Manston Update

Before I call the Minister, I want to express my disappointment that copies of the statement were not given to the Opposition in good time. The rules of the House make it clear that copies should be supplied at least 45 minutes beforehand: 10 minutes before we start is not acceptable. I am also disappointed that the shadow Secretary of State will have to try to respond to a statement of which copies have not been provided in good time.

There are no officials in the Box at present, but may I say, through the Minister, that officials need to recognise the rules of the House? If they do not understand the rules, we can help them with a training programme, but I say to the Minister now that I do not want to be disappointed again on behalf of the Opposition. I only received my copy of the statement 10 minutes ago as well, but that does not matter; I am more worried about the Opposition.

May I extend my apologies, on behalf of the Department, to the right hon. Member for Normanton, Pontefract and Castleford (Yvette Cooper)—and, indeed, to you, Mr Speaker—for the delay in providing a copy of the statement? With your permission, however, I will now make a statement about the public health considerations in asylum accommodation.

As the House will know, on the morning of 19 November an individual who had arrived in the United Kingdom on 12 November, and who had been staying at the Manston processing site, sadly died in hospital. Initial test results for an infectious disease were negative, but a follow-up PCR test was positive. We must now await the post mortem results to determine the cause of death, and our thoughts are with the individual’s family.

There has been speculation about the wider health implications across the asylum accommodation system, so I wanted to come to the House to set out the facts, to outline the steps that have already been taken to protect migrants and the general public, and to reassure the public about the additional precautionary measures that we are now taking.

The control and testing of infectious diseases is led by the UK Health Security Agency and the Department for Health and Social Care. The Home Office continues to work closely with both, taking their advice on all these matters and following it. As part of our ongoing dialogue, the Home Secretary and I were updated on the situation over the weekend by Dame Jenny Harries of the UKHSA, who confirmed to us that 50 cases of diphtheria had been reported in asylum accommodation. It is important to emphasise that the UKHSA has made it clear that the risk to the wider UK population from onward transmission of diphtheria is very low, thanks in no small part to our excellent childhood immunisation programme, and also because the infection is typically passed on through close prolonged contact with a case. The UKHSA confirmed that it considers it likely that these cases developed before they entered the UK.

I call the shadow Home Secretary.

Thank you, Mr Speaker, and thank you for your words about the difficulty of responding to a statement with just 10 minutes’ notice.

I thank the Minister for the information he has given us, but why is the Home Secretary not here? This is supposed to be her top priority. In the past few weeks we have had two urgent questions, a debate and this statement on the chaos, and she has not done any of them. I have to ask: what is she for? She obviously does not have a grip, and she has made this chaos worse.

The Government have failed to stop the proliferation of criminal gangs in the channel, are still refusing to adopt Labour’s proposal for a new National Crime Agency unit to target the gangs, and have failed to sort out the chaos in asylum decision making. They are taking only half as many as they were six years ago, even though they have more staff. Just 2% of last year’s small boats cases have been decided, creating a backlog of nearly 100,000 people waiting more than six months for a decision, compared with just 4,000 when they took office. All of this has led to a completely inappropriate use of hotels, at the last minute, with no proper information for local councils or public health officials.

Then, of course, there is the chaotic handling of the situation at Manston. The Minister has just said that there are 50 diphtheria cases. Can he confirm that that compares with just three cases last year? Can he tell us when Ministers were first told of diphtheria cases at Manston? When were they warned? By mid-October, the Home Office admitted publicly that there were cases at Manston, but Home Office officials told the Home Affairs Committee on 26 October that they had sufficient health arrangements in place to address diphtheria. Clearly they did not.

The Government still kept thousands of people in overcrowded conditions, described by one person as “huddled around fan heaters, thousands of people in overcrowded conditions trying to stay warm.” These conditions clearly make it easy for infectious diseases to spread. The processes described by the Minister are important, but why on earth were they not put in place many weeks ago? It took until 11 November, after thousands of people had been held there for weeks, for diphtheria screening and vaccinations to be recommended for everyone passing through Manston. What on earth were they doing in the meantime?

I am grateful to the right hon. Lady for those questions. She asked how long we have been aware of diphtheria cases. When I addressed the House for the first time, on 1 November, I reported that there had been four cases. I am able now to say that that has increased to 50 cases, and I will continue to update the House as this issue develops.

The right hon. Lady asked whether Ministers have followed the advice of the UK Health Security Agency throughout. To the best of my knowledge, they have. We have always sought and followed the advice of Dame Jenny Harries and her colleagues. In fact, the measures I have announced today go beyond the UKHSA’s baseline advice, because we want to take a precautionary approach. For that reason, we will be ensuring that further individuals who have any symptoms are not transported around the country; they will either remain at Manston or go to specialist accommodation. That accommodation is readily available, because we made good use of it during the height of the covid pandemic and we will be making sure it is brought into use in the coming days.

The right hon. Lady asked about screening arrangements. Those have been in place for some time. All individuals arriving at Western Jet Foil are screened. That is, by necessity, a relatively simple screening, because on occasion thousands of illegal migrants arrive in the course of a single day, but screening is followed up at Manston and we have asked the UKHSA to advise us on whether further measures are required to ensure that that screening is more sophisticated. Dame Jenny and her colleagues will advise on that.

We have had the vaccination programme in operation for a number of weeks. It is a voluntary programme; we do not compel migrants to take it up. It began at a relatively low level of acceptance—about 45%—but that is now increasing; as I said, I am pleased to say that we have reached 100% for those who came over the weekend. We will do everything we can to maintain it at or around that level, because that clearly is a very important line of defence.

Earlier this year, I informed the Home Office that some 30 Albanian asylum seekers had absconded from the Thwaite Hall facility in my constituency. The then Minister for Immigration, the Minister’s predecessor, informed me in his reply that asylum seekers

“are not prevented from leaving it, or legally required to stay within its confines.”

He might as well have said, “Not my problem, Guv.” Considering the reports that there has been an outbreak of a highly contagious and dangerous disease at the Manston processing facility, how can the Minister square this laissez-faire approach to asylum seeker dispersal with any serious concern for public health?

It is for those reasons that I took the decision today that no asylum seeker will leave Manston if they are displaying any symptoms whatsoever of diphtheria, or indeed of other serious infectious diseases. They will either remain there or, more likely, be taken to one of our secure isolation hotels—the type of hotel that we used during the covid pandemic. They will remain there and will not leave while they are being treated. Hopefully, they will make a full recovery and then they will be transported to other accommodation elsewhere in the country. I think that is the right approach. It goes beyond the advice that Dame Jenny and her colleagues at the UKHSA have provided to us, because I want to ensure that we are doing absolutely everything we can to take this issue seriously.

I call the SNP spokesperson.

I thank the Minister for bringing his statement to the House, but it is another day and another very disturbing development. Our thoughts and condolences must go to the family and friends of the man who died at Manston.

The Minister is right that it is important to emphasise that there is a very small risk to the UK population, but the converse is that, to those from nationalities that do not have an extensive vaccination programme, this is a very dangerous and contagious infection that can be fatal, as we have just seen.

On the rate of the response, the Home Office seems again to be in crisis mode, having waited until we are in a really serious crisis. Were there no indications from colleagues on the continent that there were rising cases of diphtheria there? It was only a matter of time before cases arrived on these shores, so we should have had plans in place much further in advance. I welcome the work to improve the medical facilities at Manston, which we saw when we visited it as the Home Affairs Committee. The Association of Directors of Public Health has accused the Government of putting

“asylum seekers and potentially hotel workers at avoidable and preventable risk”.

Its president says that an offer to help Ministers cope was rebuffed, making the situation

“far worse than it could have been.”

Does the Minister want to comment on those assertions? He spoke of robust screening but, as far as I can tell, it is still only of people presenting with symptoms. Is there not a case for at least some degree of asymptomatic testing, so that the Home Office has an indication of whether a boat-load would be worth further investigation before onward movement?

I thank the hon. Gentleman for those important questions. The most important point to stress is that the advice of the UKHSA has been followed throughout. With any emerging health issue, the response has to be dictated by medical advice and the response has to increase along with the issue and the challenge. That is exactly the approach we have taken. When there were a very small number of cases, the approach of the UKHSA was that we screened individuals, that we provided medication and support for those who had symptoms, and that we ensured that the directors of public health in the community knew how to treat those people who responded later on with symptoms. Now that the number of cases is somewhat higher, it is clear that we have to up the response, which is why we are now ensuring that no one with symptoms leaves our care at Manston or at the accompanying secure hotel. It does mean that we need to ensure that the right data flows with the individuals—I think that is the point he was making—so that, if migrants arrive in a particular location, the directors of public health and the local NHS know as much as is possible about their pre-existing medical conditions, given the cohort of people.

Now that we are operating Manston in the way that I would wish, meaning that individuals flow through it within a matter of hours, fewer people will be detected at Manston because they will be there for far shorter periods. It is important that we work with directors of public health to put in place the correct procedures in the community so that they can identify people, get them the treatment they need, vaccinate them where appropriate and ensure they are properly isolated.

Finally, the hon. Gentleman asked a valid question that I too have asked of our advisers: is there a simple test we can apply to all those with diphtheria? It is the advice of Dame Jenny and UKHSA that there is not a lateral flow-style test that could be applied to all individuals while they are at Manston that would provide any degree of accuracy. However, we will be screening people thoroughly and, if there are any symptoms, they will be put into this new procedure.

I thank my right hon. Friend for the assurance he has given to the House today, particularly on the appropriate isolation. I sympathise that he is on the horns of a dilemma here, because if we were to hold people longer in Manston, we would have the right hon. Member for Normanton, Pontefract and Castleford (Yvette Cooper) coming to this place saying that people had been held for too long. To contrast that with what this House did during the covid period, we enforced vaccinations and we almost enforced PCR tests, so I do not think it would be unreasonable for all of those coming through Manston to be appropriately tested. Thankfully, the incidence of diphtheria is now very low in the background of our population, with very early weeks vaccination, particularly the 6-in-1 vaccine, but we do have a growing number of people avoiding vaccinations—very sadly and very sillily, in my view—so we must make sure that we keep a lid on this disease and that it does not spread. I am relying on his Department to do all that is necessary in this time

I am grateful to my hon. Friend for his constructive approach to this difficult issue. We will be ensuring that correct screening is in place; as I said earlier, I have asked Dame Jenny whether there are even more screening procedures that we need to put in place, what those might be and how we can do that as quickly as possible. At the moment, we are following the UKHSA advice to the letter.

I have also asked Dame Jenny to work on monitoring other infectious diseases prevalent in northern France and in the countries from which some of the migrants are coming, and on whether that should guide the further vaccination or screening procedures put in place. My hon. Friend is right to draw the parallel with covid, in that the public will rightly expect that individuals entering the UK should be kept in close quarters while they have infectious diseases, and not be released into the broader population. That is why we have implemented these measures. If we need to go further, he can be assured that we will.

I call the Chair of the Home Affairs Committee, Dame Diana Johnson.

The Minister has been very energetic in clearing the backlog at Manston, particularly before the Home Secretary appeared before the Home Affairs Committee last week. However, I am very disappointed by the statement from Professor Jim McManus, the president of the Association of Directors of Public Health, saying that,

“we have had no direct engagement from the Home Office, and although we have offered our support, we have not yet received a response”.

I want to ask the Minister about Manston, which he has confirmed is a holding room for just 24 hours, with an extension of up to five days in exceptional circumstances. We know the Home Secretary was warned on several occasions that she was breaching the law and that a potential Windrush scandal could be on the cards. Can the Minister confirm that the Home Office has already tasked officials with assessing and calculating compensation for those illegally detained, and tell us what they have estimated to be the initial compensation amount that they may have to pay for those who are held in excess of 24 hours?

I am grateful to the right hon. Lady for her kind words. It has always been my approach, from day one, to ensure that Manston is brought into a legal and decent state. I am pleased to say that that is, broadly speaking, where we are today thanks to the hard work of Border Force officers, immigration enforcement and our partners at Manston.

It is a difficult task managing a site such as Manston because of the sheer numbers of people crossing the channel and the irregularity with which they come. Even in my short tenure in the Department, I have seen that we can go for days in which no one comes, and then we can have two or three days in which 2,000 or 3,000 people come. That means that ensuring the appropriate checks are conducted, and that individuals flow out of Manston into appropriate accommodation within 24 hours, is very challenging, and we need to consider whether that is the right approach. But it is absolutely right, of course, that we abide by the law and that is what I have tried to do while I have been in the Department.

I will not get into discussing the legal advice that we have received or the judicial reviews that the right hon. Lady refers to. I would say, however, that people coming to this country illegally—whose lives we invariably save at sea, and whom we then clothe, feed, water and send to hotel accommodation—deserve of course to be treated with decency and humanity, but there are limits to that and we should not shirk from the fact that the UK is doing everything in its power to support these people.

I have often raised concerns about health-based security at the illegal immigration points of entry at Dover. People who come into close contact with people who may be infected—including with diphtheria—include those who work in Border Force, the volunteers at the Royal National Lifeboat Institution, members of the coastguard and many others who are involved in those operations. Can my right hon. Friend provide assurances about the extent to which additional health measures, including potential booster vaccinations, will be provided for people in that situation, for their safety and security and that of their families? May I draw his attention to the NHS guidance? It states that it takes two to five days for symptoms of diphtheria to become apparent, and that someone who had a booster more than 10 years ago may be at additional risk if they are in a situation with a high incidence of diphtheria. Will he consider that?