The industry could reopen in phases, and I have been encouraging people involved in the hospitality industry in the lakes and the dales to get the breakdown of what is possible for their business and their industry to the Government early, so that it informs the Government’s decision making. Many of the things he suggests should be considered, and I am sure they are being. As I will discuss in a moment, we could have done with the guidance on what is permissible significantly sooner—that is, we do not have it at all, even with only 19 days to go.
It is not right for us to simply accept that for many people in hospitality and tourism the furlough scheme may just end up being that waiting room for unemployment, if no support is provided to take them beyond the autumn, because of the cyclical and seasonal nature of our hospitality and tourism industry. I will not settle for that. I am sure I speak for dozens of colleagues from right around the country, from all parties, who recognise this problem in their own communities. I urge us all to work together to make sure the Government see the need for a special package for the hospitality and tourism industry, in Cumbria and across the whole country.
In Cumbria, we pride ourselves on our warm welcome to visitors and the strength of our communities. Not only will the impact of this on hospitality and tourism be catastrophic for those directly involved, but untold damage and hardship will be caused to other industries and businesses that are tied into and utterly inseparable from the tourism economy. I am talking not only about the restaurants, pubs and attractions, but about the retail industry, entire supply chains, the maintenance industry, and those involved in furnishings and fittings. We provide a first-class welcome for our visitors and we are proud of it. From the awesome pubs and vibrant retail industry to the fantastic hotels and cosy homestays, our communities are a credit to the awesome part of the world we get to call home, but our visitors experience only the tip of the iceberg. Below the surface an enormous amount of work goes on to maintain and supply the visit that people enjoy; these are the businesses caught in the tension of being both desperate to get back to work and concerned to keep themselves, their families and their customers safe. Keeping restrictions in place is absolutely right to protect lives and prevent a second spike, which would be even more damaging to our economy, but we also have a responsibility to protect Cumbria’s families from hardship and destitution.
There is still no sign of the Government guidance, which it was promised would arrive last Friday, on the reopening of some of the tourism and hospitality industry. There is still no clarity on which parts of the hospitality industry will be able to open from 4 July in England or what the timetable for any gradual reopening might be. We are now just 19 days away from 4 July, and the tourism industry is still completely in the dark. Businesses not only need the guidance to ensure that they are meeting all the Government criteria; they also want to know how they can market with confidence to attract customers safely ahead of time. The lack of clarity from Government on which parts of the industry will be able to open from 4 July continues to hamper business planning, prevent bookings and stifle potential income opportunities.
There are three simple things that the Government could do to ensure the survival of the tourism industry through to the spring of 2021. The first is to publish the guidance today. Thousands of people are living in considerable anxiety day to day, having been robbed of even the small amount of certainty that a road map would provide. If the restrictions are to be eased in a way that will maintain health protection, businesses need the maximum time available to prepare and put appropriate measures in place.
Secondly, the Government must be flexible in their phasing out of the furlough scheme for tourism and hospitality and recognise that if they phase out the scheme for businesses with no income at this stage, they will needlessly kill off many of our local businesses that would otherwise be able to thrive and prosper in the future.
Thirdly and finally, the Government must introduce a bespoke support package for the tourism and hospitality sector, to see it through to the spring of 2021. Our lakes economy exists on feast and famine. The lockdown came at the end of the winter famine, and then the feast was cancelled. If they dump us out in the cold on our own as we approach the next winter famine, they will kill an industry and plunge thousands of my constituents into hardship. I am not having that—not when a support package through to next spring could see us come out fighting, ready to bounce back as the high season begins.
We take seriously our responsibility to care for the lakes, the dales and the whole of Cumbria’s spectacular landscape. We cannot wait to welcome visitors back to enjoy the fells, the food and the finest places on the earth, from Dent to Coniston, Grasmere to Kirkby Lonsdale and Windermere to Kendal, but without financial support there could be barely any tourism and hospitality sector there to welcome them. Will the Minister and her colleagues show that they are serious about protecting lives and livelihoods by announcing those measures to protect the tourism industry today?
Public Health
Tim Farron Excerpts(4 years ago)
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Tim Farron (Westmorland and Lonsdale) (LD) [V]
The Government were right to follow the scientific and medical advice to introduce the lockdown. They did so to keep people safe. I recognise the sacrifices made by people around the country who are diligently following the rules to protect themselves, their loved ones and the most vulnerable. However, doing the right thing comes at a heavy cost, so I welcome this opportunity to scrutinise the legislation and focus on the ways it is affecting our country, especially our communities up here in Cumbria.
I am so grateful to our police, in Cumbria and across the UK, for putting our safety above their own. As the Government consider easing the lockdown, they must provide clear guidance so that the police can continue to keep us safe with consistency and confidence.
We are battling to save lives, but also to save a way of life. We must not treat lightly our democracy and our freedom. Let me briefly put on the record my concern about the use of the Public Health (Control of Disease) Act 1984 to pass the regulations and urge Ministers to ensure that the three-week review of these measures is open and honest, and that there is full scrutiny of all new legislation.
The restrictions are necessary to save lives, and we should be extremely cautious about lifting them too soon. It is right that we are led by the science and not by politics. However, we have a responsibility to spare people from hardship and ruin. Here in Cumbria, we are deeply concerned about our tourism and hospitality industry, which had to shut down completely just as it was gearing up for its high season.
For many in the lakes, the dales and the rest of Cumbria, hospitality and tourism are seasonal. They operate their trading year on something of a “feast and famine” basis. The coronavirus hit right at the end of the famine, and now this year there will be no feast. If we do not get this right, we may inadvertently kill off an entire industry that is essential to our wider economy.
It is a humbling honour to speak for and from a part of Britain as breathtakingly beautiful as the south lakes. Our communities here are as strong as the landscape is beautiful. Hundreds of volunteers, many facing severe hardship themselves, are involved in serving their neighbours in their hour of need. We may need to stay a safe distance apart, but our communities have never been closer. I am proud of our people, and I am determined that they should be financially stable and secure at the end of all this.
In normal times, we are one of Europe’s biggest visitor destinations. Last year alone, we received 16 million visitors. Visitors come from Britain and all over the world, not only for the landscape but because we have a world-class hospitality and tourism industry, with the best pubs, restaurants, accommodation, attractions, heritage and history, and an innovative retail sector fully integrated with the visitor economy.
In the Lake district alone, 80% of the working population are employed in tourism or hospitality. The Cumbrian visitor economy contributes £3 billion a year, and £1.45 billion will already have been lost by next month, with 80% of the workers in the hotel and food industries currently furloughed. The RSA study indicated that Cumbria was the most exposed economy in the country, with one in three jobs now at risk. That would be utterly devastating to families throughout our area, so I am determined to defend them and to find a way to avoid that. We are encouraged by the Government’s announcement of £617 million of support to help those businesses that are falling through the gaps, but it remains to be seen whether that money will be enough to support all those currently struggling, such as small B&Bs and home-based businesses. I urge Ministers to ensure that no one is left behind and no one left destitute.
When it is safe to do so, the lockdown will ease, but it seems likely that hospitality and tourism will be the last to return to normality under the Government’s plans. We understand that. Our priority is to protect our people and to save lives. The problem is that if hospitality and tourism are phased back in in the autumn, having missed out on the feast of the summer months, they will have to try to keep themselves afloat just as the famine of winter begins. Additional grants and an extension of the furlough scheme will be needed over the summer, but if that is all we do, the Government will simply be delaying the failure of businesses, the loss of jobs and the hardship and misery of the families of the south lakes. I will not stand for that, and I hope that Ministers will not do so either. That is why I urge the Government to protect this vital industry by committing to a 12-month funding settlement for tourism and hospitality so that they can survive the winter and be ready to lead the revival in the spring of 2021.
Covid-19
Tim Farron Excerpts(4 years, 1 month ago)
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Matt Hancock
It is of course a matter that I discuss with the Transport Secretary, who I am sure will be coming to the House sooner rather than later.
Tim Farron (Westmorland and Lonsdale) (LD)
May I encourage people across the country to have complete confidence in the Government’s medical and scientific advice, and that is essential for the safety of the country? I also encourage the Secretary of State to ensure that the population as a whole have confidence in their own economic futures. We spent £500 billion bailing out the banks in 2008. We need to be prepared to go even further than that to ensure that people—for example, the 60,000 people working in tourism and hospitality in Cumbria—know that their economic future is not about to be burnt.
Matt Hancock
I understand the concerns raised by the hon. Gentleman, and it is important that they are addressed. Coming from a small business background myself, I understand the impact that a change like this can make, especially to the tourism industry, which is so important in the hon. Gentleman’s constituency. We regret having to take the measures that we are taking today. As I said earlier to the former leader of the Labour party, the right hon. Member for Doncaster North (Edward Miliband), this is something on which we are working at pace.
Oral Answers to Questions
Tim Farron Excerpts(4 years, 1 month ago)
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Matt Hancock
That is an incredibly important question—one that we will be addressing in the run-up to the spending review. The truth is that the public health grant is but one small part of the overall effort of local authorities to improve the health of the residents they serve. Although it is an important part, and it is good that it is going up in real terms for every local authority, we have clearly got to ensure that the whole effort of a local authority is there to improve public health.
Tim Farron (Westmorland and Lonsdale) (LD)
All the evidence suggests that coronavirus is of greatest risk to those who are older in our population. The average age in my constituency is 10 years above the national average, yet in public health allocations Cumbria gets only £36 per head, as opposed to the national average of £63 per head and £100 per head for many parts of London. Does the Secretary of State agree that that is a dangerous inequality? Will he fix it in the upcoming statement?
Matt Hancock
The inequalities in health outcomes are what I am particularly concerned about, especially the length of healthy life expectancy, which is of course affected by both communicable and non-communicable diseases, the public health around both of those important considerations and the wider issues that my right hon. Friend the Member for South West Wiltshire (Dr Murrison) just mentioned. We will take all of that into account as we look at how the public health grant is best allocated and best used, ahead of the spending review.
Oral Answers to Questions
Tim Farron Excerpts(4 years, 3 months ago)
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Matt Hancock
The commitment that we have made is that we will have 6,000 more GPs and 26,000 other clinical staff in general practice. That is the commitment that we have made, and that is the commitment on which we will deliver.
Tim Farron (Westmorland and Lonsdale) (LD)
In rural communities such as mine, GP surgeries often serve huge geographical areas with relatively small patient numbers. Coniston, for example, has a roll of about 900 patients, yet the next nearest surgery is two lakes away. Will the Secretary of State commit to establishing a strategic small surgeries fund to ensure that small surgeries in rural communities remain sustainable for the long term?
Matt Hancock
The hon. Gentleman makes an incredibly important point. General practice, where 90% of all NHS appointments take place, needs to reach every part of this country, including his beautiful constituency, which is, as he says, very sparse. Of course we need to ensure that the practices there are sustainable, and again this is an area in which technology can be of particular help. There is great enthusiasm for using technology so that the travelling times of patients and sometimes of GPs can be reduced.