PARLIAMENTARY DEBATE
Social Distancing: 2 Metre Rule - 15 June 2020 (Commons/Commons Chamber)
Debate Detail
We keep all our public health guidance under constant review to ensure it reflects the latest advice from the Scientific Advisory Group for Emergencies and the latest evidence that we have on the transmission of the virus. The Prime Minister has commissioned a comprehensive review of the 2 metre guidance. It will take advice from a range of experts, including the chief medical officer and the chief scientific adviser, as well as behavioural scientists and economists. It will also receive papers from SAGE, which is conducting a rolling review of the 2 metre guidance already. The review will examine how the current guidance is working, and will look at evidence around transmission in different environments, incidence rates and international comparisons.
Unless and until there is any change to the guidance, everyone must continue to keep 2 metres apart wherever possible, and must continue to follow our “stay alert” guidance, by washing their hands, for example, and self- isolating and getting tested if they have symptoms. I am aware there is a great deal of interest, understandably, in this matter on both sides of the House. However, I am sure that the House would agree that it would be premature to speculate about that review’s conclusions at this stage. We will, of course, keep the House updated on this work, and we will share any developments at the earliest possible opportunity.
Let me be clear: I do not believe that we should act contrary to a rigorous scientific assessment; quite the reverse. What I asked the Prime Minister for was a scientific review. Among the questions it should consider are these. First, like the virus, science does not recognise national boundaries, so what is peculiar about the UK that has meant that we have had to have a 2 metre rule, when almost all other countries around the world, advised by reputable scientists, have had a smaller distance?
Secondly, what lessons have been learned from countries such as Germany, France, Singapore and Australia about their experience of shorter distance rules after a quarter of a year of operating them? Thirdly, many of those countries have a shorter distance rule, but require face coverings to be worn. Why is it right for them, but wrong for us?
Fourthly, there is a much lower rate of covid transmission outside compared with indoors. Why do we have the same rule regardless of setting? Will the review consider the total impact on lives and public health of the 2 metre rule, including the consequences of people being unable to work? Finally, and vitally, will it conclude in good time before 4 July, so that if more businesses are able to reopen then, including hospitality businesses, they can plan for what social distancing to enforce?
Millions of people—workers in pubs, cafés and restaurants and those in manufacturing industry, as well as children going to schools and young adults in colleges and universities—depend on this decision. We are fortunate in this country in having some of the very best scientists in the world, but so far our outcomes have not always been the very best in the world. Therefore, Ministers, officials and scientists should have the confidence, as good science itself does, rigorously to challenge current thinking and to apply lessons from the experience of others.
My right hon. Friend is absolutely right to highlight the importance of striking the right balance—and it is a balance—between protecting public health outcomes and public health, and understanding the impact that the restrictions are having every day on businesses. I am entirely seized of the difficulties of striking that balance.
My right hon. Friend asks whether the review will take into account the wider impact on society through the impact on business. I can reassure him that, given that economists are a key group in putting together this review, that is exactly one of the things that we will look at—scientific and medical evidence, but economic evidence too.
The work is already under way. My right hon. Friend highlighted the importance of timescales. Work has been ongoing for some time within SAGE constantly to review and consider the impact and appropriateness of the 2 metre rule, but I hear exactly what he says about how important it is that businesses that are getting ready to reopen get guidance as early as possible to enable them to prepare.
My right hon. Friend the Prime Minister is clear that the review must report within a matter of weeks. I will of course reflect to him the feeling, which I suspect my right hon. Friend the Member for Tunbridge Wells (Greg Clark) will not be the only Member to convey, that it is important that this is done as quickly, efficiently and rigorously as possible to give businesses as much certainty as we can.
My right hon. Friend touched on the differences between the distances in different countries. The UK, Canada, Estonia and Spain, for example, have a 2 metre rule in place; the USA has 1.8 metres; Belgium, Australia, Germany and Italy have 1.5 metres; South Korea has 1.4 metres, and France and other countries have a 1 metre rule. The reality is that there is not a fixed science and there continues to be a scientific debate about what is the most effective distance.
One of the reasons that we have a 2 metre distance in place at present is that the scientific evidence from SAGE is that a reduction from 2 metres to 1 metre would carry somewhere between a twofold and a tenfold increased risk of transmission. That is why we have the present guidance, but we are very clear that the review will give us the basis to make considered decisions on the most appropriate way forward in striking the balance between public health and economic impact.
As ever, advisers advise—we have some of the best scientific advisers in the world, but we will of course look at the scientific advice from around the world—but ultimately Ministers decide, and Ministers will decide on the basis of the review and the evidence.
I say that because, as we heard, a review was promised by the Prime Minister on 27 May, and he said at the time that we would get the results before 15 June and the reopening of non-essential retail. It is now 15 June and that review is nowhere to be seen, so what confidence can we have that this latest review will be published on time? The hospitality sector could reopen in England on 4 July, the date on which this review is due, but as we heard, even if it comes out on time, it will still be too late for businesses to put in place effective systems for reopening on that date. What about all those businesses that have already gone to great expense to reorganise on the basis of 2 metres? Will they receive financial support if the guidelines change?
As we heard, we know that if we change the rules on social distancing, we change the risk, so it is not only critical that the Government follow the science; they also need to be honest with the public about the level of risk that they consider acceptable. What evidence will be made available, particularly to those most at risk, in the event that we do see a change to this rule?
It is important that the review is not undertaken in isolation. The Government’s own scientific adviser and the World Health Organisation have said that measures should be eased only when there is a fully operational testing and tracing system in place. Will the review consider the robustness of that system, and can the Minister tell us when we will have a fully functioning system, with an app, in place?
Finally, since 11 May the Government advice has been to wear face-coverings where social distancing is not possible. That advice only became compulsory on public transport today. Can the Minister say why it took a month to make that advice compulsory? The Government were too slow on that, and have been too slow on PPE, on testing and on social care. We cannot afford to be too slow on this as well.
On timescales, like my right hon. Friend the Member for Tunbridge Wells (Greg Clark)—the Chair of the Select Committee—and the shadow Minister, we recognise the importance of getting this information and this decision out there as swiftly as possible, because it is important to give businesses all the time we can to prepare for it. Equally, however, the shadow Minister would not expect me to set a particular deadline while the work is being done. I have said that that will be within a matter of weeks and that we recognise the urgency for business, but it is important that those conducting the review can do so properly and rigorously, so that it is useful for the decision we have to make. Once that review has reported and the Prime Minister has had the opportunity to consider it, I would, of course, expect the findings to be made public.
On the WHO’s comments, the hon. Gentleman is absolutely right to highlight the fact that the 2 metre distance is only one part of the measures—only part of the complex package that is in place to reduce risk and to protect public health. As we have seen, different countries around the world have adopted different approaches, such as on whether to reduce the distance and have imposed different requirements on the wearing of face masks. Therefore, there is, in a sense, a menu of different options all of which can reduce risk, and the question is how to come up with the most appropriate balance between reducing risk while also opening up business. On the Committee we see economists and clinical and scientific expertise feeding into that balance-picture. As the Chancellor said at the weekend, it is not binary; we must consider this in the round, considering all relevant factors.
The hon. Gentleman mentioned test and trace. It is a hugely important part of the armoury of options to chase down this disease and allow our economy to reopen. As he will have seen last week, we made a very good start in the first week of the operation of the new test and trace system. We also saw a very, very high willingness on behalf of members of the public to self-isolate when asked to do so, and I pay tribute to everyone who has done that and thank them for doing so.
Finally, I say to the hon. Gentleman that I believe that throughout this pandemic we have been learning every day about how the disease behaves, what is needed to tackle it and what steps are most effective, and I am confident that we have done the right thing at the right time throughout. However, as with any responsible Government, of course there will be lessons to learn and it is important that we are willing to learn them.
On his final point, he is right: the science is mixed. There are different scientific opinions, and a balance must be struck between the best scientific advice and consideration of the impact on the economy. As a great former Prime Minister once said:
“Advisers advise, and Ministers decide.”
The hon. Member for Central Ayrshire is well versed in these issues and is an eminent clinician in her own right. We have made it clear that the 2 metre rule taken in isolation is not the only factor. She is right to highlight the broader context: it is not just about distance, but about duration of contact, how close that contact was, and whether measures were in place to mitigate that, be it screens or other measures. She is absolutely right and, we must always remember that this is not a binary question—it is not just the 2 metre rule, or the distance rule, and nothing else. We must look at it in the round, as the Chancellor and, I believe, the First Minister of Scotland rightly said. That is exactly what this review will be doing—looking at all those factors in the round, to come up with appropriate scientific and economic advice to the Prime Minister and Ministers so that they can make a balanced decision.
My question is very much like that from my hon. Friend the Member for Broadland (Jerome Mayhew). As the R figure approaches zero—in some places, it is getting there—why the heck do we need social distancing, face masks on public transport and social isolating? If we get near zero, surely we can get back to normal.
“the risk at 1 metre is about 10 to 30 times higher than the risk at 2 metres.”
Is not this push from Tory Cabinet members and Back Benchers to scrap the 2 metre rule a clear example of putting profit before public safety?
It seems that one of the most obvious outcomes in politics is that the review will conclude that 2 metres will become 1 metre and the Government’s cavalier approach to easing the lockdown will continue. Thank goodness we in Scotland have a “caution first” Scottish Government. Having listened to some Government Back Benchers today, one would almost believe that the health crisis is over and the issue is simply the reopening of the economy. Is the Minister prepared to stand up to them and tell them directly that there will be no reopening until the risks are overcome?
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