The following Statement was made in the House of Commons on Monday 19 July.
“With permission, I would like to make a Statement on the pandemic.
Today marks an important milestone in our fight against this virus as we take step 4 on our road map. It is a long-awaited moment for the businesses that can now open their doors at long last, the happy couples who can have weddings without curbs on numbers and, of course, the people who can see more of their loved ones in care homes. Although we have made huge advances in our race between the vaccine and the virus, we are not at the finish line yet. Instead, we are entering what I believe to be the next stage—a stage where we continue with caution while doing what it takes to manage the risk of this virus, which is still with us and still possesses a threat. Cases and hospitalisations have risen over the past week, as we predicted, and we know that these numbers will get worse before they get better. Although there is never a perfect time to take this step, making the move today gives us the best chance of success. We are cautiously easing restrictions when we have the natural firebreak of the school holidays and when the warmer weather gives us an advantage, so we will move forward with caution, drawing on the defences we have built, as we set out in our five-point plan two weeks ago.
One of these five defences is the protective wall provided by our vaccination programme, and I would like to start by updating the House on this life-saving work. Our vaccination programme has given us extra legs in our race against this virus. The protection it has built up in people across the United Kingdom means that the ratio between cases and hospitalisation is the lowest it has been during this pandemic. This reinforces the need to protect as many people as we can as quickly as we can, and we made a four-week delay to step 4 so that we could do exactly that, with 8 million more vaccinations in that period. We set the target of giving second doses to two thirds of United Kingdom adults by today, and we hit that target last week with five days to spare. We also pledged to offer a first dose of a vaccine to all adults, and we have met that target too. Now, almost 88% of adults have taken up that offer. Although uptake among 18 to 30-year-olds is much lower and needs to increase, we are in a good place.
Our work is not over yet. As we strive to reach the remaining adults who have not yet had a first or a second dose, we are already making our plans for the next stage, because we do not know how long immunity lasts. Because coronavirus mutates, just like flu, we must stay one step ahead of it, so we are drawing up plans for a potential booster programme, subject to the final advice from the Joint Committee on Vaccination and Immunisation, so that we can protect the most vulnerable ahead of winter.
We are also looking at extending our vaccination programme so we can protect even more people. We asked the JCVI to consider whether children and young adults should be given the offer of a vaccine, and that advice has been published today. Before I continue, allow me to apologise to you, Mr Speaker, for mistakenly referencing that on air this morning before setting out the details in full before the House. The JCVI considered not just the health impacts but the non-health impacts, as we asked it to do, such as how education is disrupted by outbreaks in schools. I reassure the House that the number of children and young people who have had severe outcomes from Covid is extremely low: the hospitalisation rate during the second wave was between 100 and 400 for every million. When we look at the small numbers who were hospitalised, most had severe underlying health conditions.
Today’s advice recommends that we continue to vaccinate 16 and 17-year-olds who are in an at-risk group, as we do now. It also recommends expanding the offer of the vaccine to some younger children with underlying health conditions that put them at greater risk of Covid-19. That includes children aged 12 to 15 with severe neuro disabilities, Down’s syndrome, immunosuppression and profound or multiple learning disabilities. The JCVI advice also recommends offering a vaccine to children and young people aged 12 to 17 who live with someone who is immunosuppressed. That means that we can indirectly protect the immunosuppressed, who are at higher risk of serious disease from Covid-19 and may not generate a full immune response to vaccination. Finally, the JCVI advises that we should offer the vaccine to all 17 year-olds who are within three months of their 18th birthday so that they are protected as soon as they turn 18.
Together with Health Ministers in all parts of the United Kingdom, the Secretary of State has accepted that advice and has asked the NHS to put it into action as soon as possible. As we do that, we will be using the Pfizer-BioNTech vaccine, which is the only vaccine in the UK that has been clinically authorised for people between the ages of 12 and 17. I know that people will have questions about what it means for them and their children. I assure them that nobody needs to come forward at this stage. The NHS will get in touch with them at the right time and will ensure that the jabs are delivered in a setting that meets their complex needs.
We also asked the JCVI to consider rolling out vaccines to all children and young people over the age of 12. Although we are not taking that step today, the JCVI is keeping this matter under review and will be looking at more data as it becomes available, especially on children with a second dose of the Pfizer-BioNTech vaccine. The steps that we are taking today mean that we will be offering even more vulnerable people the protection that a vaccine brings, and we will all be safer as a result.
We know that vaccines are our most important defence against this virus. That is especially the case in adult social care settings, which are home to some of the most vulnerable people in our communities, who are vulnerable to a devastating impact from Covid-19. Last week, the House passed regulations to make vaccination a condition of deployment in care homes, and the Lords will consider those regulations tomorrow. These regulations are designed to help maximise vaccine uptake and protect some of our most vulnerable citizens, yet I recognise the need for more detail on the Government’s analysis of their expected impact, so today we have published an impact Statement, and we will be publishing a full impact assessment as soon as possible.
As we learn to live with Covid, we must be pragmatic about how we manage the risks we face. Self-isolation of positive cases and their close contacts remains one of the most effective tools we have for reducing transmission. However, we recognise that there are some very specific circumstances where there would be a serious risk of harm to public welfare if people in critical roles, such as air traffic controllers or train signallers, are unable to go to their workplace. People in such roles who have received two vaccinations, and who are two weeks beyond the second vaccine, will not need to self-isolate to perform those critical tasks. However, they will have to continue to self-isolate at all other times. The people who are eligible for this will receive personalised letters setting out the steps they must follow. This is a sensible and pragmatic step, and one that will be used sparingly and responsibly.
We are being similarly pragmatic at our borders. As the Under-Secretary of State for Transport, my honourable Friend the Member for Witney, Robert Courts, has confirmed, UK residents arriving from amber-list countries who have been fully vaccinated will no longer have to quarantine, although they will still need to comply with necessary testing requirements. This will not apply to France, due to the persistent presence of cases of the beta variant, which was first identified in South Africa.
We are doing everything in our power to restore international travel, and to restore it safely, but new variants pose the greatest threat to our path out of this pandemic. We will not hesitate to act in a similar way with any other country. We will continue to keep a close eye on the data and to be firm and decisive in how we protect the progress we have made, but the enduring message is that getting vaccinated is the best way to ensure that people can travel as freely as possible.
Vaccination also holds the key to doing the things we love here at home. We are supporting the safe reopening of large, crowded settings such as nightclubs, as we saw last night, and music venues through the use of the NHS Covid pass as a condition of entry to reduce the risks of transmission. I encourage businesses to draw on this support and to use the NHS Covid pass in the weeks ahead. We will be keeping a close watch on how it is used by venues, and we reserve the right to mandate it, if necessary.
By the end of September, everyone aged 18 and over will have had the chance to receive full vaccination and the additional two weeks for that protection to take hold. At that point, we plan to make full vaccination a condition of entry to nightclubs and other venues where large crowds gather. Proof of a negative test will no longer be sufficient. Any decision will, of course, be subject to parliamentary scrutiny, and we will ensure there are appropriate exemptions for those who have genuine medical reasons for not getting vaccinated. I am clear that we will always look at the evidence available and do all we can to ensure that people can continue to do the things they love.
Our vaccination programme has put us on the road to recovery. We should all be proud of how this national effort is helping us to take steps towards a more normal life, but we must keep reinforcing the wall of protection—getting the jab, getting the second jab and getting the booster shot, for those who are asked to come forward. With such a deadly virus and the continued threat of new variants, our wall of protection must be more than just vaccines alone. We must continue to do all the other sensible things that we know can keep the virus at bay: getting tested, considering the advice and continuing to act with caution. Taken together, this will help us all enjoy these new experiences and safely slow the spread of this deadly virus. I commend this Statement to the House.”