Covid-19 Update

Today marks a great stride forward in our plan to get us out of this pandemic and to return to normal life. Our strategy throughout has been to suppress the virus until a vaccine can make us safe.

Suppressing the virus has got a whole lot harder because of the new variant, and we must take more action today, but the vaccine is the route out of the crisis. The approval this morning of the Oxford-AstraZeneca vaccine is another world first for Britain and it is the single biggest stride that we have been able to take since this pandemic began.

It is almost exactly a year since we first heard about what we now know as covid-19 circulating in Wuhan in China. Within weeks, the scientists at Porton Down had sequenced the viral genome. Scientists at Oxford University’s Jenner Institute received the genetic code for the new virus, and like the great British codebreakers before them, they set to work at lightning speed. We took the decision to back them from the start with funding and access to the NHS for clinical trials. Partnered with AstraZeneca, they have done a brilliant job to develop and manufacture a safe and effective vaccine at speed.

I am sure the whole House will join me in congratulating everyone involved in this huge British success story. Not only is it a triumph of science and ingenuity in cracking a modern-day Enigma code, but in truth it is a victory for all, because the Oxford vaccine is affordable, it can be stored at normal fridge temperatures, and it offers hope not just for this country but for the whole world. Like so much else in the pandemic response, there has been a big team effort, and although this is a great British success, it is also the British way. We are at our best when we collaborate with people from around the whole world, and this is another example. The vaccines programme has shown Britain as a life sciences superpower, and the Brexit deal that this House has just passed, with a very significant majority, will help us to strengthen that yet further. I thank the National Institute for Health Research, the UK Vaccine Network, the Vaccine Taskforce, AstraZeneca of course, and Oxford University, all the volunteers who stepped up for science and took part in the trials, as well as everyone else involved in making this happen.

From the beginning, we focused on the vaccine as a way out of this pandemic, and now it is a reality. We need to vaccinate as quickly as supply allows—following the necessary safety checks, of course—and the NHS stands ready to accelerate deployment at scale from Monday 4 January. We have a total of 100 million doses on order, which combined with the Pfizer vaccine is enough to vaccinate every adult in the UK with both doses. We will vaccinate according to the Joint Committee on Vaccination and Immunisation priority, but today’s news means that everyone who wants one can get a vaccine. We already have 530,000 doses available to the UK from Monday, with millions due from AstraZeneca by the beginning of February.

The clinical advice is that the Oxford vaccine is best deployed as two doses up to 12 weeks apart. The great news is that people get protection after the first dose. This means we can increase the speed at which we vaccinate people for the first 12 weeks before we return to deliver the second doses for longer-term protection. It brings forward the day on which we can lift the restrictions that no one in this House wants to see apply any longer than is absolutely necessary, but we must act to suppress the virus now, not least because the new variant makes the period between now and then even more difficult.

Although we have the good news of the vaccine today, we have to take some difficult decisions. The NHS is under very significant pressure. Right now, more than 21,000 people are in hospital with coronavirus, and we can see the impact that this is having. The threat to life from the virus is real, and the pressures on the NHS are real too. I want to put on the record my thanks to all those working in the NHS, in particular those—including our chief medical officer—who have been working selflessly on the wards over Christmas. They deserve our thanks, our gratitude and our support. We owe it to them to fulfil our responsibility to keep the virus under control.

Sharply rising cases and the hospitalisations that follow demonstrate the need to act where the virus is spreading. Yesterday alone, 53,135 new cases were registered, the majority of which are believed to be the new variant. Unfortunately, the new variant is now spreading across most of England, and cases are doubling fast. It is therefore necessary to apply tier 4 measures to a wider area, including the remaining parts of the south-east, as well as large parts of the midlands, the north-west, the north-east and the south-west. I have laid a comprehensive list in the Library of the House and published it on gov.uk. Even in most areas not moving into tier 4, cases are rising, and it is therefore necessary to apply tier 3 measures more broadly too, including in Liverpool and North Yorkshire. The rest of Yorkshire remains in tier 3. These changes will take effect at one minute past midnight tomorrow morning.

The new variant means that three quarters of the population will now be in tier 4 and almost all the country will be in tiers 3 and 4. I know that tier 3 and 4 measures place a significant burden on people and especially on businesses affected, but I am afraid that it is absolutely necessary because of the number of cases that we have seen. Where we are still able to give places greater freedoms, we will continue to do so.

Today is a day of mixed emotions—the joy that we have in the vaccine, giving us a route out of this pandemic; the pride that Britain is the first country in the world once again to approve this British vaccine; the sorrow at the deaths and the suffering that the virus has caused; and the determination that we must all stick at it during the difficult winter weeks ahead. We end 2020 still with great challenges but also with great hope and confidence that in 2021, we have a brighter future ahead. I commend this statement to the House.

As always, I thank the Secretary of State for advance sight of his statement. I totally understand why he has had to come to the House this afternoon to move further areas into tiers 3 and 4. As he says, almost the whole of England is now in a form of lockdown. My constituents in Leicester and, I am sure, constituents in Greater Manchester will be deeply worried that our areas have now been in a form of restrictions for months and months. It is having a huge impact on families and small businesses in cities such as Leicester and, I am sure, areas in Greater Manchester. He has also moved Liverpool into tier 3. Liverpool was the great success story, so is it his view now that mass lateral flow testing is not enough to contain the spread of the virus? Our constituents will be asking how long he expects these lockdowns to be in place.We will vote for the regulations tonight, because the situation we are in is truly horrific. As he has outlined, the virus is out of control.

Yesterday, over 47,000 cases were reported in England. In the last two weeks, nearly half a million cases were reported in England. There are now more patients in hospital—over 20,000—than at any time in this pandemic, with admissions rising day by day, including almost 2,000 on Christmas day. Hospitals are close to or at surge capacity. We see ambulances queuing up outside hospitals because there are not enough beds for patients. We have London hospitals requesting to transfer patients in need of intensive care to Yorkshire. Frontline healthcare workers warn of oxygen supplies running low. Can the Secretary of State assure us that there will be no disruption to oxygen supplies through this second wave?

Our NHS staff are exhausted. Morale is low. Staff absence is said to be double its normal level. Leave for many is cancelled. And this time, there is no evening applause on our streets; just long, dark, hard nights for our NHS staff. The Nightingales were opened at great expense and with great fanfare, but now we hear that some of them, such as London’s, have been emptied. Will they be used? If so, given the staff shortages across the NHS, how will they be staffed? There are reports today that only one in eight retired NHS staff—just 5,000 out of an eligible 30,000 who applied—have been brought back to help. Should we not be making full use of this resource, especially to help with vaccination?

Today’s AstraZeneca news is indeed a tremendous boost, and I congratulate all involved, but can the Secretary of State confirm how many doses we currently have ready to go? We are in a crisis now. Mass vaccination needs to start straight away. We need to go hell for leather to get these jabs rolled out with no delay. We have already lost more than 600 healthcare workers to this horrific virus, including a disproportionate number of black, Asian and minority ethnic staff. Frontline NHS staff need the protection of the vaccine ASAP. Will the Secretary of State set a clear target for when all NHS frontline staff will receive the life-saving jab, and can he tell us when all care home residents and staff will be vaccinated? He will recall that I raised with him the situation facing those with terminal illnesses. Will he clarify the JCVI’s guidance for that group today?

The hon. Gentleman is right that this virus has thrown up problems and challenges right around the world; we have seen the impact in other countries in some of the news from other parts of Europe today. He is also right that, thanks to the approval of this vaccine, alongside the Pfizer-BioNTech vaccine, the end is in sight. That should give us hope that, while we have difficult weeks ahead of us, we can see the route out of this pandemic and normal life returning, with all that that means and entails.

The hon. Gentleman talked about the pressures on the NHS, which are significant. One advantage of having a national health system is that when one area of the country faces particular challenges, others can come to its aid. That is in progress—it is happening—and means that people are sometimes taken across the country to receive care where there is spare capacity. That is necessary; it is how the system works when it is under significant pressure.

The hon. Gentleman asked about the vaccination of NHS staff. I can confirm that, thanks to the decision announced by the regulator today, we will be able to accelerate the vaccination of NHS staff already in priority group 2, as well as the over-80s and care home residents and staff. He asked about the number of vaccines we have available. I mentioned in the statement that we have 530,000 across the UK available for deployment in the first week of January. The NHS is doing a fantastic job of constantly increasing and expanding the scale of its operation.

Finally, the hon. Gentleman asked what more can be done in areas where rates are very high and continuing to rise. The true answer is that it is on all of us—it is about how everybody behaves. If we collectively decide to stop this by taking personal responsibility and not coming into contact with others unless absolutely necessary, we can slow the spread of this virus. The tiers restrictions are of course necessary, but ultimately it is about how we all behave. That is how we will get through the next few weeks together, and then the vaccine can come and save us.

Let us head to Surrey and the Chair of the Health Committee, Jeremy Hunt.

The news from AstraZeneca is fantastic. The Secretary of State and British science in general deserve enormous credit.

The NHS is now busier than last April; in parts of London it looks like it may fall over. However, back in April schools were shut, but next week primary schools are due to reopen. In September, we came to regret allowing university students to go back en masse, but some universities will start to go back from next week. Why, in the middle of winter, when the NHS is under such pressure, when we have a dangerous new strain of the virus, are we taking such huge risks? Should not our entire focus for the next eight to 12 weeks be on saving lives, getting the first dose of the vaccine out to every single vulnerable person, stopping the NHS collapsing and putting NHS frontline staff at the front of the queue for the vaccines so that we keep safe the people upon whom our safety depends?

Order. Before the Secretary of State replies, may I remind Members who are not in the Chamber that they should have the same dress code even though they are virtual? It is only fair that we treat each other with the same respect.

I share my right hon. Friend’s desire and the strategy of keeping this virus suppressed while we get the vaccine rolled out as fast as possible. One of the other pieces of news good from this morning’s announcement is that we can roll this vaccine out faster because we only need to give the second dose after 12 weeks; that means that we can get the first dose of the vaccine into more people. The data shows that that gives that immunity, so we can get through the protection of the nation faster than we previously could have done.

The points that my right hon. Friend raises about education are of course important. The Education Secretary will set out in a statement shortly the details of how we will manage the very difficult balance between needing to keep children in education as much as possible and ensuring that we do not add upward pressure on the R number and spread the virus any further. I commend to him the Education Secretary’s statement.

As chair of the all-party parliamentary group on vaccinations for all, I absolutely welcome the authorisation of the AstraZeneca vaccine. Storage in normal fridges will make it much easier to deliver here, and particularly so in low and middle-income countries, which would have struggled to maintain the cold chain at minus 70°, as required for the Pfizer vaccine.

Delivering the vaccine will still be a herculean task for all four UK health services, and they will struggle if they are also dealing with surging covid cases. Hospitals in London and the south-east are already reporting shortages of critical care beds and even oxygen, so there is an urgent need to get the new variant under control. Does the Secretary of State recognise that, when dealing with a spreading infection, getting ahead of it is critical? Taking action only once cases in an area are soaring is simply too late to bring it under control. All three devolved nations are already under level 4 restrictions to try to prevent the new variant from getting a grip and getting out of control. Given the greater levels of the new variant in England—as the Secretary of State just stated, cases are rising everywhere—does he not think it is time to put the whole of England under tightened tier 4 restrictions?

I have just announced the need to move a significant proportion of England into tier 4 restrictions, and I welcome the implicit support for that measure. Where it is possible to keep some of the freedoms that we all cherish, we should do so, and that is the basis for our tiered approach.

I of course welcome the hon. Lady’s support for the roll-out of the Oxford-AstraZeneca vaccine, which will happen right across the UK from Monday. It has been a pleasure working with Jeane Freeman, the SNP Government’s Cabinet Secretary for Health in Holyrood, to ensure that this vaccine, which has been bought, developed and supported effectively by UK science right across the country, can be deployed properly to everybody in the whole of the UK on a fair and equitable basis according to their clinical need. I look forward to working very hard to make sure that that happens.

Many businesses in Gloucestershire are gutted to be placed in tier 4. This makes the roll-out of the vaccine even more important. However, there is a worrying increase in anti-vax information in Stroud that is causing a lot of distress and upset for local people. It is appalling that our Gloucestershire Hospitals NHS Foundation Trust had to spend its precious time during this pandemic defending itself against films on social media that were wrongly claiming that the hospital is empty. Will the Secretary of State assist me to reassure Stroud about the vaccines and encourage people not to share covid information from unofficial sources to stop this dangerous, damaging and disrespectful behaviour?

Yes, I strongly agree with my hon. Friend, who speaks very powerfully about the need for proper, authorised information about these vaccines, which save lives. We have been very careful to ensure that the independent regulator makes the decision on how these vaccines should be deployed, and indeed whether they should be deployed, and it is confident in their safety and their efficacy. It is that information, and all the information that is set out by the NHS, that people should look to if they have questions—if they want to know how and why the vaccine works, and who it should be used for. I pay tribute to all those who work in the hospitals of Gloucestershire. It is hard work at the moment in the NHS. Rates of coronavirus in Gloucestershire have shot up over just the past two or three weeks, and unfortunately that is why we have had to take the action that we have on restrictions. I want to thank all of the NHS for doing all the work that it has been doing over Christmas and will have to do over the weeks ahead.

I, too, welcome the fantastic news about the Oxford-AstraZeneca vaccine and congratulate all those involved.

I found it frankly shocking that the Secretary of State’s statement made barely any reference to the immense pressures our hospitals are facing on the ground and what the plan is to help them with this situation. Major incidents have been declared in Essex and London. Ambulances are queuing outside hospitals and intensive care unit patients are being transferred across the country. The Nightingale hospitals were meant to be the insurance policy, but we hear that only 28 covid patients are in the Nightingale hospitals across England. If now is not the time to use the Nightingales, when is? If there are insufficient staff, why on earth did the Secretary of State spend £220 million on building the Nightingales? What is the back-up plan?

I am not sure that the hon. Lady was listening when I said in my statement that the NHS is under very significant pressure. Of course we are working hard to ensure that that pressure is alleviated as much as possible. Over the summer, we built significant extra capacity into the critical care facilities of the NHS, including across London. The Nightingale hospitals are there, as she puts it, as an insurance policy—as back-up. The London Nightingale hospital is there on stand-by as back-up. I have seen some stories circulating saying that it has been decommissioned. Those stories are wrong. It is better for people if they are treated inside a hospital, but the Nightingales are there for extra support should it be needed. It will require changes to the working patterns of staff if we do need to have patients in the Nightingales once more, but it is crucial, in my view, that we have those Nightingales there ready in case we need them.

I can confirm to my right hon. Friend that Essex has declared a major incident. It is also, at this very moment, submitting a MACA—military aid to the civil authorities—request to assist with the construction of community hospitals for additional hospital capacity, supported and partly staffed by the armed forces. It would also like armed forces to help with the roll-out of the vaccine to accelerate that in Essex and to assist with testing in schools. Will he look into the German BioNTech test as an alternative to the lateral flow test, as it is as reliable as the PCR—polymerase chain reaction test—and turns around in one hour?

I will absolutely look into, and get back to my hon. Friend about, the BioNTech test. Of course, BioNTech is an absolutely fabulous pharmaceutical company, as the whole House knows. What he says about the pressures in Essex is very significant, and it is important. Of course, I will look favourably on any request for military assistance, working closely with my right hon. Friend the Defence Secretary, who has been incredibly supportive, as have the whole armed forces, during this whole year. They have done so much. They are already involved in the roll-out of testing, as my hon. Friend knows, and we draw on the ingenuity, reserve and sheer manpower of the armed forces when we need them. I am very grateful for my hon. Friend’s support for the work that we all need to do in Essex to support the NHS there and to try to get the number of cases down.

May I first thank the Secretary of State, as always, for his good news on the TV this morning? At this time of the year, I think it has given every one of us a skip in our step to know that the vaccine can be delivered.

Can the Secretary of State confirm what discussions have taken place with devolved UK Administrations about the roll-out of the vaccine, the timescale for the completion of that and the approach to education and business production to ensure that a UK-wide lens with regional approaches is possible, while still ensuring that the message remains that we can save lives and the economies if we simply do the right thing?