PARLIAMENTARY DEBATE
Public Services - 28 April 2020 (Commons/Commons Chamber)
Debate Detail
This pandemic has claimed more than 20,000 lives and has left every community across the country grieving. Our thoughts and prayers are with all those who have suffered loss, in the humble knowledge that every life is precious. As the Prime Minister said on his welcome return to work yesterday, we are dealing with
“the biggest single challenge this country has faced since the war”.
Like him, I thank the British people for their forbearance and solidarity as we have all had to abide by the guidance on social distancing, which restricts cherished liberties but protects precious lives.
The challenges that the pandemic confronts us with require an unprecedented response from Government. For that reason, as the House will know, on 17 March, we established four ministerial implementation groups to lead the Government’s response to this pandemic. The Health Secretary chairs one group, co-ordinating work on the NHS and social care; the Chancellor chairs the group considering how to support business and the economy; and the Foreign Secretary chairs the group co-ordinating our international response. I chair the general public sector group, which looks at how we support the delivery of public services beyond the NHS and social care, working with colleagues from across the UK Government and Ministers from the Scottish Government, Welsh Government and Northern Ireland Executive. I am very grateful to colleagues from the devolved Administrations for their participation and their constructive contributions to all our discussions. Those discussions have helped us to understand how the virus has affected every part of our United Kingdom, enabling us to take action that meets the needs of people across all our nations.
The ministerial implementation group has now met 30 times, and we have considered the impact of the pandemic on: schools and children’s services; the police; the Prison and Probation Service; the courts; the food supply chain; the welfare system; charities; and support for the most vulnerable. With my colleague the Environment Secretary, we have been working to address the shortfall in the agricultural workforce, in order to protect our domestic food supply, working closely with the industry to launch the “Pick for Britain” campaign. Working with the Education Secretary, we have established the free school meal voucher scheme, to make sure that children who need it can continue to access food, despite school closures. That scheme has seen 15,500 schools place orders for vouchers, of which £29 million has been redeemed. We were able to ensure that more than 60% of schools were open every day over the Easter holidays to provide places for the children of critical workers and vulnerable children. In addition, we have launched the Oak National Academy, providing 180 video lessons each week. We have committed £100 million to ensure that remote education is accessible for all, including by providing laptops, tablets and routers to disadvantaged children. Since the end of March, 90% of rough sleepers known to councils have been made an offer of accommodation, ensuring that some of the most vulnerable people in our society can stay safe during this pandemic.
Of course, we recognise that this is not just a national crisis; it is also a local one, in communities across the country. We have deployed dedicated military planning support to every local resilience forum. There are 156 military planners embedded across the country, helping the LRFs to co-ordinate and protect local services and supplies, with additional support from senior Whitehall officials and named resilience advisers in regional knowledge hubs. Of course, this crisis has put existing services under huge strain. To bolster them, we have worked with the Ministry of Defence to mobilise a covid support force of 19,060 strong, of whom 2,948 personnel are now committed, supporting a total of 79 military assistants to the civil authority tasks nationwide.
Our police have been working hard to keep people safe, while enforcing the new measures the Prime Minister put in place just over a month ago. They have issued 3,203 fines between 27 March and 13 April to those who have flouted social distancing rules, and this number will have increased considerably since then—this is all dedicated to helping to save lives and protect the NHS. We have tested more than 150,000 key workers and their families for coronavirus, allowing those who do not have it to go back to work and protecting those who do have it. We have also made sure that the civil service and the wider public sector are resourced to operate under the considerable new pressures imposed by this virus. We have worked to fill about 1,300 covid-19 roles through civil service redeployments, with more than 400 civil servants now moving to the Department of Health and Social Care.
We also recognise that there are people who have developed new needs as a result of coronavirus, as well as individuals whose pre-existing needs are now more acute or more complex. The Government are undertaking a programme of work to support those who have not been identified as shielded but who are still vulnerable. We know that many local community organisations have stepped forward to help their friends and neighbours at this time. The Government want to support that activity, and we welcome the important role that volunteers, charities and local authorities are playing throughout this crisis. More than 750,000 people have signed up to the NHS volunteer responders programme, and more than 600,000 have had their ID verified, to start helping with tasks such as collecting shopping, providing telephone support, transporting patients and helping with supplies for the NHS. To support this effort, and to make sure that people know where to turn, we have been working to signpost people to existing and available support, whether local, national or voluntary, through the website address www.gov.uk/find-coronavirus-support. This service has supported more than 35,000 people since its launch on 10 April. In addition, we are working with supermarkets to ensure that a greater number of online delivery slots are made available explicitly to those most in need. We have also been working to understand and identify where there are gaps in provision, and what government, working with local and voluntary partners, can do to address that. A notable example of that is the Home Office’s announcement of an initial £2 million of funding to immediately bolster domestic abuse helplines and online support for those at risk.
There will, of course, be further challenges ahead, and I do not shirk from acknowledging that we as a Government will not have got every judgment right. Indeed, many people, including the hon. Member for Leeds West (Rachel Reeves) have asked fair questions about the Government’s response in a constructive spirit. I and my colleagues will do our best at all times to respond to those questions and challenges, because we owe it to our public sector workers to work collaboratively, and to harness all available resources in the fight against this virus. In that light, it is important to recognise just how much we all owe to the stoicism and steadfastness, hard work and heroism, compassion and commitment of those working on the front line of public service. We owe them so much, and we in Government will do everything we can to support them. It is in that spirit that I commend this statement to the House.
This year is the 72nd anniversary of our national health service, and perhaps never in its history have we appreciated it as much as we do today. To all our public sector workers, in all our public services, let me say this: we are all hugely grateful for everything you do. You are the foundation stone of our communities and our society.
Let me start by asking the Minister about social care. Unlike our national health service, social care is hugely fragmented but no less vital. At the weekend, Ministers said that deaths in care homes were declining in the same way as they are in hospitals. However, the most up-to-date statistics tell a different story. Weekly figures published today by the Office for National Statistics show that 4,316 deaths outside hospitals that involved covid-19 were registered in England and Wales up to 19 April. Of those, 3,096 took place in care homes—almost treble the number of deaths recorded the previous week. The number of overall deaths in care homes has trebled in three weeks. Will the Minister now correct the Government’s claims that deaths in care homes are falling? Without accurate and up-to-date information, it is difficult to know how this awful virus is progressing. Will the Minister commit to working with the Care Quality Commission and the Office for National Statistics to publish data on a daily basis, just as we do for our hospitals?
It is over a month since the Government introduced the lockdown measures, which the Opposition support. We all recognise that there will be no rapid return to the world we knew before, but what might the journey out of lockdown look like? Lockdown comes with its own risks. Refuge has reported a 25% spike in calls to the National Domestic Abuse Helpline, and the number of deaths associated with domestic violence have more than doubled. Will the Minister support our calls for £75 million to be made available to domestic violence charities to support those who are struggling? What assessment have the Government made of current PPE provisions, and other protections that the police will need going forward?
One of the most concerning aspects of the lockdown has been the impact on vulnerable children who risk falling behind their peers, despite the best efforts of our teachers and social workers. The Government must give advice to schools that is based on scientific advice, but will the Minister confirm that they are working on plans to reopen schools with school leaders, education unions and parents? One million children lack access to electronic devices on the internet, which are essential for home learning. Will the Government consider expanding their scheme to provide free devices to children who are in need of them? Will the Minister update the House on efforts to ensure that our most vulnerable children are safe during lockdown?
Let me turn to personal protective equipment and face masks, because the Cabinet Office is responsible for Government procurement. An increasing number of countries are advising the wearing of face masks when out in public. Face masks are now mandatory in shops or on public transport in many German states, and the Japanese Government have sent free face masks to 50 million households. To prepare for that possibility and to learn from the mistakes that the Government made in not stockpiling or sourcing sufficient levels of PPE for NHS and care staff, will the Minister say how many face masks the Government have stockpiled? How many would we need on a monthly basis if they became mandatory out in public? Where has the stockpile been sourced from, and where are additional face masks being produced? What preparations have been made to ensure their effective and fair distribution?
Members across the House will be aware of shortages in PPE in hospitals, care homes, and for other frontline workers in their constituencies. A survey by the Royal College of Physicians has shown that 27% of doctors are still being forced to reuse single-use protective equipment, more than 30% do not have access to protective gowns, and just 50% have access to protective goggles. Does the Minister accept that those statistics from the Royal College of Physicians show the reality for too many doctors?
Following last night’s “Panorama”, how can the Government claim to have delivered 1 billion items of PPE, when that number included counting individual gloves and paper towels? Will the Minister provide the House with a breakdown of those 1 billion PPE items by type, and place a copy in the House of Commons Library today? With huge PPE shortages in care homes, will the Minister say when the so-called “clipper” service will be up and running for local councils to access PPE, with reports that it will not be available for another three weeks?
Is he confident about the standards of PPE in care homes, given that our advice falls below that of the World Health Organisation standard?
We came to the lockdown too late, with inadequate PPE and testing too late, so we want the Government to get the decisions right this time to help people to plan, to ensure that the Government take the right action to prevent infection rates rising again, and to build and maintain the confidence of the public. Will the Government commit to holding talks with teachers, trade unions, businesses and local authorities about how a strategy can be developed in the best interests of public health and the economy? Will the Minister commit to publishing the Government’s next steps?
We stand ready to support the Government. It is in our national interest that we defeat this virus, and the questions posed today are to help the Government and all of us get the answers to these difficult questions right. I hope that, as we come through this, we will build a national recovery plan to help our NHS, public services, businesses, workers, families and communities to recover, to be more resilient, to end austerity and to value, cherish and reward what really matters to all of us, now and in the future.
The hon. Lady rightly points out that this is the 72nd year in which the national health service has existed, and she rightly reminds us all that if ever there was an occasion, a moment or a crisis that reminds us how much we need and cherish our national health service, this is it. I underline my thanks to all those who work in the NHS, just as she did.
The hon. Lady asked specifically about social care, and she cited the figures from the Office for National Statistics that have just been produced. Those figures relate to deaths in the week up to 17 April, and they are indeed deeply concerning. The coronavirus pandemic has affected our communities. We have had outbreaks in hospitals and particularly distressing outbreaks in care homes.
The way in which we record deaths in the NHS depends on each NHS trust reporting daily on deaths. Care home deaths are recorded differently through a model that the Office for National Statistics has used that provides us with a weekly update on deaths overall. We will, of course, look at all ways in which we can ensure that we have the most accurate information, but the method that we have used is the one that the national statistician has underpinned as robust and reliable. While we all want information as rapidly as possible, we also need reliable information to ensure that our response is appropriate and adequate. The hon. Lady suggested that we work with the Care Quality Commission and the Office for National Statistics to see if we can improve the collection of data, and we will of course at all times look to ensure that we have data that is both timely and accurate to make sure that we have the right response.
The hon. Lady also mentioned domestic violence, and it is sadly the case that the number of reported incidents, or the number of calls to domestic violence helplines, have shown that there is an increased risk and danger for many under our lockdown stipulations. She rightly drew attention to the fact that as well as the £2 million that we have devoted to charities, the Government have made available an additional £750 million to them. I know that the Minister for safeguarding, my hon. Friend the Member for Louth and Horncastle (Victoria Atkins), is talking to the Treasury now about how we can ensure that a proportion of that £750 million can go to those who are at risk of domestic violence.
The hon. Member for Leeds West also asked about vulnerable children. It is absolutely the case that we ensured that schools would remain open so that not just the children of key workers but vulnerable children could attend. However, the proportion of vulnerable children who have been attending school is lower than many of us would want. Detailed work is going on with schools and local authorities to make sure that we can encourage and support more families to ensure that vulnerable children are in school, where they can receive the education and support they need. The Education Secretary will be saying more about that in due course.
It is also the case, as the hon. Lady rightly pointed out, that because of the lockdown measures, there is a risk of increasing educational inequality. Children in homes with access to technology and with parents capable of providing support will find it easier to keep up their learning than those without, which is why we have instituted the virtual academy that I referred to in my statement. It is also why we need to work even harder to ensure that children have the resources they need, and that poorer children and vulnerable children are in school as quickly as possible.
The hon. Lady asked if we would talk to teaching unions and others in education. We will do just that, because part of our effort to ensure that we can have a safe exit from some of the restrictions that we face at the moment will be dialogue with employers, trade unions and others, and her question gives me the opportunity to say how much I appreciated the chance to talk to trade unions in forums organised by Frances O’Grady. In particular, I appreciated the conversation I had with my friend and colleague Len McCluskey, in which he made a number of valuable suggestions about how we as a country could respond more effectively.
The hon. Lady mentioned face masks as part of a broader effort to ensure that we have the right personal protective equipment. As she knows, there is a difference between the high-spec surgical face masks that will be required in NHS and other healthcare settings, and the sorts of face coverings that can ensure that we limit the droplets that each of us might be responsible for producing in particular settings. I can confirm that Lord Agnew, the joint Cabinet Office and Treasury Minister, has launched a domestic effort to ensure that we produce just such masks, and that is part of the broader effort that Lord Deighton is leading on to ensure that we can bolster the production of personal protective equipment.
The hon. Lady asked about the detailed figures on personal protective equipment. The figures that the Government have produced refer to the fact that we have distributed, in the course of this crisis, 143 million masks, 163 million aprons, 1.8 million gowns and 547 million gloves. Depending on the surgical setting, gloves are sometimes delivered in pairs, groups of four, or different consignments. On 26 April, we had delivered over 90 million items of PPE across the health and social care system, and the figure specifically on that day included 1.6 million masks, 5.8 million aprons, 46,000 gowns and 10.5 million gloves.
Of course, it is incumbent on all of us to make sure that we do everything we can to support those on the frontline, and it is in that spirit that I thank the hon. Lady for her questions and look forward to working with her and other colleagues to put our frontline public sector workers first.
May I thank the right hon. Gentleman for prior sight of his statement, albeit at the last possible moment, and gently encourage him to do more to engage with all Opposition parties throughout this pandemic? We have had no communication with him for weeks.
May I join the right hon. Gentleman in paying tribute to all those who work in our public services? They go way above and beyond in their duty of care for all nations. I also, of course, welcome the hon. Member for Leeds West (Rachel Reeves) to her new place on the Labour Front Bench. I, too, look forward very much to working with her.
Those in our public services should expect our full support and to be given the very best equipment to carry out their heroic and difficult tasks. Last night the nation watched with horror the BBC’s “Panorama” report on a timetable of inaction and unpreparedness. It reported that those working in public services were being sent out to the frontline without the necessary protection, and that the Government were told years ago to stockpile certain PPE to cope with a pandemic but failed to do so.
May I therefore ask the right hon. Gentleman some gentle questions? First, why were we so unprepared? Why were gowns, visors, swabs and body bags left out of the stockpile when it was set up in 2009? Surely cleaning products are not counted as PPE, and there should be no question at all that individual gloves are counted as single PPE items. I also want the right hon. Gentleman to convince me that paper towels are not counted as PPE. The Royal College of Physicians has found that 27% of doctors are reusing, or have used, their PPE. Why are they having to reuse PPE?
The Health Secretary said that 11 million PPE items had been sent to Scotland, which is our responsibility, from the UK pandemic stockpile, but that has now been downgraded to only “committed”. How many items from that 11 million have actually been delivered?
We all want to get behind this Government and to cheer them on when they are doing their best, but we also want them to admit when mistakes are made and to acknowledge shortcomings. Is the Chancellor of the Duchy of Lancaster now prepared to acknowledge his shortcomings and admit to some of those mistakes?
Indeed, I noted that on Radio 4’s “Westminster Hour” just the other night, the hon. Member for Aberdeen North (Kirsty Blackman), the deputy leader of the SNP group in Westminster, paid tribute to the extent of collaborative work. I am sorry that the hon. Member for Perth and North Perthshire (Pete Wishart) does not agree with the deputy leader of his parliamentary delegation and has such little faith in Scottish Government Ministers making sure that priorities are addressed in the daily meetings we have.
The hon. Gentleman asked about the stockpile of personal protective equipment. The stockpile that we had before this pandemic was explicitly designed in accordance with advice from the Government’s scientific advisers on the new and emerging respiratory virus threats advisory group, and of course it was explicitly for a flu pandemic. The nature of coronavirus is different from that of a flu pandemic, as we all know, and we, like every Government across the world, have had to respond to this new virus by ensuring, not just with personal protective equipment but in every respect, that we are in a position to retool, refit and upgrade our response.
The hon. Gentleman asked about the support that the UK Government are giving to Scotland. I am pleased to confirm that the UK pandemic stockpile has been responsible for transferring millions of items to the NHS in Scotland. It is also the case that the new testing centres in Scotland have been set up with the assistance of the British Army, and that our RAF has been responsible for supporting the Scottish national health service in making sure that individuals in remote island communities can receive the care they need. And, of course, it is the strength of the UK Exchequer that has allowed business support to be provided to Scottish businesses.
One of the truly impressive things about the response across these islands has been the way in which people have put aside their ideological and political differences to work in the interests of one United Kingdom. Even at a time of test and trial for our nations, we should take pride in the efforts of the Northern Ireland, Scottish, Welsh and English people.
Contains Parliamentary information licensed under the Open Parliament Licence v3.0.