The following Statement was made in the House of Commons on Monday 2 November.
“With permission, Mr Speaker, I will make a Statement on the measures we must now take to contain the autumn surge of coronavirus, protect our NHS and save lives. On Saturday evening, the Chief Medical Officer and the Chief Scientific Adviser described the remorseless advance of this second wave. The extraordinary efforts being made by millions of people across the country—especially those in very high alert areas—have made a real difference, suppressing the R rate below where it would otherwise have been. But the R is still above one in every part of England—as it is across much of Europe—and the virus is spreading even faster than the reasonable worst-case scenario. There are already more Covid patients in some hospitals now than at the height of the first wave: 2,000 more this Sunday than last Sunday.
While the prevalence of the virus is worse in parts of the north, the doubling time in the south-east and the Midlands is now faster than in the north-west. Even in the south-west, where incidence remains low, current projections mean that it will start to run out of hospital capacity in a matter of weeks. The modelling presented by our scientists suggests that, without action, we could see up to twice as many deaths over the winter as we saw in the first wave.
Faced with these latest figures, there is no alternative but to take further action at a national level. I believe it was right to try every possible option to get the virus under control at a local level, with strong local action and strong local leadership. I reject any suggestion that we are somehow slower in taking measures than our European friends and partners. In fact, we are moving to national measures when the rate both of deaths and infections is lower than they were in, for example, France.
We are engaged as a country in a constant struggle to protect lives and livelihoods, and we must balance the restrictions we introduce against the long-term scars they leave, whether for business and jobs, or our physical and mental health. No one wants to impose measures unless absolutely essential, so it made sense to focus initially on the areas where the disease was surging and not to shut businesses, pubs and restaurants in parts of the country where incidence was low.
I want to thank the millions who have put up with local restrictions, sometimes for months on end. I thank them and the local leaders who have understood the gravity of the position. We will continue so far as possible to adopt a pragmatic and local approach in the months ahead. But we are fighting a disease, and when the data changes course, we must change course too. To those in this House who believe we should resist further national measures, let me spell out the medical and moral disaster we face.
If we allow our health system to be overwhelmed—exactly as the data now suggests—that would not only be a disaster for thousands of Covid patients, because their survival rates would fall, but we would also reach a point where the NHS was no longer there for everyone. The sick would be turned away because there was no room in our hospitals. That sacred principle of care for anyone who needs it, whoever they are and whenever they need it, could be broken for the first time in our lives. Doctors and nurses could be forced to choose which patients to treat, who would live and who would die.
That existential threat to our NHS comes not from focusing too much on coronavirus, but from not focusing enough. If we fail to get coronavirus under control, the sheer weight of demand from Covid patients would deprive others of the care they need. Cancer treatment, heart surgery, other life-saving procedures: all this could be put at risk if we do not get the virus under control. Even though we are so much better prepared than before, with stockpiles of PPE and ventilators, the Nightingales on standby, and 13,000 more nurses than last year, I am afraid that the virus is doubling faster than we could ever conceivably add capacity. Even if we doubled capacity, the gain would be consumed in a single doubling of the virus.
And so on Wednesday the House will vote on regulations which, if passed, will mean that, from Thursday until 2 December in England, people will be permitted to leave home only for specific reasons, including: for education; for work, if you cannot work from home; for exercise and recreation outdoors, with your household or on your own, or with one person from another household or support bubble; for medical reasons, appointments and to escape injury or harm; to shop for food and essentials; and to provide care for vulnerable people, or as a volunteer.
Essential shops will remain open and click-and-collect services will continue, so people do not need to stock up, but I am afraid that non-essential shops, leisure and entertainment venues and the personal care sector will all be closed. Hospitality must close except for takeaway and delivery services. Places of worship can open for individual prayer, funerals and formal childcare, but sadly not for services. However, Remembrance Sunday events can go ahead, provided they are held outside and observe social distancing. Workplaces should stay open where people cannot work from home, for example in construction or manufacturing. Elite sport will also be able to continue.
Single adult households can still form exclusive support bubbles with one other household, and children will still be able to move between homes if their parents are separated. The clinically vulnerable and those over 60 should minimise their contact with others. While we will not ask people to shield again in the same way, the clinically extremely vulnerable should only work from home.
I am truly sorry for the anguish these measures will impose, particularly for businesses that had just got back on their feet—businesses across the country that have gone to such trouble to make themselves Covid-secure, to install Perspex screens and to do the right thing. Each of these actions has helped to bring R down, and their hard work will stand them in good stead, but it is now clear that we must do more together.
The Government will continue to do everything possible to support jobs and livelihoods in the next four weeks, as we have throughout. We protected almost 10 million jobs with furlough, and we are now extending the scheme throughout November. We have already paid out £13.7 billion to help the self-employed, and I can announce today that for November we will double our support from 40% to 80% of trading profits. My right honourable friend the Chancellor will also extend the deadline for applications to the Covid loan schemes, from the end of this month to the end of next, to ensure that small businesses can have access to additional loans if required.
We are not going back to the full-scale lockdown of March and April, and there are ways in which these measures are less prohibitive. We have, for instance, a moral duty to keep schools open now that it is safe to do so, because we must not let this virus damage our children’s futures. Schools, colleges, universities, childcare and early years settings will remain open, and I am pleased that that will command support across the House.
It is also vital that we continue provision for non-Covid healthcare, so people should turn up to use the NHS and to get their scans. They should turn up for appointments and collect treatments.
Let me stress that these restrictions are time-limited. After four weeks, on Wednesday 2 December, they will expire, and we intend to return to a tiered system on a local and regional basis, according to the latest data and trends. The House will have a vote to agree the way forward. We have updated the devolved Administrations on the action we are taking in England, and we will continue to work with them on plans for Christmas and beyond.