Covid-19

I beg to move,

That this House has considered covid-19.

I am pleased to say that all across the country the roll-out of the covid-19 vaccine is continuing at pace. Tens of thousands of patients, such as the very memorable Margaret Keenan and Martin Kenyon, have already received their jab, at more than 70 sites across the UK. That number will continue to increase, which is positive news, as I am sure we will all agree. This week also marks the start of the wave 1 roll-out of vaccination in GP-led sites, and I want to take this opportunity to thank general practitioners and their teams for their work in getting this programme up and running. I visited a practice this morning in Newham, where I talked to the team—to doctors, practice managers and the fantastic practice nurse, Raj, who had been busy caring for patients, delivering flu jabs and giving diabetes advice and is soon to be administering the covid vaccine. All those things, along with the promise of vaccines in care homes by Christmas, are encouraging developments, which colleagues from across the House will join me in welcoming. Right hon. and hon. Members will also be pleased with the announcement of 1,800 projects to upgrade and refurbish hospitals across 178 NHS trusts this winter; from fixing new roofs to new MRI machines, the £600 million package will make a real difference for patients and staff.

However, we all understand that this progress is made with the current situation borne in mind. Coronavirus is very much with us. This past week, the average number of new cases each day was 15,960. Average daily hospital admissions currently stand at more than 1,500. As Professor Chris Whitty, the chief medical officer for England, reminded us only last week, even with our mass vaccination programme we will “not have sufficient protection” for the next three months. The number of cases is flattening and even rising in some parts of the country.

It is important to remember that this is one of the most difficult times of the year normally for respiratory infections. The winter period is always the most challenging time for the NHS, let alone in these unusual covid-tinged times. Therefore, we must do everything we can collectively to avoid putting any further burden on the NHS. We should continue with our current efforts, so that we can give all health and care workers the best possible environment, despite the current circumstances of rolling out that vaccine and saving lives. I am sure I speak for everyone when I say that I would like to take this opportunity to express my continued gratitude to those frontline members of staff in our health and care service up and down the country for all they do, in hospitals and in the community.

The Government will continue to focus their response and build around three vital pillars: tiers, testing and vaccine. The House has today heard my right hon. Friend the Health and Social Care Secretary outline the latest changes in our system of tiering. The first formal review of tiering decisions is to take place this Wednesday, two weeks after the new rules came into force. However, when the virus is growing exponentially there is not a moment to spare, so we are acting ahead of the formal review date and putting in place stronger measures in several areas. I know these restrictions can be hard, but this action is absolutely essential not just to keep people safe, but because we have seen that early action can prevent more damaging and longer-lasting problems later on. We will continue to stand with those who are impacted through our furlough scheme and support for businesses and the self-employed.

Even with the review point ahead of us, and following my right hon. Friend the Secretary of State’s statement earlier today, the Government have wasted no time in taking bold action where it is needed. As soon as we became aware of these worrying trends in parts of London, Kent and Essex, a plan was put in place, and from last Friday surged mobile testing units have been deployed to where they are needed most. They are now in several boroughs of London, in parts of Essex that border London and parts of Kent where statistics show a high prevalence of covid-19, particularly among secondary school pupils. That is why our community testing is targeted towards the 11 to 18-year-olds and their families and teachers.

In addition to this testing support, we will continue to work with the local authorities and schools affected. I want to encourage anyone who has been asked to come forward for a test to do so, even if they are not displaying symptoms, for we know that community testing works. That is why this kind of deployment is available all across the UK. We are working with devolved Administrations in Scotland, Wales and Northern Ireland, and now with over 100 local authorities across England, so that people in Kent and Medway, Derbyshire, Stoke-on-Trent and Darlington can access tests. I thank local authorities for their efforts in mobilising the power of community testing for their areas.

Community testing works because it is the best way that we can identify and then isolate people with the virus. We know that people with coronavirus will often feel unwell and may well seek medical attention or indeed, unfortunately, be hospitalised. However, one in three people have no symptoms at all, but they can still pass it on to others through asymptomatic transmission. So that we can reduce transmission and help people to protect their friends and families, I would like to urge everyone to keep following the restrictions in place, taking the sensible steps that have, I hope, become part of everyone’s daily routine: washing our hands, covering our face and making space, as well as opening the window to ventilate places where we can. This will help to protect those around us, our families and friends.

We cannot stop all our efforts just because a vaccine is here—that would be premature and risk everything that people have worked so hard for—but we do know that, in time, the vaccine will represent our surest way out of the challenges we face. Much of the population will get their jabs in the first part of next year, as more vaccines come on stream, and I am encouraged by the peer review in The Lancet confirming that our home-grown vaccine candidate, the Oxford AstraZeneca vaccine, is clinically safe. We will be ready to roll out that vaccine along with any other vaccines in our portfolio if they are approved by the independent regulator, the Medicines and Healthcare products Regulatory Agency. Vaccines are safe—so I urge people please to step forward.

Into the new year, our dedication to and efforts on the roll-out will continue. We will expand vaccination centres further. We will look to larger venues such as sports stadiums and conference centres. I remind everyone that they do not need to contact their doctor or the NHS; they will contact people when it is their turn for a jab. I know that many up and down the UK are eagerly awaiting that call.

I would like to start with a tribute to Dame Barbara Windsor. She holds a special place in the affections of the nation from her earliest days with the Joan Littlewood Theatre Workshop to being landlady of the Vic. Barbara Windsor asked us to make a stand against dementia, and we will. Our thoughts are with Dame Barbara’s friends and family.

It is now nine months since the first British patient contracted covid-19—nine months that have tested our national character, our national health service and our national leaders; and nine months of terrible grief for tens of thousands of families who face a Christmas with an empty chair at the family dining table. Torn apart with anguish and united in pain, those families were robbed of their chance to say goodbye and robbed of the last hug or kiss, and they are still unable to sleep at night.

Rates of depression doubled during the first wave, but referrals to mental health services dropped. Couple that with nine months of economic turmoil exacerbated by the Brexit shambles, with millions facing the dole or losing their homes and businesses, and people need assurances that their wellbeing will be protected. There are still 3 million freelancers and small business owners excluded from Government support and facing utter ruin, which takes a terrible toll on their mental wellbeing. Some of the 3 million excluded have even, tragically, taken their own lives. It is not too late for Ministers to do the right thing and support the 3 million excluded.

What a year it has been. When the British people were called upon to stand together against a common enemy and to rise to greatness, they were not found wanting. I am thinking of the people who queued down the street to volunteer to deliver food and medicine; people who donated to food banks and looked in on neighbours; and people such as Captain Sir Thomas Moore, who raised not just money, but our spirits and our sense of ambition. I am thinking of those who spearheaded the #WhatAboutWeddings campaign, supporting people whose wedding day plans were derailed and people in the wedding industry whose businesses disappeared. I am thinking of people in the Beauty Backed campaign, supporting workers—mostly women—in the multimillion pound beauty sector whose salons were closed and who could not work to feed their families.

I have expressed my concerns in the House before about the Christmas policy. There is a lot of care going into looking at the data for the review of the tiers, and yet weeks ago, the Government announced a five-day relaxation starting on 23 December. What is the position of the official Opposition in respect of the Christmas break? Do they now oppose that, are they still supportive of it, or are they abstaining?

Everything has to be evidence-based. We in the Opposition have been labouring under the misapprehension that the Government have control over the messaging that has been going out. The mixed messaging relayed day after day by this Government has left people utterly confused. That is why I am saying that we need assurances from the Minister and the Government that the millions of people living under these restrictions would in fact be safe over the Christmas period, were families still to mix.

Finally, we turn to the bright light at the end of the darkest of tunnels: the prospect of a vaccine. I welcome the news of new vaccines, and I praise all the teams who delivered them and the Medicines and Healthcare products Regulatory Agency for its efficiency. We all have a duty now to explain that vaccines are safe, vaccines work, and if and when people are offered one, they must get vaccinated. When I am offered the vaccine, I will eagerly join the queue, not just because I am a doctor but because I have seen the tragic consequences of this disease up close. All of us in this House must speak up for the science and against irrational conspiracy theories and malign myth making, and we must get our people vaccinated.

Is the Minister satisfied that the Government are doing enough to build public confidence in the vaccine? Is she confident that we have the infrastructure to roll out the largest ever mass adult vaccination programme? What about those in tier 3—people in Derby, Leicester, Nottingham, Tyneside and Teesside, Lancashire, Manchester, Birmingham and the Black Country, Hull, Yorkshire, Bristol and, soon, London? Will they get the vaccine quickly and efficiently? What plans have the Government made to deliver the vaccine for tier 3? Can the Minister update us on the position of vaccinations for people in care homes? People were promised a vaccine, and they need reassurance that they were not given false hope.

As we near the end of a terrible year, let us reflect on the strength, resilience and genius of our constituents, on the communities that came together, on the values of solidarity and compassion that unite us, and on our common resolve to make 2021 a better year for all—especially the bereaved, the lonely, the vulnerable and the people who saw their worlds turned upside down by this terrible disease. They deserve a Government on their side, yet millions feel let down and left on their own. In 2021, that must change.

First, I thank the care home staff and NHS staff in my constituency, particularly the medical staff at Darent Valley Hospital and Medway Maritime Hospital, who I know have their work cut out for them at the moment.

I would like to bang the drum again for the hospitality industry. If we believe that the main drivers of infection are hospital and care home settings, schools and households mixing within family homes, should we not be doing everything we can to avoid such household mixing? Regrettably, I firmly believe that many people in this country, unable to go into bars and restaurants, are mixing in unsuitable conditions in other people’s homes. We have seen since the end of the first lockdown the extraordinary and incredibly expensive efforts of the hospitality industry to make preparations to minimise the risks to their staff and customers and to stay afloat as businesses. When I look at establishments owned by friends of mine, such as the Iron Pier brewery in Northfleet, the Griffin Inn in Fletching or TJ’s pub in Gravesend, I see that the driving principle of customer service for them since the first lockdown is the safety of their customers and their staff.

We have seen no evidence at all to confirm that people are more at risk in pubs than in private homes or more at risk congregating in well-run hospitality establishments. If we are knowingly going to crash the businesses and the life’s work of so many entrepreneurs in the hospitality industry, which we will be doing by knowingly restricting their ability to trade in the run-up to Christmas, when trading this month might actually save many of them, it would be nice if we could at least provide some evidence to support that.

Does my hon. Friend share the concern of many Members about so-called wet pubs? The Bakers Arms in Winchester contacted me this morning to say they are finding it difficult to take seeing the bustling high street all around them and people sitting outside coffee shops drinking cappuccinos, yet people cannot buy anything from their business. They are literally going under. Does he have that same problem in his constituency?

I completely agree with my hon. Friend. I said the other day that the last time I went into the Compass Ale House in Gravesend, it was like putting myself under the control of a manager saying, “Sanitise your hands. Do this. Do that. Sit down. Don’t do that. Why have you taken your mask off?”

I am absolutely not suggesting that pubs open as normal—in fact to the contrary, and that is the point. They are ready to operate safely in the new normal that they have arranged at such huge cost. I suggest a well-run pub is a safer environment for people to meet their friends than their front rooms, but like everyone in Whitehall and across the country, we have absolutely no idea either way. It is just a hunch.

My hon. Friend may be aware of a report based upon some work in south-east Asia. That seems to have been the basis of this risk assessment for hospitality, and it was not long ago that Public Health England itself said that potentially only 5% of infections were caused in the hospitality sector. I share his concerns, and I am sure he is critical of the risk assessment, just as I am.

I wish I had spoken to my hon. Friend last night when I was looking for precisely that research. There is absolutely no reason why councils and the police cannot be given draconian powers to shut down establishments that are operating unsafely.

My second point is that we are looking forward to the Christmas relaxation of the rules, which I know will be hugely welcomed by hundreds of thousands of families across the country who have had it very hard over the past few months. At present, the virus appears to be circulating among school-aged children and their parents. Thank heavens that is usually without serious effect, although we have had many tragedies.

Over the Christmas period, people have been told that they can mix and that generations can mix. I strongly suggest to my constituents that while we may be allowed to do so, some might choose not to. It strikes me that there is a great risk of parents and children passing on the virus to grandparents, leaving the country in a very poor position as we enter the coldest months of the year, when transmission rates will inevitably be highest.

After the extraordinary foresight of the Government in securing the vaccines and with the likelihood soon of many, many millions of doses of the Oxford vaccine coming online, I suggest that while families are allowed to do something, it might just be better to wait another four or five months. I know a lot of people are talking about Australia at the moment for some reason. My constituent Mr Hamilton suggests that some families should consider, like those in Australia, celebrating together towards the beginning of the summer, once the vaccines are rolled out and we are out of the worst of the winter. We may be allowed to do things, but people should listen to the Prime Minister and be very careful.

Allow me to begin my remarks by sharing the sentiments that have already been expressed about our gratitude to everyone who is currently working to keep us safe and comfortable in our homes, whether that is the NHS workers toiling tirelessly or those in the care sector or, as we have heard, the posties. I thank everyone who is keeping the wheels of society turning to make sure that our lives can go on as normally as possible in what have been deeply abnormal times.

The first vaccinations have taken place in Scotland in care homes this week, which is a tremendous source of optimism. The first care home resident in Scotland to receive the vaccine was 90-year-old Annie Innes. Annie worked as a carer herself for over 14 years and has been living in the Abercorn House care home in Hamilton for six months. Out of much darkness over the last few months, that gives us at least a glimmer of hope—not just that we will be able to see our relatives in care home settings again, but, more generally, that normality is hopefully not too far away.

I would like personally to thank everyone who has been involved in the roll-out of the vaccination programme. If anything gives us hope, it is this. I absolutely concur with all that has been said: when the vaccine is available, please, please, please get it. People should know that it is not just about keeping themselves safe; it is about keeping everybody around them safe as well. This is what will get us through this. There are obviously huge logistical challenges involved in distributing the Pfizer vaccine. It will be an extremely challenging task, but it will give us an additional layer of protection that none of us has had until now.

As more vaccines and different variants of vaccines become available over the coming months, it is the intention of the Scottish Government—in line with advice from the Joint Committee on Vaccination and Immunisation—to continue with the roll-out, initially focusing on care homes, for older adults and carers, but also rolling out to other vulnerable adults, and, gradually, to the wider adult population. It is to be hoped that the roll-out marks the beginning of the end, but it certainly cannot be the end of our collective caution. We all still need to do all we can to keep our loved ones safe, whether that is through restricting our unnecessary contact with others or just facing facts: wearing face coverings; avoiding crowded places; maintaining appropriate hygiene and social distancing; and ensuring that we self-isolate and book a test if we have symptoms. We all need to continue to observe that public health advice.

I want to start by giving my thanks to all those people working in the NHS and all the key workers for the incredible job they have done throughout the pandemic.

The Government are facing quite a dangerous situation which many see their tier system as neither effective nor fair. Conspiracy groups are popping up across the country, spreading lies and misinformation through social media. In fact, as quickly as social media giants stop them, they seem to find a new way to spread their misinformation. In my previous speech, I called for transparency on how decisions are made and said that transparency is the only way to defeat conspiracy theories, but the Government are still failing to provide it. I am going to quote from an answer to a written question I asked about how tiers are decided. I asked the Secretary of State for Health when he planned to publish the scientific evidence used to determine which areas are under tier 3 covid restrictions. The response I had was that decisions on tiers are based on

“the case detection rate…in particular, among those over 60 years old; how quickly case rates are rising or falling; positivity in the general population; pressure on the National Health Service”,

and so on. The important line that I want to draw to the Minister’s attention, which is feeding some of the disquiet that I sense in my constituency, this:

“As decisions are informed by a range of factors, it is possible for variation between individual factors when comparing areas.”

That fuels the sense that somehow the rules that many of us are experiencing up in the north are different from what people are experiencing down in the south. Why is there a possible variation between individual factors? Surely the Government have criteria that apply to everybody, regardless of their postcode or the place where they live. That is how we have fairness, transparency and trust in Government, which is currently lacking.

I am one of a number of Members speaking from the Government Benches this evening who were elected for the first time a year ago. On that joyous night, I do not think any of us foresaw quite what we were about to face over the coming year. I hope that we have done our best and served our constituencies to the best of our abilities, but it has been a sharp learning curve, and I certainly did not expect to have to start a speech a year on saying that I send my sincerest condolences to those who have lost their lives in my constituency and elsewhere over the past year. It has been a time of tremendous challenge and one that I hope I never have to live through again.

There have been a number of covid debates over the past few months and I have not always been able to get on to the call list, so Members should forgive me as I add my general thank yous to so many people who have stepped up and done amazing things over the past few months. I include, of course, our NHS workers. My constituency is blessed to be served by three fantastic hospitals: Chesterfield Royal Hospital; King’s Mill Hospital; and Bassetlaw Hospital. The overwhelming consensus is that those three hospitals have been absolutely superb and have served my constituents and others with tremendous distinction. The care home staff, many of whom I have spoken to, have done such wonderful things. Let me mention in particular the care home managers who were so forthright and so determined to keep their homes safe. Some of the most emotional phone calls that I have had over the past few months have been with those care home managers who have taken on this project so passionately and so personally.

I pay tribute to the community groups and volunteers who have stepped up and served so selflessly. They have made sure that people have had food to eat and other people to talk to, and have done such amazing work. I also pay tribute to all those who have shielded and who have sacrificed themselves to keep safe. Then, of course, there are all those who have kept working as well. We so often forget those who have kept going, so I pay tribute to those in manufacturing jobs; to the shopkeepers who have served their communities; to the supermarket staff; to our rubbish collectors; to our council staff; to our postal workers; and to so many others. There are too many to mention and to list, but it has been a profoundly moving experience to hear so many wonderful stories.