Public Health

Toby Perkins Excerpts

Tuesday 14th December 2021 Commons Chamber

[Sajid Javid]

The hon. Gentleman will know that some measures are already in place such as the ability to get sick pay from day one and that there are hardship funds, but I understand the hon. Gentleman’s question: he asked us to look at that further and we will do so. All these matters are under review.

[Mr Toby Perkins (Chesterfield) (Lab)]

Will the Secretary of State give way?

[Sajid Javid]

No, I will take an intervention from the hon. Gentleman later.

I want to turn now to some of the things we have learned about the new variant. This is a fast-moving situation and in the last week we have been able to determine the following things with a high degree of confidence. First, omicron is more transmissible than the delta variant. We can see that the growth in omicron cases here in the UK is now mirroring the rapid increase in South Africa, and the current observed doubling time is around every two days. Although yesterday we reported that there were 4,713 confirmed cases of omicron in the UK, the UK Health Security Agency estimate for the number of daily infections was 42 times higher at 200,000. Scientists have never seen a covid-19 variant capable of spreading so rapidly, so we have to look at what we can do to slow omicron’s advance.

--- Later in debate ---

[Sajid Javid]

Yes, I can confirm that to my right hon. Friend. First, he is absolutely right to make that point. Of course it is not just about individuals entering hospital but about how many days they are likely to stay in hospital. I believe that for the delta variant an individual stays, on average, about nine days in hospital. If that was cut to five or six days, of course it would help with capacity. First, we cannot assume that, because what we are seeing in terms of the impact in South Africa is that hospitalisations there are rising rapidly; there are hundreds of people in intensive care units and on ventilators. It is hard to completely read that across, given that the average age of the South African population is about 27. I hope he would agree that, as with the point I just made on severity, even if the hospital stay is half of what it is at the moment, the rate at which this thing is growing—and if it continues to grow at that rate—means that that benefit could be cancelled out in two days.

[Mr Perkins]

The Secretary of State is facing a lot of criticism from behind him, but he should be assured that on these Benches we absolutely recognise the dangers of the variant before him. Does he accept, however, that having come in to his post saying that the end of restrictions was “irreversible”, he has created an expectation that he is going to constantly ignore the scientific advice, which is why he is facing so much disappointment from those behind him now?

[Sajid Javid]

The hon. Gentleman may have heard earlier, when I started my remarks, that I talked about what I said at this Dispatch Box in July and, specifically, about the risk of a vaccine-escape variant. I do want to talk about the vaccines and this variant—

--- Later in debate ---

[Wes Streeting]

I will outline our position on that, but the hon. Gentleman will have to be patient because I will come on to that later in my speech.

We need to buy the NHS and its helpers some time. The measures put forward for consideration today are an attempt to do just that by slowing the spread of the virus whilst trying to protect Christmas so that people can enjoy the festive season safely, by limiting our interactions in the workplace, by wearing face coverings in settings where the virus finds it easier to spread, by testing before we attend large indoor gatherings, and by getting behind the booster roll-out to ensure that everyone is protected.

[Mr Perkins]

My hon. Friend is absolutely right that we are all very conscious of how important this time of year is to the hospitality sector, but does he agree that the greatest threat to the hospitality sector is not restrictions of the type that are before us today, but the sense that the virus is out of control, and widespread cancellations across the sector? So these restrictions enable the hospitality sector to survive in this really difficult time, but also enable us to take proportionate steps to ensure that the spike does not get out of control.

[Wes Streeting]

I wholeheartedly agree with my hon. Friend. Indeed, one of our primary reasons for supporting the measures for consideration today is that we on the Labour Benches support business, and we want to support it through a particularly difficult time, when normally trading would be at its busiest.

The goal in the end must of course be to learn to live with the virus. That means effective vaccination, antiviral treatments, and public health measures that have minimal impacts on our lives, our jobs and our businesses. So let me take each of the measures in turn and explain why Labour supports them, and no doubt take interventions.

First, on mask wearing, no one enjoys wearing a mask—I certainly do not, but it is nothing compared with the costs that more draconian restrictions have on our lives, livelihoods and liberties. Masks are simply a price worth paying for our freedom to go out and live our lives during this pandemic. They are proven to be effective, and not only that, but in times of rising infections, when people are feeling increasingly cautious, it is vital to our economy that people feel safe boarding a busy bus or entering a crowded theatre. In our view, the Government should never have got rid of the requirement to wear masks in those settings, but we know why they did. We have counted, in recent weeks, hon. Members on the Government Benches not wearing masks. I am glad to see that compliance has risen somewhat considerably. We know that the Prime Minister no longer has the authority to lead his own party, but I am grateful that Members on the Government Benches have at least listened to their Health Secretary.

Turning to the vaccine pass, and testing to enter nightclubs and large events, I welcome the fact that the Government have listened to representations from Labour and responded. The Labour party has argued consistently against vaccine passports and insisted on people having the option of showing a negative test. Further, we argued that such passes should not be required for access to essential services. On both counts the Government have listened and amended the proposals, and we can support the measure before us today. It is not a vaccine passport. It is, in effect, a default requirement to show a negative test to enter venues where the virus is most likely to spread, with an opt-out available to those with an NHS covid pass.

Covid-19 Update

Toby Perkins Excerpts

Monday 13th December 2021 Commons Chamber

[Mr Toby Perkins (Chesterfield) (Lab)]

The Prime Minister addressed the nation yesterday, but what he has not done is address the NHS in the same way. When I spoke at 4 o’clock to those in Derbyshire, they were unaware. They had had no system letter from the Department of Health about prioritisation of vaccines. They were unaware of whether the quality outcomes framework payments were suspended. And they were unaware that their winter access fund obligations had now been suspended. Will the Secretary of State make sure that all our health care providers are informed about these crucial matters, which actually give reality to the delivery of his really important messages on funding and priorities for the national health service?

[Sajid Javid]

Yes. The hon. Gentleman will appreciate that this is a very fast-moving situation. The NHS made the final decision to go on the expansion—this expansion of the booster programme that I referred to earlier—yesterday, and the system letter has gone out today.

Covid-19 Update

Toby Perkins Excerpts

Wednesday 8th December 2021 Commons Chamber

[Sajid Javid]

My hon. Friend is right to point to the importance of vaccinating everyone, and especially to the risk to pregnant women. A huge amount of work has gone on in the last few months to reach out to even more pregnant women. A new campaign launched in the last few days and we have already seen a positive response to it. As she says, sadly, almost all the women who are pregnant and in hospital because of covid are unvaccinated.

To refer to the start of my hon. Friend’s question, I think she was suggesting that we wait a week. I hope that she can reflect that, based on the doubling time that we have now observed, that would make a substantial difference to infections, and can take into account the lag between infections and hospitalisation.

[Mr Toby Perkins (Chesterfield) (Lab)]

Throughout the covid crisis, the Government have continually had to take draconian steps because they took those steps too late. I welcome the fact that the Health Secretary is attempting to get ahead of it this time, because it means that the steps being taken are not as bad as they were last Christmas, which is really important. Mask wearing is important and it is regrettable that it had been stopped on public transport previously. Does it not undermine his message on mask wearing that, when he is making his statement, 21 Conservative Members are not wearing masks in this crowded place?

[Sajid Javid]

I think the approach that we have taken to mask wearing, which I have set out, is the right one.

Smoking Cessation: Prescription of E-cigarettes

Toby Perkins Excerpts

Monday 1st November 2021 Commons Chamber

[Maggie Throup]

My right hon. Friend makes a very good point. I promise I will engage with my opposite number in the Home Office to tackle the illicit import of cigarettes and other substances.

[Mr Toby Perkins (Chesterfield) (Lab)]

My mother smoked herself to death and died of lung cancer at the age of 62, so no one needs to tell me how important it is that we do all we can to support people to give up smoking. I also know people who have given up smoking through e-cigarettes but now find that they smoke quite a lot more than they did with traditional cigarettes. What analysis has been done of the impact on overall intake of switching from traditional tobacco cigarettes to e-cigarettes? Do the Government have longer-term concerns about moving people off e-cigarettes to not smoking altogether?

[Maggie Throup]

The hon. Gentleman is quite right that our goal is to help people to stop smoking completely. My heart goes out to him regarding the story about his mother. My father was a smoker and it damaged his health as well. We all have these personal stories. The evidence is clear that e-cigarettes are less harmful to health than smoking tobacco and are an effective way to help people to stop smoking, but, as the hon. Gentleman said, there is always more to be done.

Covid-19 Vaccinations: 12 to 15-year-olds

Toby Perkins Excerpts

Monday 13th September 2021 Commons Chamber

[Sammy Wilson (East Antrim) (DUP)]

rose—

[Mr Toby Perkins (Chesterfield) (Lab)]

I have great sympathy for the Minister for having to come here to try to respond to the latest musings from the Prime Minister’s mind. I believe he is saying that when this morning the Prime Minister said that the programme was going ahead, the final advice had not been received and, indeed, while preparations are ongoing, there may be subsequent advice that once again changes everything. Is that what the Minister is saying? How does he expect people to have confidence when the information coming from the Government appears to be so arbitrary and constantly changing, with no real clarity or medical robustness to it at all?

[Nadhim Zahawi]

I am grateful for the hon. Gentleman’s question, although I think there is an inherent unfairness in his final few words. The whole House, indeed the nation, would agree that this virus and pandemic have been challenging not just for this country and Government, but for the rest of the world. We have had to learn rapidly about the virus and how it behaves in the human body, and there has been the incredible work of the scientists who developed the vaccine, the NHS and everyone involved in the vaccine roll-out. The interim advice is important and has allowed us to have preparations well under way to deliver the covid booster programme. I am confident that the final advice, depending on the COV-Boost study, will allow us to boost the programme this month, and boost at scale.

Covid-19 Update

Toby Perkins Excerpts

Monday 7th June 2021 Commons Chamber

[Matt Hancock]

Absolutely. As I said then, it is too early to make this decision. We have to look at the data and we will announce the decision next week. When answering a logical question of, “Are you open to delay?”, if you have not made a decision on whether to delay or not, by dint of logic, you are open to delay. That is, I think, a perfectly reasonable and logical answer to a question. It is an absolute classic: a politician answers a straight question with a straight answer and it causes all sorts of complications.

[Mr Toby Perkins (Chesterfield) (Lab)]

We have seen in the past year unprecedented restrictions on our freedoms, for reasons that we in this place predominantly entirely understand—the pressure on our national health service and the escalating hospitalisations and death rates. Given the statistics that the Secretary of State has just published and the tremendous success of the vaccination programme in preventing hospitalisations of people doubly vaccinated, what additional freedoms are won for those people, and should we now be considering whether people who have been doubly vaccinated should be able to get additional freedoms as it appears that they will not be the cause of large numbers of hospitalisations in the future?

[Matt Hancock]

The hon. Gentleman is obviously a mentor of his former leader, Tony Blair, who made this case at the weekend. We are looking into this question for certain occasions. It will be necessary for international travel. However, in this country we have moved together—everyone is treated equally—in the same way that the virus treats us equally. I note that Israel, which did bring this proposal in, has now removed it.

Covid-19 Update

Toby Perkins Excerpts

Monday 17th May 2021 Commons Chamber

[Matt Hancock]

I am delighted that we managed to sort out the wrinkle that we had with the supplies of vaccine to Scunthorpe. It was a really good example of how this should work: my hon. Friend spoke up for Scunthorpe, and then the Minister got it fixed. I am very glad that we managed to sort that, and if there are any further problems, please do let me know.

We are inviting people who are over 50 and have a second jab booked 12 weeks after their first to rebook their vaccination from eight weeks after—not before eight weeks, because the effectiveness of the second jab strengthens for those first eight weeks. They can do that on the national booking system or through calling 119. We are texting those whose numbers we have to communicate with them. There is a whole process in place to get people rebooked wherever possible.

[Mr Toby Perkins (Chesterfield) (Lab)]

People in Chesterfield are looking forward to getting back to the football stadium this weekend. I am not sure we will enjoy it quite as much as my right hon. Friend the Member for Leicester South (Jonathan Ashworth) did this weekend; none the less, it is incredibly important to everyone. For that reason, they are understandably worried by the increase of the Indian variant, so it is important that we understand the decisions. I heard what the Health Secretary had to say about the reasons why he thought it was appropriate for India to be put on the list later than Pakistan and Bangladesh, but there will be those who think that the Prime Minister’s impending trip to India was a factor. We know there is an inquiry coming down the track. Will the Health Secretary confirm and clarify that there were no discussions, when the decision was made to put India on the red list later than Pakistan and Bangladesh, about the economic consequences, the Prime Minister’s trip or anything like that, and that it was purely health considerations that were in play?

[Matt Hancock]

These decisions are based on the evidence, and the Joint Biosecurity Centre puts forward the evidence for red-listing. In the first instance, the red list is there to stop new variants, but this variant was not a known variant under investigation. Because of the increase in the overall rates—the overall positivity—of people coming to this country, first from Pakistan and Bangladesh at the start of April, and then towards the end of April from India, we took the precautionary decision to put them on the red list. That is a matter of fact; I am happy to state that. The job now is to make sure we keep this all under control.

Covid-19 Vaccine Update

Toby Perkins Excerpts

Thursday 4th February 2021 Commons Chamber

[Nadhim Zahawi]

I am grateful to my hon. Friend for his question. I will certainly join him in thanking the NHS family and army of volunteers. They have done phenomenally well. I can tell him that in his STP in Gloucestershire, 94% of the over-80s have received their first dose—that is pretty good going. He will know that we have built a deployment infrastructure than can deploy as much vaccine supply as we are able to bring in. A couple of Saturdays ago, we reached a record of just shy of 600,000 doses in a single day. That is, I guess, a demonstration of the capability of the infrastructure. We continue to grow it, as I announced today. It is very much dependent on vaccine supply. We have good visibility from here to the end of March, with more volume coming through beyond that. My focus should—I hope he agrees—be on the mid-February deadline to vaccinate those top four cohorts of the most vulnerable. That is 88% of mortality and, if we can get them done by mid-February, we will have achieved a real milestone in our fight against this virus.

[Mr Toby Perkins (Chesterfield) (Lab) [V]]

The vaccination centre in Chesterfield, the largest town in Derbyshire, is open for only two days this week and for a maximum of two days next week, because NHS England apparently imposed much smaller vaccination numbers on the primary care network hubs than the national centres get. The Derbyshire primary care network states that it could achieve the Minister’s targets if it had the same access to vaccines and the national booking system as the national hubs service. Will he explain why the national centres are prioritised over the local primary care network hubs in towns such as Chesterfield?

[Nadhim Zahawi]

I am grateful to the hon. Gentleman for his question. The primary care networks have done a fantastic job in delivering the vaccine roll-out and will continue do so as we go beyond the first four cohorts into cohorts 5, 6, 7, 8 and 9 and then the next phase. Of course we want to make sure that people have choice. He will know by 2 pm, I think—when the next set of data is published—that his STP has reached 89% of the over-80s, which is an incredible achievement, the bulk of which has been done by the primary care networks. We will continue to support those networks. Through him, I send my thanks and appreciation to them and say that we will redouble our efforts to make sure that they get the vaccine doses that they need to get through not just the first four cohorts, but beyond that to the deployment programme for groups 5, 6, 7, 8 and 9.

Covid Security at UK Borders

Toby Perkins Excerpts

Monday 1st February 2021 Commons Chamber

[Mr Toby Perkins (Chesterfield) (Lab) [V]]

It is a great pleasure to speak in this important debate. I heard the Health Minister’s contribution. It is very interesting that this is a Home Office Opposition day, but we do not have anyone from the Home Office ministerial team responding to it. I think that is very telling. Just a few days ago, the Home Secretary claimed that she is an advocate of tougher restrictions than those that her own Government introduced in March. I suspect that the reason that there is not a Home Office Minister responding to a shadow Home Office Opposition day debate is that they could not find one willing to speak up for the Government’s policies. The Home Secretary knows that it is her responsibility to protect our borders and keep people safe, and I suspect that she did not want to speak up for the Government’s policies in this area.

The Health Minister said that the Government need to do everything they can to protect people, but they have failed to do that. Britain has the worst death rate in the world. It has the worst death rate per capita of any major country over the course of the virus. My hon. Friend the Member for Warrington North (Charlotte Nichols) was absolutely right to say that, as an island nation, we should have had a huge advantage over our European counterparts, but it has been wasted by the Government’s policies.

Going right back to the start, as my right hon. and learned Friend the Member for Holborn and St Pancras (Keir Starmer) has said consistently, the Government have been too slow to lock down and too slow every step of the way. Two weeks before we went into lockdown, we were inviting thousands of football supporters from Madrid to a packed stadium in Liverpool. We had people coming from all kinds of countries that we knew had very serious covid rates, with no checks and balances whatever.

The Government should not expect anyone to trust them when they say, “We’re taking a proportionate approach. You can believe that things will be okay if you leave it with us,” because every step of the way, things have not been okay when we have left the Government to pursue things as they want. I very much welcome the motion introduced by my hon. Friend the shadow Home Secretary, and I will be supporting it with great enthusiasm.

Covid-19: Vaccinations

Toby Perkins Excerpts

Monday 11th January 2021 Commons Chamber

[Nadhim Zahawi]

Absolutely. We must ensure that his residents are within 10 miles of a vaccination site at the end of this month and as early as possible to get vaccinating. He is a great champion of his constituents, and I am happy to look at any specifics he may have, take those offline and come back to him.

[Mr Toby Perkins (Chesterfield) (Lab) [V]]

The vaccination centre in Chesterfield—the largest town in Derbyshire—is opening only on Wednesday. It is clear from recent conversations with Derby and Derbyshire clinical commissioning group that we are not on target to have all vulnerable groups done by 15 February, and there is no centre at all in Staveley. What will happen between now and 15 February to get us from the current position to achieving the target the Minister has set, which we all so desperately want him to achieve? Will he also ensure that there is a centre in Staveley?

[Nadhim Zahawi]

It is great to see the hon. Member looking fit and well; I wish him all the very best. He is right to say that we must ensure that every part of the country meets that target, offering those four cohorts the opportunity of a vaccine. We are looking to ensure that we publish more granular data—regional data—so that we can see which areas are not keeping up the pace and therefore direct resources to them, so that by mid-February they have made that offer.