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Commons Chamber

Volume 675: debated on Tuesday 5 May 2020

House of Commons

Tuesday 5 May 2020

The House met at half-past Eleven o’clock

Prayers

[Mr Speaker in the Chair]

The House entered into hybrid scrutiny proceedings (Order, 22 April).

[NB: [V] denotes a Member participating virtually.]

Oral Answers to Questions

Education

The Secretary of State was asked—

Covid-19: Home Learning

What steps he is taking to support children and young people to continue learning at home while nurseries, schools and colleges are partially closed as a result of the covid-19 outbreak. (902238)

What steps he is taking to support children and young people to continue learning at home while nurseries, schools and colleges are partially closed as a result of the covid-19 outbreak. (902239)

What steps he is taking to support children and young people to continue learning at home while nurseries, schools and colleges are partially closed as a result of the covid-19 outbreak. (902241)

What steps he is taking to support children and young people to continue learning at home while nurseries, schools and colleges are partially closed as a result of the covid-19 outbreak. (902242)

What steps he is taking to support children and young people to continue learning at home while nurseries, schools and colleges are partially closed as a result of the covid-19 outbreak. (902249)

What steps he is taking to support children and young people to continue learning at home while nurseries, schools and colleges are partially closed as a result of the covid-19 outbreak. (902254)

I am determined to help learning continue in these challenging times. We have committed over £100 million to provide devices and internet access to vulnerable children and published a list of high-quality online educational resources, and we continue to support parents and teachers in supporting children at home.

Headteachers in York have told me of their frustration that they will have to wait at least another month until they can provide students with laptops under the Government’s scheme. What assurances can my right hon. Friend give me that support will be available to schools in the meantime to help their most disadvantaged students learn from home?

As I am sure my hon. Friend will understand, £100 million for computers and other support for schools is a major investment, and it takes a while for these resources to arrive at schools. We have already notified multi-academy trusts and local authorities of what resources they will be getting, and we continue to work to provide resources, with the BBC providing resources in the homes of children right across the country.

Parents across Amber Valley have been doing a fantastic job of supporting their children to continue to learn while their schools are closed. Will my right hon. Friend join me in thanking them and set out what more we can do to support them to help their children continue to learn?

I would very much like to join my hon. Friend in thanking the teachers and all the support staff who have done so much to support home learning and ensure that schools remain open for the children of critical workers and the most vulnerable children. We have seen the launch of the Oak National Academy, which is providing educational resources for children of all ages to support them in their learning, and we are looking at putting more and more resources online, to help schools and, most importantly, to help children continue to learn.

I very much welcome the funding for IT equipment, because there is nothing worse than when computer says no. Can my right hon. Friend confirm that the laptops and tablets provided to disadvantaged and vulnerable young people will not just benefit them while schools are closed, but will continue to be used by their schools to aid learning in the future?

My hon. Friend is right in his analysis. It is not just about helping children during this crisis; it is about helping and supporting children for many months and years to come, ensuring that schools continue to have that resource and helping many children through that resource over a long period. We recognise that a lot of work needs to be done to support children as they catch up on what they have missed, because there is no substitute for a child being in a classroom, learning directly from a teacher.

School closures will, of course, affect children of all ages and backgrounds in different ways. Children from more disadvantaged backgrounds are much less likely to have access to the internet via a mobile or tablet. Will the Secretary of State confirm that devices with internet access are being sent to disadvantaged children, so that they can learn online more easily? That would certainly help to ensure that the disadvantaged children in my constituency of Ashfield and Eastwood, which the Minister visited recently, are not further disadvantaged by this crisis.

I had the great privilege of joining my hon. Friend on a visit to Leamington primary school in his constituency, to see the amazing work being done there. We have made substantial investment in not just laptops but 4G routers, to ensure that families have better access to the internet and that children can benefit from the brilliant resources, many of which have been made available for free by people, companies and organisations, to allow children to continue to learn.

Will my right hon. Friend join me in congratulating schools in Hampshire on their success in ensuring that 31% of vulnerable children are attending school, and in thanking all the teachers, school staff and children, particularly those in Meon Valley, for their hard work both in school and at home? Has he assessed the impact on the mental health of children and young people during the coronavirus crisis?

I do indeed join my hon. Friend in thanking the teachers, the support staff, the social workers, Hampshire County Council and all those who have been involved in making sure that schools stay open and available for vulnerable children. They have done amazing work. The attendance rate she highlights is truly outstanding. Since the Easter holidays, we have seen a doubling of the number of vulnerable children who are attending school, and that is down to the work of teachers, school staff and social workers, reaching out and encouraging them to come into school. Mental health, which my hon. Friend also raised, is an important issue. That is why we have committed £5 million of funding to support charities to help children with mental health concerns and issues while they are at home.

While schools are closed, the issues of home-school transport affecting my constituents have effectively been paused, but they will come back eventually and potentially result, for example, in siblings having to go to separate schools. Although this is a county council matter, the Government issued a consultation on home-school transport last October, and five Suffolk MPs, including me, wrote to the Government asking them to consider changing the guidelines to state that siblings should not be separated by changes in school transport policy. Has my right hon. Friend had time to consider that consultation, and will he publish the response soon?

The consultation closed in October last year. We were hit by twin issues of purdah being imposed and now, obviously, our principal focus being on dealing with the coronavirus. We hope to respond to the consultation in the near future, but I am not currently in a position to give my hon. Friend an exact date.

Constant speculation on when schools will reopen and whether it is safe to do so is leaving many parents, pupils and staff anxious. Last week, it was reported that the Government were looking at best practice in other countries; this weekend, it was reported that the Government would reopen schools for year 6 pupils on 1 June; and last night, it was reported that there were discussions in Government about giving schools and multi-academy trusts the flexibility to decide for themselves, amid concerns that Ministers were coming under pressure to help to kick-start the economy. I am sure the Secretary of State will want to reassure parents, pupils and staff that their safety is the Government’s No. 1 priority, so will he clarify the basis on which the Government are making decisions on school and college opening, and when will he make the scientific advice supporting his strategy publicly available?

First, let me take this opportunity to congratulate the hon. Lady on her new appointment. I appreciate the time she has made available to speak with me, and I hope the regular briefings from officials that we are providing are of considerable assistance to her, as I think they were to her predecessor.

All SAGE advice is made public, and we will certainly do that. On the return of schools, I am sure the hon. Lady shares my desire for children to be given the opportunity to return to school when it is the right time to do so. The decision will be based on the scientific and medical advice that we receive. I assure her that we will take a phased approach to reopening schools, and we will always aim to give schools, parents and, critically, children maximum notice of when that will happen.

I thank the Secretary of State for his kind comments. He must understand that faith that children and staff are safe will be necessary to parents having the confidence to send their children to school, but nearly 1 million pupils in English schools are in classes of 31 or more—an increase of 28% since 2010—so there is understandable concern that social distancing will be difficult in schools. Everyone wants a return to vital education to support pupils and to stop the ever-widening attainment gap, but does the Secretary of State agree that first we need a national plan for social distancing and personal protective equipment, evidence of a sustained downward trend in cases, comprehensive access to testing for staff and pupils, a whole-school strategy for when cases emerge, and protection for the vulnerable? In the words of the National Education Union:

“Anything else will be a dereliction of duty from government”.

I think the hon. Lady would very much appreciate the fact that I take my responsibilities for the safety and the health of children who attend school as the absolute principal motivation for everything I do, as is the case for those who work in schools. I always welcome constructive dialogue with her, which is why we have made every effort to do so, about how best we can support children to be in schools. Let us not forget that the overwhelming majority of schools—over three quarters of them—are currently operating in a safe, considered and proper way, supporting the children of critical workers as well as those children who are most vulnerable in society. Every step we take is about making sure that we look after those who are the most important part of our society, and that is our children, but also about supporting those who work in educational settings.

Covid-19: Vulnerable Children

What steps his Department is taking to ensure that vulnerable children are identified and supported during the covid-19 outbreak. (902244)

Schools remain open to children in care, and local authority virtual school heads are actively tailoring their expert offer of advice and support to all children on what they are learning in schools. For those not attending, we have made it clear to local authorities and schools that they should be doing everything they can to maintain contact with and support for children not attending school.

What specific support during the covid-19 pandemic is being provided for children in care and children with special educational needs, such as dyslexia?

We have been working right across the sector to make it absolutely clear that we understand the need for very specific, tailor-made guidance for a lot of children in special educational needs settings. We have been working with special schools to be able to provide that. We have also been providing tailored advice, support and resources online for children with a whole spectrum and range of special educational needs, as well as on how we support families to give education at home.

Thank you, Mr Speaker. Last week, the Children’s Commissioner for England, Anne Longfield, said that the Government’s latest reduction in legal protections for children in care without proper scrutiny or an opportunity to scrutinise was not justified, given that the staffing in social care is “holding up”. The Labour party agrees with the Children’s Commissioner for England. Does the Secretary of State also agree with the Children’s Commissioner for England?

On the regulations we have laid, we worked very closely with the ADCS—the Association of Directors of Children’s Services—on how we make sure we do everything we can to maintain the very best support for all children when they are in care. It and the sector have specifically asked us to make sure that some flexibilities are made available to them. This is a temporary measure that we have taken in response to concerns that people have raised about making sure they are able to provide the best care for the most vulnerable children. It is certainly not something that is going to be continued once we are through this crisis.

First, will my right hon. Friend thank the teachers and support staff of Harlow, who have been doing everything possible to teach children of critical workers and vulnerable children over the past few weeks? Given that only 5% of vulnerable children are being educated in schools, nearly 50% of under-16s are potentially being exposed to online harms and possibly two thirds are not accessing online education, does my right hon. Friend agree that a catch-up premium, with tuition, mentoring and wellbeing, will be necessary for these vulnerable children as schools begin to reopen once again?

I certainly will join my right hon. Friend in paying tribute to the teachers and all those who work in schools not only in Harlow but right throughout the country for the amazing work that they are currently undertaking.

We are working closely on how we ensure that every child in this country has the ability to catch up, and I was interested to hear my right hon. Friend’s ideas. We are looking into how we can take forward some of those concepts, including the enormous good will among the British public, to help to support children to make sure that they do not miss out as a result of this crisis. We need to make sure that that is not just an idea but actually becomes a reality.

T-levels

What assessment he has made of the potential effect of the introduction of T-levels on the (a) quality and (b) recognition of technical education. (902253)

T-levels are based on the best international examples of technical education and, crucially, they are employer designed. They will help to raise the quality and prestige of technical education across the UK, with longer teaching hours and a meaningful industry placement. I am confident that they will provide a high-quality alternative to A-levels, giving technical education the status and recognition that it deserves.

I thank the Minister for that answer. It is clear that T-levels will have a valuable part to play in ensuring that we have the workforce of the future across the economy, but the sector of the economy that is being most adversely affected by the current crisis is hospitality, and it is vital that that sector is able to access the workforce that it will need to recover, particularly in a post-Brexit world, so will the Minister please consider bringing forward a T-level in hospitality as soon as possible?

I agree with my hon. Friend: equipping people with the skills that they need is crucial to our economic recovery, particularly in St Austell and Newquay. To support tourism and hospitality, which are important to his constituency, we will offer T-levels in cultural heritage and visitor attractions, catering, and management and administration. I hope that, with my hon. Friend’s support, T-levels will be available soon so that young people in St Austell and Newquay can benefit from a high-quality technical education.[Official Report, 1 July 2020, Vol. 678, c. 2MC.]

Covid-19: Further and Higher Education

What discussions he has had with Cabinet colleagues on support for the further and higher education sectors during the covid-19 outbreak. (902245)

What discussions he has had with Cabinet colleagues on support for the further and higher education sectors during the covid-19 outbreak. (902246)

I take this opportunity to thank all staff in the further and higher education sector for their hard work in responding to this unprecedented challenge. I reassure the House that we have protected grant funding for the FE sector for the full year, and we will provide additional targeted support. Yesterday, we announced an HE package of measures to boost support for students, stabilise the admissions system and ease pressures on universities’ finances.

I thank the Minister for her answer. A survey by the National Union of Students has shown that 85% of working students will need additional financial support after losing their jobs as a result of the current crisis. With rent being the most significant financial demand on students, will the Minister tell us what discussions she has had with the private rental sector to ensure that students are not being charged for rooms that are lying empty?

We understand that this is a difficult time for everyone, including students, which is why we have worked with the Office for Students to help providers. We have reallocated funds totalling £46 million for April and May for hardship funds for students. On accommodation specifically, we have sent the clear message that accommodation providers need to be fair and transparent in their policies for students. The Treasury has announced additional measures to protect renters who are tenants.

Researchers at the University of Edinburgh’s world-leading Roslin Institute in my constituency are at the very heart of the global fight to find solutions for covid-19, but such higher education institutions are struggling to get the support that they need through existing Government schemes. Given the complexities of the funding models for higher education and the immense impact of the lockdown on such institutions’ current and future finances, will the UK Government provide a support package specifically tailored for jobs in the higher education sector, to support the economy and their covid-19-fighting efforts? What additional support is the Minister seeking to support research groups throughout the UK?

We should not underestimate the impact of the package that we announced yesterday, which builds on the Treasury announcement that universities are eligible for Government financial support worth at least £700 million. This package also brought forward £100 million of research funding. We have also brought forward £2.6 billion in tuition fees to help with cash flow. Most fundamentally, this is a package that is designed to stabilise the higher education sector and safeguard it as a whole.

May I take this opportunity to welcome the new Labour Front-Bench team to their positions and also to pay tribute to all those working in the education sector to support our young people through this pandemic?

The £100 million of quality-related research funding that the Minister has just referred to is research for England. Can the Minister confirm that this is indeed new funding and that these increases to the English QR grants will deliver Barnett consequentials for universities in Scotland?

I can confirm that this is QR funding that has been brought forward for English universities, but the hon. Member will have noted in the announcement yesterday that it also included a research taskforce designed to prioritise safeguarding our research base. That is a cross-governmental taskforce on which the devolved Administration Ministers will have a seat.

Early Years Sector

What recent assessment he has made of the adequacy of support available to childcare providers and nurseries during the covid-19 outbreak. (902243)

What assessment he has made of the effect of changes to the coronavirus job retention scheme on the ability of nurseries and childcare providers to retain staff. (902248)

We have two key priorities at this time: making sure that there is sufficient childcare for critical workers and vulnerable children; and ensuring the longer-term sustainability of the vital early years sector. Therefore, the Government will continue paying local authorities for the hours that we normally fund, and, where appropriate, providers can also access business rates relief, grants, a business interruption loan and the self-employment support scheme, which is especially helpful for childminders. In order to retain staff, providers can also furlough up to the proportion of their salary bill that would normally be considered as being paid from non-public funding sources.

I thank the Minister for that answer. With a young son at a local nursery—I declare that interest—I am acutely aware of the pressures faced by early years providers at this time. The Government said that they expect childcare providers and local authorities to work together to ensure sufficient childcare for children of critical workers and vulnerable children, but will the Minister also confirm that she will do everything in her power to support our vital early years providers, including meeting representatives to understand what more it might be possible for her Department to do?

My officials and I are in continual contact with early years sector organisations through regular meetings and working groups and feed their messages right into the heart of Government. We have put £3.6 billion into the sector through funding the entitlements this year and will continue to ensure that providers get the best possible support on the many different Government schemes while also staying within the rules. We also have a new announcement for parents. Parents who are normally eligible for the Government’s free childcare will continue to be eligible for those entitlements during this summer term, even if their income levels have changed because of the virus. This will be a massive support to families as well as to providers.

Nurseries and childcare providers have struggled to stay open during this crisis. The Minister will know that the confusion over the Department for Education statements on free entitlement and the furlough scheme has caused many financial headaches. Last week, the First Secretary of State said at PMQs that if those providers were finding it too much to bear, the Government will look “afresh” at what can be done. Can the Minister tell me when the Secretary of State will look afresh at what needs to be done, and, given that the Minister is regularly in touch with nurseries, will she tell me the last time that she spoke to the nurseries and childcare providers in my constituency, because they do not seem to know about plans to rescue their provision?

I spoke to early years organisations only last week, and speak to them on a weekly basis through my officials and in meetings that I join regularly. On the coronavirus job retention scheme, the initial guidelines were first published by the Government on 26 March. I am sure that Members understand that it would not be right for providers—or, indeed, any business —to receive two Government incomes for the same costs. We have worked closely with the sector to clarify this position, and will always make sure that early years providers get the best support possible. This will be an important discussion at the next spending review—

Changing the guidance on the job retention scheme at the last minute has pulled the rug from underneath many nurseries and childcare providers. A survey by the Professional Association for Childcare and Early Years has found that 40% of childminders are not confident that their business will survive this crisis. Despite the answers that the Minister has given, there is a lot of confusion. Will she do the right thing and bring forward a comprehensive plan to protect the childcare sector during this difficult time?

The guidelines were first published on 26 March, and we will continue to work with the sector to provide clarity to ensure that it can access, as far as possible, every single set of Government support that is available at this time. We will continue to work on supporting this vital sector.

Health and Social Care

The Secretary of State was asked—

Covid-19: Hospices

We are providing up to £200 million to hospices over the next three months to support their work alongside the NHS as part of the national response—by, for instance, providing spare bed capacity in community care to take pressure off hospitals, supporting vulnerable patients, and, of course, supporting those in need of palliative care. I am sure that my hon. Friend will be pleased to know that Sue Ryder, which runs one of his local hospices, received £5.9 million in April.

I thank my right hon. Friend for that answer. It is indeed great news that the Government are providing £200 million for those nearing the end of their lives. When does he expects hospices such as Thorpe Hall to receive that funding? In recognition of just how vital palliative care is, might we look to reform the way in which we commission palliative care when this crisis is over?

There are lots of things that we will need to learn when this crisis is over. The hospice system has always had a mixed model of funding—a very strong history of philanthropic support, as well as support and financial funding for the services it provides that the NHS commissions. The funding has started to flow. If there is a specific problem locally, I would like to know about it, and then we can get to the bottom of it.

Covid-19: Tests for Key Workers

We expanded testing to all symptomatic essential workers and members of their households last month. As capacity continues to increase, we have been able to go further still, with all those who have symptoms and who have to leave home to go to work—and members of their households—now able to access a test. This is all part of the overall testing strategy, with the 100,000 tests that are now available.

Testing of staff and residents at care homes in my constituency is being delivered by referrals either through the Care Quality Commission or through the pilot partnership that has been set up between our hospitals trust and our clinical commissioning group. In relation to the CQC, will my right hon. Friend examine why test results are taking five to seven days to come back, rather than the estimated 72 hours? In relation to the pilot scheme, where tests are being delivered efficiently, why are care home managers given the names of residents who test positive but, for data protection reasons, not the names of staff who test positive? That is creating obvious uncertainty.

I am glad to see the roll-out of testing to care homes, and we are able to go further for both residents and staff. It is an incredibly important part of the response and one of the reasons why testing is so important. My hon. Friend raises two important issues of detail in the roll-out, and I will ensure that they are looked into.

We need to be doing all we can to protect our key workers, especially those in healthcare. I welcome and note what the Secretary of State said about testing, but has he considered the study from Imperial suggesting that weekly screening of healthcare workers—testing them every week whether symptomatic or not—reduces their contribution to transmission by around 25% to 33%? Will he look at testing all healthcare staff whether they have symptoms or not?

Yes. The shadow Secretary of State has asked questions in a responsible and reasonable way, and I welcome his support for the test, track and trace pilot on the Isle of Wight that we announced yesterday. His question is quite right; we have piloted the testing of asymptomatic NHS staff in 16 trusts across the country. Those pilots have been successful, and we will be rolling them out further.

Covid-19: Vaccine Development

The development of a coronavirus vaccine is in its early stages but progressing rapidly. The Government have backed two promising vaccine candidates from the University of Oxford and Imperial College, and we are making over £45 million available to those teams—alongside the hundreds of millions that we are making available to the global vaccine search.

I am grateful for the Secretary of State’s response. The World Health Organisation has undoubtedly made mistakes over covid-19 and needs deep reforms, but this global pandemic requires a global response. How is the UK liaising with the WHO so that we work together globally to beat this virus?

We do work globally, and we do work together. As the Prime Minister made clear yesterday, we have committed £744 million to the global response to coronavirus. We are significant funders of the WHO, and I am grateful for its work. We are also a significant funder of the Coalition for Epidemic Preparedness Innovations, which is leading the global search for a vaccine. In fact, we are making the largest contribution of any country in the world to the global search for a vaccine, and three of the top 10 vaccine candidates are being developed here in the UK.

Covid-19: Test, Track and Trace

We are developing a new test, track and trace programme to help to control the spread of covid-19, and to be able to trace the virus better as it passes from person to person. This will bring together technology through an app, an extensive web of phone-based contract tracing and, of course, the testing needed to underpin all that. The roll-out has already started on the Isle of Wight, and I pay tribute to and thank the Islanders for the enthusiasm with which they have taken up the pilot. I hope that we learn a lot from the roll-out, so that we can take those learnings and roll the programme out across the whole country.

I thank the Secretary of State for his answer. I welcome the plans to introduce the contact-tracing app, but for it to be effective it will need to be rolled out to a large proportion of the population. What plans does the Secretary of State have to achieve that, and how will he alleviate privacy concerns?

I am grateful to my hon. Friend for that question. She is right to say that the more people who download the app, the more people will protect themselves, their families and their communities. The cross-party support for this test, track and trace programme is important, and right across this country people need to know that the app has privacy in its design. The data it holds is held on people’s phones and it does not go to the Government, until of course someone needs to get a test, in which case of course they have to get in contact with the NHS. So privacy is there by design, there is cross-party support and, according to a very early poll, 80% of people on the Isle of Wight want to download it. These are good early signs and we will have a big communications campaign to explain to people the benefits of the test, track and trace programme as we roll it out across the country.

In welcoming Dr Rosena Allin-Khan, may I say thank you for what you and all the staff do in the NHS, saving lives? It is appreciated.

Thank you very much, Mr Speaker. If I may, I would like to start by saying a huge thank you, on behalf of us all in the Chamber today and all those watching, to our NHS and care staff, who are working so hard on the frontline.

Frontline workers like me have had to watch families break into pieces as we deliver the very worst of news to them: that those they love most in this world have died. The testing strategy has been non-existent. Community testing was scrapped, mass testing was slow to roll out and testing figures are now being manipulated. Does the Secretary of State commit to a minimum of 100,000 tests each day going forward? Does he acknowledge that many frontline workers feel that the Government’s lack of testing has cost lives and is responsible for many families being unnecessarily torn apart in grief?

No, I do not. I welcome the hon. Lady to her post as part of the shadow Health team, and I think she might do well to take a leaf out of the shadow Secretary of State’s book on tone. I am afraid that what she said is not true; there has been a rapid acceleration in testing in the past few months in this country, including getting to 100,000 tests a day. We have been entirely transparent on the way that has been measured throughout, and I have confidence that the rate will continue to rise. Currently, capacity is 108,000 a day, and we are working to build that higher.

Of course, we have been working very hard to make the testing capacity grow as fast as possible, and as more tests are available, so we are able to make them available to more people and test people right across the NHS. I pay tribute, too, to the work of NHS and social care staff on the frontline; nothing should take away from the team spirit with which we approach this.

Test, track and trace is possible only with a mass testing programme, so I offer many congratulations to the Health Secretary on achieving such a challenging expansion in our testing capacity. He has always said that he follows the science in the decisions he takes, but does he appreciate that, Zoom or no Zoom, it is very difficult for us as MPs to scrutinise such decisions if he does not also publish the advice of the Scientific Advisory Group for Emergencies that he receives at the same time as he makes those decisions?

We are making public the membership of SAGE and a lot of the science. I know that my right hon. Friend is also able to scrutinise the scientists before the Select Committee on Health and Social Care, as he and his team did again this morning. The overall approach of transparency, which has been a lodestar of the Government’s response to this crisis, is important. Of course, different scientists have different views, and they make those plain, but, as he said, we are guided by the science in the decisions that we take, and that has been an important part of the response.

Covid-19: Community Hospitals

If he will allocate urgent additional funding to community hospitals as a result of the covid-19 outbreak. (902189)

Public safety remains the Government’s top priority, and we have been clear that the NHS will get whatever funding it needs to respond to the coronavirus pandemic. As such, as a country, we have established a £14.5 billion coronavirus emergency response fund, with £6.6 billion going directly to the NHS. I know that my hon. and gallant Friend is a strong champion of community hospitals in his county. They are vital to our response to coronavirus and currently are managing well. I am not aware of any specific requests from his county; however, if additional urgent funding is required, we will of course consider that.

I am most grateful to the Minister for his answer. May I thank him and his team for the wonderful job they are doing? The main reason I asked the question is that beds at Portland Community Hospital had to move to Weymouth because of a shortage of trained staff. Can my hon. Friend assure my constituents that we will fill the thousands of nurse vacancies, thereby allowing community hospitals such as Portland to fulfil their proper function?

Let me start by putting on the record my thanks to our amazing NHS and social care workforce at this time. As my hon. and gallant Friend is aware, the Government are committed to growing and supporting the NHS workforce to ensure that it continues to provide world-class health and care. We have set out our pledge that we will deliver 50,000 more nurses in our NHS by 2025 through multiple workstreams, including retention and recruitment. Many of those nurses will operate in community hospitals, enabling them to continue providing that world-class care and support.

Covid-19: EU Procurement Schemes

The UK has confirmed that we will participate in the current joint EU procurement scheme on therapeutics for covid-19 that is soon to launch. Owing to an initial communication problem, the UK did not receive an invitation in time to join the previous four EU joint procurements. However, participating in those four initial joint procurement schemes would not have allowed us to do anything that we have not already been able to do for ourselves. We will consider participating in all other future schemes on a case-by-case basis and on the basis of public health requirements and needs.

Whatever mistakes were made or opportunities missed in the past, on the day that the UK has overtaken Italy as the country with the worst death toll in Europe, what reassurance can the Minister give the public that decisions taken now and in the future will be driven entirely by the public interest and not distorted by anti-European dogma?

I gently say to the right hon. Gentleman that there is no suggestion of any decision having been influenced in the way that he suggests. Indeed, the permanent under-secretary at the Foreign Office made it clear in his clarification to the Foreign Affairs Committee that this was not a political decision. I reiterate that we are open to participating in future schemes on the basis of public health requirements and on a case-by-case basis.

Operation Cygnus in October 2016 showed that the UK would struggle in a pandemic due to a lack of both ventilators and personal protective equipment for staff. Why did the Secretary of State not act on it?

The Government did act in looking at all previous modelling and all previous exercises. That is why the UK was well prepared. Let me take the example of ventilators, which she mentioned. The UK has massively increased the number of ventilators available to our NHS, meaning that at no point thus far in this pandemic has there been a shortage of ventilators. I reiterate, returning to the original question, that participating in those four initial joint procurement schemes with the EU would not have allowed us to do anything we have not already been able to do for ourselves.

Social Care: Personal Protective Equipment

What recent assessment he has made of the adequacy of personal protective equipment for the social care workforce. (902190)

What steps his Department is taking to ensure the adequate supply of personal protective equipment to (a) the NHS and (b) social care facilities. (902200)

What steps his Department is taking to ensure the adequate supply of personal protective equipment to (a) the NHS and (b) social care facilities. (902204)

I would first like to place on record my thanks to everyone on the frontline, be they in a hospital or in social care, as well as those in less obvious places such as my community nurses, pharmacists and others who are working ceaselessly on the frontline. We are working round the clock to ensure that everyone across the NHS and care sector has the personal protective equipment that they need. To date, we have delivered more than 1.11 billion items of PPE. We are ensuring that PPE is delivered as quickly as possible to those on the frontline. We have delivered to over 58,000 health and care organisations, and we are working closely with industry, social care providers, the NHS, NHS Supply Chain and the Army to ensure that all our NHS and care staff can get the protection they need.

I thank the Minister for that answer, but given how care homes have become a tragic focus in this pandemic, with so many staff and residents losing their lives, when will she be able to guarantee that every care home will have all the PPE they need? And why is the Clipper system, which is meant to supply PPE to the care sector, now one month late?

Every NHS and social care worker must have the protective equipment that they need. Clipper has been rolled out, and it is important that it is able to deliver the products that are ordered online. This is now being rolled out to more than 1,500 general practices and care home providers, and as it is piloted and stood up to more and more individual organisations, that will help that stream of work to ensure that people have the personal protective equipment they need. That is on top of the national supply disruption response—NSDR—line that people can ring in case of emergency, and this is also backed up by the wholesale distributors, where only last week 52 million more items were placed into that line as well.

Across Redcar and Cleveland, we have fantastic businesses such as Pendraken Miniatures and BC-FX, who have switched their manufacturing lines to making visors, the Materials Processing Institute, which has switched to making hundreds of bottles of hand sanitiser for Marie Curie nurses every week, and 15-year-old Daniel Sillett, who is using his 3D printer to make PPE for local care facilities such as Marske Hall. Will the Minister join me in commending those businesses and individuals as part of our national effort in overcoming this crisis?

I would indeed like to join my hon. Friend in congratulating them, and I congratulate him on the way he has just explained that this is the most enormous national effort, from large-scale businesses down to individuals such as Daniel, to whom we must give our special thanks. This national effort—the way in which individuals and businesses have stepped forward, and the many offers from all the different suppliers—has been extraordinary. We are working with industry partners across the piece to make PPE. We are working with Ineos and Diageo to produce hand and hygiene products and to ensure that we get these to the frontline, using services such as Clipper. Thanks to the work we have already seen, we have seen novel products arrive on the frontline. Seven companies have now been contracted in the UK to make over 25 million items of PPE and to send some 6 million square metres of fabric to NHS Supply Chain.

Like my hon. Friend the Member for Redcar (Jacob Young) , I too have local initiatives—including Scrubs for Stoke and the Heywood Academy—that have produced amazing amounts of PPE for our local health care sector. Can the Minister inform us what steps she is taking to ensure that staff in care homes—[Inaudible.]and to enable people to make optimal use of PPE and minimise the transfer of infection from one client to the next?

I would like to pay tribute to businesses in my hon. Friend’s area. I think the crux of his question was about making sure that people are receiving the appropriate infection control training in order to utilise PPE effectively. We publish guidance—including videos, which are easier to watch and immediately understand—on the appropriate PPE for health and careworkers, based on clinical expertise. The guidance has been written and reviewed by all four UK public health bodies and informed by NHS infection prevention and control experts. It is consistent with World Health Organisation—

Thank you, Mr Speaker.

I have listened carefully to the Minister’s answers, but on the ground there are still serious problems. Maria, who is a careworker in the north-east, told me on Friday that she has only just received face masks and has to wear the same ones throughout the day. Kenzie in Leeds told me exactly the same thing: one mask, all day, even though one of the elderly ladies she cares for has coronavirus and cannot help coughing and spitting on her mask. With almost 8,000 deaths in care homes so far, what changes will the Minister make and what will she do differently to get a grip of this problem, which is still increasing, to help bring this terrible death rate down?

As I said, there are the three strands of guidance on making sure that the appropriate equipment is used in the appropriate place. We have also used the local resilience forums in order to ensure that individual care organisations can have a back-up of personal protective equipment so that people can use it in line with clinical guidance. I will contact the hon. Lady after this session, because I would like to ensure that the young lady she spoke about has seen that guidance, and the videos that accompany it, in order to make sure that she feels properly protected, which is the aim that we are all working for.

Covid-19: Dental Practices

NHS England and NHS Improvement have published detailed guidance setting out the support for NHS dentistry during the pandemic. To minimise the spread of infection, routine dentistry is currently suspended. NHS practices are providing telephone advice and triage at urgent dental centres to patients with urgent needs. NHS dentists will receive their usual remuneration in full, or in part if they do part-NHS, part-private work. Dentists can also seek help via all the Treasury means for lost income.

My constituents in Elmet and Rothwell have reported difficulties in obtaining emergency dental care in Leeds. Will the Minister detail what actions her Department is taking when this specific issue comes up in, say, Leeds so that patients can access emergency care during the lockdown?

Of course. As of the week ending 30 April, there were two urgent dental care centres in the Leeds area to provide urgent dental treatment and care for patients on referral either from the patient’s own dentist or from NHS 111. As with all urgent dental care centres, there is also a triage service that will give people advice, antibiotics or painkillers and then refer them through if clinical work is required. There are 308 urgent dental centres open across the country. I regularly talk to the chief dental officer and to the British Dental Association about the needs and requirements in the profession so that we can care for patients in the best way.

Covid-19: Health Inequalities

What assessment he has made of the effect of health inequalities on the prevalence of covid-19 in the general population. (902209)

It is vital that we find out what groups are most at risk so that we can help protect them. That is why we have asked Public Health England to conduct a rapid review of the different factors that might influence how someone is affected by the virus. Among other things, it will explore age, ethnicity and gender. As our deputy chief medical officer outlined yesterday, this is important but complex work.

I am sure the Minister would want to join me in paying tribute to the staff at Croydon University Hospital and those in our local community for the resilience, bravery and good grace they have shown during this crisis. Over 250 people have died in Croydon, and we are all thinking of their families and their loved ones who will be suffering so much. High levels of deaths in Croydon appear to be down to the underlying health of the population. Although of course it is early days in terms of analysing the data, it is clear that in Croydon covid has disproportionately affected people from black, Asian and minority ethnic backgrounds. Does the Minister agree that on early sight it looks like poorer people, often from BAME backgrounds, are being hardest hit by covid, and that we need to tackle the longer-term underlying health issues that have got us to this place of gross inequality?

It is so important that we do the research before we draw conclusions. Every death is a tragedy. Everybody who has died during this pandemic is somebody’s mum, dad, brother, sister and therefore we owe it to them to give Public Health England and all those researching this area all the support we can, so that we do not rush to conclusions, but draw conclusions that will truly help us to address the pandemic and those who are most affected by it in the right way.

I am sorry that we did not get more questions in, but maybe we can speed up the teams next time and we will get through more.

We come to the urgent question to the Secretary of State for Health and Social Care. I will follow the practice for substantive questions whereby I will call the Secretary of State to answer the question first. Before doing so, I have a short statement to make, which is relevant to this urgent question.

It has been widely reported that the Government will make a major announcement about the review of lockdown this Sunday. I consider this a matter of regret. It is important that the press is kept informed, but it is the duty of this House to hold the Government to account, not the media. Major Government announcements should be made first in the House and this is more important than ever during this time of crisis.

Covid-19 Update

(Urgent Question): To ask the Secretary of State for Health and Social Care if he will make a statement on the Government’s response to covid-19.

We have flattened the curve of this epidemic, ensured that the NHS is not overwhelmed and expanded testing capacity to over 100,000 tests a day. As a Government, we are working resolutely to defeat the coronavirus, and there are two important areas where I want to update the House today.

First, on the expansion of our work to test, track and trace, we have now built a national testing infrastructure of scale, and because we have this extra capacity, we will be delivering up to 30,000 tests a day to residents and staff in elderly care homes, making sure that symptomatic and asymptomatic staff and residents can all be tested. Our care system represents the best of us, supporting our loved ones with tenderness and dedication at their time of greatest need. Through this unprecedented expansion of testing, we can give them the certainty and confidence that high-quality testing can provide.

Secondly, we are working to build the resilience of the NHS. We currently have 3,387 spare critical care beds in the NHS and that does not include the capacity provided by our Nightingale hospitals, including the 460-bed Sunderland Nightingale, which opened earlier today. We should all be very proud that we built up the NHS so fast and that our collective national effort has helped to protect the NHS and flatten the curve. As a result, we are now able to start to restore some NHS services and we are in a position to be able to place the London Nightingale on stand-by. This is good news, because our NHS has not been overwhelmed by this crisis and remains open to those who need care, and that means that this nation’s shared sacrifice is having an impact.

Throughout its time, this Chamber has borne witness to so much, and it has borne witness to the nation’s resolve once more. I am delighted that the British people are well and truly rising to this incredibly difficult challenge.

Our thoughts, as always, are with the loved ones of those who have lost someone to this awful disease. May we again pay tribute to our brave NHS and care staff? I say to the Secretary of State that clapping and campaigns for medals are appreciated, but does he agree that NHS and care workers deserve fair pay, mental health support and access to personal protective equipment? I am hearing reports that we may have problems with the stocks of sterile gowns. Could he update the House on that front or write to me if he is not able to do so today? We also rely on international staff, as he knows. Will he scrap the health surcharge that they have to pay? It seems particularly unfair at the best of times, but especially at this time.

We are tracking towards having one of the worst death rates in the world—we have seen the figures again today. I know that the Secretary of State said that we are through the peak, but can the same be said of the care sector, given the number of deaths we have seen reported today in the care sector? He knows that we support lockdown and it is right that we engage in a debate about it. The strategic aim must be to suppress this virus, not simply to flatten its spread, in order to save lives and minimise harm. Testing, tracing and isolation is crucial.

Does he agree that we should be mobilising our expertise in local authority public health services, as well as other specialists such as environmental health officers, and our expertise in primary care? Would that not be a better route than outsourcing the call centre work to firms such as Serco? We support digital tools, but he will understand that there are questions about privacy. Will he undertake to publish a data protection impact assessment?

As we heard in Question Time, deprived areas have experienced covid mortality rates that are more than double those in less deprived areas. There are disproportionate mortality rates among black, Asian and minority ethnic communities. Does that not show that covid thrives on inequalities and that we need a funded strategy to support low-paid, deprived and marginalised communities, including by enforcing protections in the workplace when we transition out of this lockdown?

Can the Secretary of State comment on the remarks that were made in a Select Committee earlier by the chief scientific adviser, who said that we imported many cases from Italy and Spain early on in March? That was when events such as Liverpool v. Atletico Madrid were still going ahead. What advice will he be taking about testing at ports of entry and quarantine when we transition out of the lockdown?

Finally, we are building up a huge a backlog of unmet non-covid clinical need in the NHS. What resources will be available to deal with that, and how will we get the waiting list down? We do not want the lockdown to result in excess mortality and morbidity among those with non-covid conditions.

I am grateful to the shadow Secretary of State for his questions, and he is quite right to raise them. I will go through them as fast as I can and respond to them in turn. First, gown supply is improving and we have a better distribution system for PPE, on which we have been working incredibly hard under the leadership of Lord Paul Deighton. He has come in to help on PPE and made a significant improvement already.

The shadow Secretary of State asked about the number of deaths in the care sector. It is incredibly important that we protect those who live in social care settings and those who receive social care in their own homes. I am glad that in the data released by the Office for National Statistics this morning, the number of deaths in care homes was slightly lower, but it is still far too high and there is a huge amount of work still to do.

The shadow Secretary of State rightly asks about making sure that we suppress the virus. That is the goal—not just to flatten the peak, but to get the numbers right down. In doing so, our local authority public and environmental health teams will be absolutely vital, and he is right to draw attention to them. In this Chamber, we often rightly praise the NHS and social care staff, but I think this is a good moment for us to come together to praise our public health officials and environmental health officials in local authorities.

Finally, the shadow Secretary of State asked about non-covid needs, which are incredibly important. People who need treatment should get that treatment. We are opening up and reopening the NHS, and that includes any temporary closures, for instance of A&Es that need to reopen. I can think of one example in Chorley, Mr Speaker, which we are working hard to reopen as soon as possible, as the NHS reopens. I am happy to put that on record. It sometimes seems slightly unfair that you, as Speaker, cannot ask open constituency questions, but I know that that is something you have worked incredibly hard on, along with your colleagues in Lancashire.

Finally, I want to reiterate the point about levelling up. The Government’s agenda of levelling up is unabated; in fact, it is strengthened by this crisis. There are many reasons for the disparate impacts of coronavirus on different groups. Public Health England work is urgently under way into, for instance, the impact on ethnic minority groups, the impact of obesity and deprivation, and the much greater impact of coronavirus on men than women. All those things need to be considered and looked into, and we need to level up our country once this crisis is over.

I ask if we can all recognise the loving care by social services staff and NHS staff,  especially those who have to go on hot or cold visits to people’s homes—not only the community nurses, dementia nurses and those who go to people with special needs, but the GPs and paramedics. Will the Secretary of State consider safer ways for those home visits, possibly using some of the offers of London black cabs, which can have a division between the driver and the clinician and also are much easier to clean down when necessary?

Yes, I am happy to look into all different ways of having safe working practices within the NHS and more broadly. Within the NHS, infection control is a critical piece of work. My hon. Friend is right to raise the point that this is a matter not just for acute hospitals—where, of course, it is mission critical—but for all parts of the NHS, including pharmacies, which increasingly have screens to make sure that there is a lower impact of transmission from customers to staff.

At least 140 health and care staff in the UK have lost their lives to covid-19, and we should pay tribute to them, but analysis of more than 100 of those tragic deaths has highlighted that there were not any among staff in critical care units, which are the most dangerous setting. Does the Secretary of State recognise that that shows the effectiveness of full PPE? He claims to always follow scientific advice, but NERVTAG, the new and emerging respiratory virus threats advisory group, advised him last June to add gowns to the stockpile, so why did he not do that? Why did Public Health England produce PPE guidelines for the whole UK that did not recommend gowns for staff looking after covid patients?

We are absolutely guided by the science. It is a very important principle of our overall response, and hence we upgraded the PPE guidelines a few weeks ago to include the use of gowns. The guidance is always looked into as we learn more and more about the virus. The plans that we had were not plans for a particular virus, but for the threat of a pandemic. We have learned more and more about this virus, which is novel and only came into being December last year, hence, as the science changes, so the scientific advice to Ministers is updated, and Ministers update decisions.

At the start of this pandemic, with no effective drug treatment, the only way to save the lives of coronavirus patients has been to ensure that hospital treatment is available for all who need it, so I thank my right hon. Friend for overseeing such a massive increase in critical care bed capacity. We saw yesterday that the NHS Nightingale in London is not due to take any more patients. While some have oddly criticised that announcement, does my right hon. Friend agree that that should be viewed as nothing other than a success that shows how effective we have been in protecting our NHS?

Yes, I am incredibly proud of the work that was done to put in place the Nightingale hospitals across the country. Most of them were put in place in under two weeks. The London Nightingale, which was open first, is the prime example of the whole team—the NHS, the private sector and the armed forces—all pulling together. It was a great accomplishment, but a greater accomplishment still is that it was never full and that this country has managed to flatten the curve. Now we are able to put it on standby, meaning that it will be physically there in case there is a second spike, but as an insurance policy, rather than as an active hospital. That is a very, very positive step that should be welcomed by all. I tend not to take much notice of some of the noises off, which sometimes criticise me for not having full enough hospitals and sometimes criticise me for not having enough people wanting test capacity. Frankly, we will get the capacity up and then hope we do not use it. That is the attitude we should take to the extra hospitals, and I pay tribute to everybody involved in the project.

We all know the importance of PPE during the outbreak, how difficult it is to get and the great lengths to which the Secretary of State is going to procure it. On weekly calls with New Cross Hospital and the City of Wolverhampton Council, the same point is at the fore- front of our discussions: the consistency of the PPE deliveries. Will my right hon. Friend set out what plans are in place to ensure that what is promised arrives?

My hon. Friend is right to ask that important question. Getting the distribution of PPE to the frontline is critical. It has been a huge operation; the head of the Army has called it the largest logistical operation that this country has seen in 40 years. It is challenging because there is a global shortage of supply. We are working to get that supply as effective as possible. It is undoubtedly improving, but there is an awful lot of work still to do.

Having the national shortage call centre—the phone line that anybody can call if a shortage is coming up—is an important part of the response. So, too, are the automated online deliveries for the smaller settings. But we continue day and night to try to do everything we can to improve the flow of PPE to the frontline.

Disabled people are worried about who is expected to provide PPE for personal carers. Many are finding it difficult to procure appropriate equipment—and when they can, they are finding that prices are inflated. What are the Government doing to ensure that disabled people are not left without adequate equipment, or out of pocket, when attempting to protect themselves and their carers?

The hon. Lady is right that making sure that our whole social care system gets access to PPE is important. There is often a focus on PPE in hospitals and care homes, but on home visits, as she rightly raises, access to PPE is also vital.

There has been a global increase in the prices of PPE. The prices that the Government pay for PPE have increased a number of times over the course of this crisis. That is a feature of the global shortage of supply as the demand for PPE across the world has shot up. We are seeing that the world over. What I hope to do is bring on stream more and more domestic manufacturers of PPE, both to ensure that we get the quantity and to see whether we can stop the price rises happening.

Elderly constituents of mine in Wantage and Didcot have been concerned by media reports suggesting that they will be forced to stay in their homes for an extended period. Can my right hon. Friend confirm that that is in fact not the case and that, through all his work on testing and the tracking and tracing app, he is working to make sure that we can all return to a normal life as soon as possible?

I am grateful to my hon. Friend for his question. I would like to take this opportunity to set out the exact policy, which a few media outlets have got wrong in the past few days. We set out from the start, and clearly on the nhs.uk website, that broadly there are three groups of people when it comes to the strictures of the social distancing guidelines. There are people of working age who do not have underlying health conditions, who must follow the social distancing rules. There are those in groups that are, according to the science, more susceptible to this disease, including the over-70s and some with underlying health conditions, who we say are clinically vulnerable and must pay particular attention to the social distancing rules.

Then there is the group who are shielded. These are people with specific underlying health conditions who will have received a letter from the NHS. It is only to this last group that we have said, right from the start of social distancing, that they will need to stay away from people as much as is practically possible for 12 weeks. We know that that is a very significant impact and burden, hence we have written individually to those people; in many cases, they will have specific requirements because of their condition.

It is really important that people understand those three separate groups. I hope that that clears up for the House some of the confusion seen on the front pages of some of the newspapers.

The Sunday Times this week had an extremely moving piece by photographer Stuart Franklin, featuring NHS workers and patients fighting the coronavirus at West Middlesex hospital, which is based in my constituency. The article demonstrated very clearly the emotional impact of the virus on frontline health and care staff as well as patients and their families, and we all know that post-traumatic stress syndrome will be a growing issue for many throughout and after this, so will the Government invest in both immediate and long-term mental health treatment for all those affected, and will they take into account that many, particularly health and care workers, are often reluctant to seek help?

Yes. The hon. Lady makes an incredibly important point, and I agree with every word of the question. We are already investing in more support for the mental health of frontline workers, making sure that resources are available to all. Of course, at the moment there are other challenges to delivering that because of social distancing, but I commit to continuing and strengthening that over the long term. It is something that I have thought important throughout my time as Health Secretary; I pushed this agenda even before coronavirus, and now it is even more important, and I look forward to working with the hon. Lady on it.

Across Watford, as a volunteer, I have seen first-hand the many inspirational frontline workers, ranging from pharmacists to hospital volunteers to GP receptionists to cleaners. Can the Secretary of State confirm that everyone—everyone—on the frontline will have the full support of the Government, so that nobody who works on the frontline is missed out as we continue our incredibly important fight against coronavirus?

Yes, it is a big team effort and all play their part. People have different roles, of course, and people on the frontline have been incredibly flexible in the roles that they play, but all play a critical part and all deserve our support.

In order to test, trace and isolate, to keep people safe and save lives, testing must work properly and be widely and locally available, so I was astonished to hear that yesterday people in my constituency were being sent as far afield as Brighton when we have a testing site right here at the Rugby Football Union in Twickenham. Other key workers tested last week at Twickenham have had their tests lost and no one in the NHS can find them, and we are also hearing reports that people sent home testing kits have no return address to send their completed tests to, yet those tests are being counted. Will the Secretary of State please confirm how people are being prioritised for testing at their local sites, how many tests have been lost—both at drive-through sites and among those sent to people’s homes—and when he thinks we will be doing enough testing to actually move to test, trace and isolate to keep people safe, as so many other countries have been successfully doing for several weeks now?

We now have one of the largest testing capabilities in the world; we are testing more people per day than Germany, and the whole country should be reassured by that fact. Of course there are individual examples of where the logistics go wrong; that is natural in any very large system. I would be very interested if the hon. Lady could send me the details of those specifics, and then we will look into them. But what I would say is that the availability of testing across the board is now huge. It is big enough to start the test, trace and track programme. We are piloting that, as the hon. Lady knows, in the Isle of Wight from today and then we will roll it out across the country.

In an earlier answer, the Secretary of State kindly went through the definitions of all the different vulnerable groups. Definitions are really important, especially as we start to consider releasing the lockdown. When that point comes, will he be crystal clear about exactly who is entitled to do what and when and ensure that everyone in the public knows that?

Can the Secretary of State confirm that directors of public health and environmental health officers will not just be consulted but will be leading the delivery of community tracking and tracing efforts, given that that is what they have been trained to do? Can he reassure us that the Government will not repeat the mistakes they have made with drive-through testing centres and PPE supplies by outsourcing those critical tasks to private companies such as Serco, Sodexo and Deloitte, which, frankly, have proved that they are not up to the job?

I agree with the hon. Lady on the first part of her question, but she is completely wrong on the second part. In the first part, she asked whether local public health officers and environmental health officers will be a critical part of test, track and trace, and the answer is yes, they will be vital. On the second part, she is completely wrong. There is no way that we could have delivered the testing programme without the unbelievable support, help and effort of private partners in the diagnostics industry and in delivery—companies such as Deloitte and Boots, which delivered that amazing expansion of the drive-through centres in such a short period. I pay tribute, hand on heart, to the work of every single person in that programme, whether they work in the private sector or the public sector—whether they work in the NHS, in the Department, for Boots or for Deloitte. Frankly, to try to divide people in that way suggests that she has missed the tone of where the country is right now.

In order to get London back to work, we need safer public transport. Does my right hon. Friend agree that the Mayor of London needs to provide more tube trains, to provide a safer service for Londoners?

Yes, I do, because the more people are spaced out on public transport in terms of the distance between them, the safer that public transport will be. I hope that the Mayor of London is working extremely hard to have as full a service as possible, so that as few people as possible can be on each individual service.

Widespread testing and contact tracing will be essential to contain future outbreaks, and such a system will need to be operational before we move from full lockdown. In addition to the Isle of Wight trial, will the Secretary of State consider the work being undertaken by Ceredigion County Council, in collaboration with Hywel Dda University Health Board and Aberystwyth University, on a community testing and contact tracing system that could offer local solutions and expertise to complement any UK-wide infrastructure?

I am happy to look at any examples that are effective in reducing the spread of the virus. Of course, parts of this are devolved, and parts of it are the UK Government’s responsibility. We have made available all the tools that we are developing at a UK level for devolved Governments to pick up. For instance, we have published the underlying source code behind the apps, so that people can have a look at it and suggest improvements or take it and use it in their own way.

Many of my constituents with cancer understood when their treatment was deferred. They are now keen to resume it but nervous about going to hospital, in case they catch coronavirus. Can my right hon. Friend assure them that their treatments will resume and that it is safe for them to go to hospital?

Yes. I want cancer treatments to resume as soon as is safely possible. In some cases, it is clinically not advised to resume treatment because there is a spread of the virus in the community—for instance, treatments that reduce immunity to very low levels. There are other areas—for instance, some surgery—where we are able to restart. This is a very important part of the restart of the NHS. The message I would give to my hon. Friend’s constituents is: if you are advised by your doctor to go to hospital, you should go to hospital, because they will have taken into account all the different risks and decided that that is the best advice to give. So if you are asked to go to hospital by your clinician, please do go.

The Government chief scientific adviser said that if we could keep deaths below 20,000, we would have done well in this epidemic, yet the death toll now stands at a devastating 32,313. It is not about whether we can use international comparisons; this is the Government’s own measure, so many are wondering how the Government can claim that their approach so far is a success. Is that not an insult to every family member who has lost a loved one, and does it not undermine public confidence that the Government are learning from their mistakes?

We are absolutely learning from everything that has happened, and constantly looking again, trying to make sure from the time we get up in the morning to the time we go to bed at night that we have the best possible response. That includes, for example, working across parties where cross-party work can help, as we have on the test, track and trace pilot on the Isle of Wight. That is the approach that we constantly take. Of course we look at all the information and the data, but in that spirit the hon. Lady should acknowledge, I think, that the approach is a success: the curve is flattened and is now coming down, and—critically—the NHS was at no point overwhelmed. That was one of our priority goals right at the start, and it has been achieved at every point so far in this crisis. Of course there are always things we can improve, but I think we should also, rightly, study the things that have gone well.

Will my right hon. Friend confirm that, thanks to the magnificent response of the British people, including those in Stoke-on-Trent, we have prevented our NHS from being overwhelmed at any point during this crisis, so that it has been able to offer world-leading care to every single person who has needed it since the very first case?

Yes. This comes off the back of the previous question. Not more than a few weeks ago, many people were saying that we would not be able to get through this crisis without the NHS being overtopped and not having enough capacity to deal with the number of cases. Through a combination of the expansion of the NHS that we have overseen and the public doing their bit by following the social distancing rules, we have managed to avoid that outcome. Instead, at every point in the crisis, the NHS has been there to provide the care that is needed as much as it possibly can, as well as it possibly can, and it has not been overwhelmed. That is something that this country can always look back on.

My inbox has been packed for days with questions from over-70-year-olds saying that they simply do not understand what the Government advice is. Is it that none of them should ever, whatever their medical circumstances and however healthy they are, leave the house for 12 weeks? When did the 12 weeks begin and when will the 12 weeks end, or is there going to be another 12 weeks? Further to that, I asked the Secretary of State on 3 February whether face masks worked, and at that time he was very sceptical about them. In the future, will he be advising people that we should all be wearing face masks on public transport, and if so, where are we going to get them?

I reiterate the point I made in response to earlier questions. I hope that in his response to all his constituents, the hon. Gentleman will send a link to the NHS website, where the answer to his question was set out extremely clearly right from the start. It is very clear that there are three groups of people. Those who have received a letter from the NHS saying that they must shield for 12 weeks are in that category; those who have not are not. I know that some media reports have stated otherwise, but I implore people to follow the guidance clearly set out on the NHS website, which the hon. Gentleman and any other Member who has questions about that should send to their constituents to inform them. It is a matter of our public duty. It is not a matter of political debate.

Getting new Government guidance to the visually impaired is of course a challenge. It is something we have been working hard on. In the first instance, the first port of call should be primary care—somebody’s GP or 111—if there are any queries. That is where I would point people in the first instance. It has been a challenge, because we have been making policy at speed, and writing and updating guidance at speed, but I would point those who are visually impaired to 111 and their GP if they have any questions.

The Trace Together app in Singapore has been down- loaded by 17% of its population since it was introduced in March. What estimate has the Secretary of State made of the numbers that will be required to download NHS app, and have there been discussions about making it compulsory if not enough people do so?

The more people who download the app the better it will be and the more effective it will be in keeping people safe. However, even small numbers downloading it will help us to spot hotspots and so will bring some value. I was really delighted yesterday afternoon to hear from Isle of Wight Radio, which stated that 80% of people on the Isle of Wight in an early survey said that they wanted to download the app. That would be a terrific result. I pay tribute to the work of Isle of Wight Radio and the local press on the Isle of Wight, who have taken to Isle of Wight’s important role in piloting this roll-out with enthusiasm. There is no numerical answer to the hon. Gentleman’s question. The answer is that as many as possible will make us as safe as possible.

I welcome the launch of the test, track and trace app, but one of the apparent challenges is that those who could benefit from it the most, namely the elderly, may be those who are least likely to be able to access it because they do not have a smart phone. What assessment has my right hon. Friend made of the probable lower take-up by that honourable cohort?

We have looked into this very important question. Of course, test, track and trace is a system. The app is one part of it, but the human contact traces are an important part of the system, as is the advice we give to people to contact their own significant contacts themselves. The whole system has been designed knowing that a proportion of the population does not have a smart phone. There are many older people who do have smart phones. I am sure, for instance, that the shadow Secretary of State is probably sending a message to his parents right now on the smart phone he is using instead of listening to my hon. Friend’s question. There is a serious point, which is that of course we have had to take that into account. It is another reason why the Isle of Wight is such a good place to trial it, because there are elderly residents on the Isle of Wight. We will work out and learn a lot from how effective that trial is.

It has become apparent that people from black, Asian and minority ethnic backgrounds are being disproportionately affected by covid-19. People in Erith and Thamesmead have also raised concerns about the disproportionate effects of covid-19 on disabled people, people from low social economic backgrounds, women and children. Does the Secretary of State have plans to publish a report on the effects of covid-19 on people who fall under one or more protected characteristics?

Yes, we have today launched a piece of work by Public Health England to look into the disparities in the impact of covid-19. However, I will just pick the hon. Lady up on a couple of points from her question. The evidence shows quite clearly that the impact of covid-19 is lesser on children and lesser on women than it is on men. There is also growing evidence that obesity has a big impact. We have to look into all those considerations. We will listen to the scientists and the medics, and learn whatever lessons we can.

I thank my right hon. Friend for his answers and congratulate him and all the hardworking staff in the NHS and carers on looking after us. Will he support my campaign to have a memorial placed at the National Arboretum at the heart of the country as a fitting way to commemorate the sad loss of essential workers to covid-19?

Yes, I would be very happy to discuss that suggestion with my hon. Friend. It is important that, as a nation, we remember and commemorate the sacrifice of those who have lost their lives while serving on the frontline of this war; it is a war in which we are all on the same side, and we should commemorate those who have given their lives in it.

The seven-day average number of new cases in the UK has now levelled out at 4,500, but it is not yet decreasing significantly. Can the Health Secretary tell us what the number of new daily cases must fall to before he believes that test, track and trace can prevent another peak if restrictions are eased?

One of the five tests that we have set out before the restrictions are eased is that the number of deaths should be falling consistently. Indeed, the Scottish Government’s document includes a similar proposal, and we are working to ensure that the UK is as aligned as possible.

Does the Secretary of State agree with you, Mr Speaker, that changes to lockdown should be announced to Parliament first? He said earlier that transparency is the lodestar of Government policy. If that is correct, will he now release the findings of Exercise Cygnus and prove that that was not just a gesture, but is actually the real policy of the Government?

Exercise Cygnus was undertaken under my predecessor, and there are specific rules in Government around decisions over papers that were produced before one’s time. I will take away that point.

There is some evidence that under-10s are at much lower risk of getting and transmitting the virus. If true, this would be a huge comfort, both to teachers and working parents. What evidence has the Secretary of State seen to that effect, and what work is being done to further explore this?

There is strong evidence that the under-10s are less likely to have symptoms of coronavirus, but unfortunately the evidence on the under-10s’ transmission of coronavirus is mixed and there is not a conclusive scientific base on that yet.

Is the Secretary of State content that the advice and guidance given to pregnant women working on the front- line of health and social care, on both safety and income, are sufficiently clear and consistent?

I congratulate my right hon. Friend on the fruits of his tireless work, along with officials and others in the Government, including delivering mobile testing in Wycombe, but could he please tell us a little bit more about what he is doing to restore the full range and scale of elective surgery in the NHS, so that people with non-covid conditions can get their treatment back on track?

That is a really important point. It is critical, because the overall impact of coronavirus is not just the direct morbidity—the number of people who sadly die from coronavirus itself; there is also the wider impact, including those whose treatment has been delayed owing to the necessity of ensuring that the NHS was ready to cope with coronavirus, or because, for clinical reasons, it was important to delay the treatment because there is such a virulent virus at large. We are working very hard to restore treatments for non-covid reasons. That work has started. I was able to announce last week, for instance, that fertility treatment has restarted and cancer treatment is restarting, and other elective surgeries will restart as soon as it is safe to do so.

I am in Orkney, where I have been receiving reports from category 2 key workers who have self-referred for a covid test through the gov.uk website and been directed to testing centres in Thurso, Elgin or even Peterhead, all of which would require a journey by ferry or plane. There is local provision and the option of postal testing, so will we get the website sorted, to allow people to get the information they need, rather than be left thinking that in order to get a test they first need to get a plane or a ferry?

I am glad that we sorted the broad- band to Orkney, so that we could take the question. It is an important question and I will look into the specifics of it to make sure that our island communities get the appropriate response on the website. The right hon. Gentleman will appreciate that we put the testing website together at remarkable pace and so in the first iteration we were not able to address this sort of important nuance for Orkney and other island communities, but I will take that away and look at it. He mentioned the answer in substance—to get the home testing kits working for Orkney—and I am sure that there is a way through.

The Royal Surrey County Hospital in Guildford, under excellent leadership and in partnership with our community, has proved to be resourceful and innovative, ensuring best practice on patient care, safety for staff and the ability to continue treatment for patients presenting with non-covid-19 needs—feedback from those patients has been very positive. Will my right hon. Friend join me in paying tribute to our NHS leaders and once again encourage those who need hospital appointments and urgent care to attend? Finally, will he give assurances that hospitals such as my local one, which are world-leading in cancer treatment, will be given the investment they need to ramp up diagnostics going forward?

Yes, absolutely. I think we have all learned the importance of diagnostics during this crisis, if we did not know it already. I pay tribute to the Royal Surrey County Hospital, its leadership and the staff there, who have done such a magnificent job, including treating friends of mine for coronavirus. If anybody in Surrey gets a message from their doctor saying that they need to go to hospital, they must go. That is important right across the country—in Guildford and beyond.

We still need to increase significantly the number of people being tested so that we can tackle the crisis. Companies such as Curative are supplying tens of thousands of saliva-only tests to the US military, but have faced road blocks in trying to supply in the UK. What is the Secretary of State going to do differently to improve the procurement of tests, so that companies that want to help can do so?

We are working with many, many companies on the expansion of testing, including new technologies. We have to be confident that the technologies are effective and work, because a test that gives a wrong result, and has too high a proportion of wrong results, can be worse than not having a test at all. I am not saying that that is the case in the specific individual example the hon. Gentleman gives—we are working with many companies on how the next generation of tests can be brought to bear—but it is important that we get this right as we ramp up testing. There is clearly a pressure to increase testing. Lyndon Johnson once said, “Politics is about ‘What have you done for me recently?’” It was only last Thursday that we hit the 100,000 target. I do not mind being urged to do yet more, but we have to do it using the right tests, in the right way.

What prospect is there of moving to robust, multi-use personal protection equipment that can stand being decontaminated many times?

My right hon. Friend, who probably has the most spectacular backdrop to any questioner in this session, is right to raise that issue. It is happening: the right personal protection equipment that can safely be decontaminated and reused is being decontaminated and reused. That is an important part of the solution to the challenge of getting the right PPE to the right people, right across the board. It does not work in all instances and first and foremost it has to be safe, but it is a part of the solution and my right hon. Friend is right to raise it.

The British Medical Association, the Faculty of Public Health and the Royal College of Physicians have all advised the Government to suspend the fees for migrants accessing the NHS during the coronavirus pandemic, to ensure universal access to healthcare. We know that the charging regulations disproportionately affect black and minority ethnic people; given the impact of covid-19 on the wider BME community, will the Secretary of State now suspend the charging regulations?

The regulations are important because it is important that people make a fair contribution. The question has been raised in relation to staff in the NHS, and in many cases in that respect the NHS trusts themselves pay the extra, which is a contribution towards the running of the NHS. That is the approach we are taking.

The Secretary of State is aware of my concerns about the discharge from hospital into care homes of patients with covid symptoms. Can he reassure the House that there will not be such discharges—that covid-positive patients will not be discharged into covid-free care homes because of the risks that they might spread the infection to other residents?

My right hon. Friend and I have been in discussions about this important issue. We have strengthened the rules on discharges to ensure that anybody being discharged from hospital into a care home gets tested and is then isolated ahead of the result of that test. If the test is negative, they can of course go into the home in the normal way; if the test is positive, that isolation must continue until they are through the virus and safe to go into the care home without taking coronavirus into the care home. I am glad to see in the latest numbers that the number of those who are dying from coronavirus in care homes is just starting to fall, but there is an awful lot more that we still need to do.

The Secretary of State said earlier that the tracing app would have privacy by design. It will be critical that there is a high degree of public confidence in the app if it is to work as he intends as part of efforts to trace the virus. What data protection will be put into place to ensure that the public are confident that this tool will be secure and that data cannot be misused?

The public can have confidence, not least because the data will be held on people’s own phone until they need to contact the NHS when, naturally, they will of course need to tell the NHS their identity in order to be tested. In that sense, privacy is there by design.

The wider point is that the app and the test, track and trace system will help to keep people safe. As I said yesterday when I launched the pilot in the Isle of Wight, people should download the app to protect the NHS and save lives. It is the civic duty of people on the Isle of Wight to do so, and it will be the civic duty of people throughout the country to do so. It has been designed with privacy at its heart. We are putting the source code on the internet so that people can see exactly what the app does. That reassurance, along with the motivation that they are helping to protect themselves and their community, will, I hope, lead to an awful lot of people downloading the app. I certainly will.

Mr Speaker, further to your opening remarks at the beginning of this urgent question about new policy being announced by Government in the House and not to the media first, the Secretary of State side-stepped the question when it was put to him by my hon. Friend the Member for Christchurch (Sir Christopher Chope), so I will try again. Does my right hon. Friend agree with Mr Speaker that statements of new Government policy should be made in this House first, and will he advise the Government to put off making the statement on Sunday until Monday and make a statement in the House?

The exact scheduling of any announcement is, of course, a matter that has to be considered across Government, but I will take away my hon. Friend’s concerns and ensure that they are looked into.

In better times, tens of thousands of people cross the land border in Ireland every day and, more generally, the UK and Ireland are committed to the common travel area. With regard to contact tracing apps, does the Secretary of State recognise the difficulties that will arise if the UK, including Northern Ireland, and Ireland use different systems, and will he undertake to work with the Irish Government to address any such operational issues?

We have considered all the different potential apps being used by different countries around the world. I am confident that any such concerns about international travel can easily be addressed, not least by the potential of someone having two different apps on their phone if they need to travel internationally.

My right hon. Friend has proved himself to be a brilliant multi-tasker, so will he kindly turn some of his attention to a firm in my constituency that has access to a network of manufacturers in southern China that believes it can supply a million items of gowns, visors, masks and other PPE equipment per week if only someone from Government would get in touch? I am very happy to text him the details directly, but I have been trying for three weeks and still Government have not got in touch with this firm.

Yes, of course; if I get the details, I am very happy to do that. I would also be very happy to know where my right hon. Friend had his hair cut, because it is extraordinary. No one else has such smart hair. Everyone is looking increasingly bushy.

Dozens of dentists have got in touch with me, saying that the measures put in place are not protecting them and their practices. They take on a combination of private and NHS patients. Many are fearing bankruptcy and, ultimately, closure. This will leave NHS dentistry in an existential crisis. What steps is the Secretary of State taking to ensure that NHS dentistry survives the current crisis?

This is an incredibly important question. My hon. Friend the Under-Secretary of State for Health and Social Care, the hon. Member for Bury St Edmunds (Jo Churchill), who is responsible for dentistry, is working very hard with the British Dental Association and others to make sure that dentists get the support that they need.

Further to that question on dentistry, I have spoken to local dentists in my area and a number feel that they have the correct PPE and working conditions to be able to provide the sort of emergency dental care that many of their patients need. Can my right hon. Friend outline how we can move forward with dental practices in the same way as he has worked so hard in moving forward with the work that hospitals are able to do now, for which I would like to reiterate my thanks?

This is a really important point. I will write to my right hon. Friend with the proposed plans for reopening dentistry. Obviously, that has to be done in a safe way, and PPE is one important consideration. Dentistry by its nature requires close contact, and it can be an aerosol-generating procedure in certain circumstances, which makes it a higher risk to the dental practitioner—the dentist or nurse—and, in turn, to future patients, so we have to get this right. Emergency dentistry is available in dentistry hubs, which have been set up during the crisis. It is important to get this right, but it is also important to get dentistry back on its feet.

Thank you, Mr Speaker, and well done getting so far through the call list.

Progress notwithstanding, we are very much not out of the woods yet. Worryingly, the head of the European Centre for Disease Prevention and Control has confirmed that the UK is among five European countries not making substantial progress on cutting the overall rate of infections. Is the Secretary of State concerned by that analysis? Can he reassure the House that we will take account of the European centre’s data in any calculation about resuming normal activities and easing lockdown?

I have not seen the particular report that the hon. Gentleman refers to, but we take into account all data and considerations in making the decisions that we do.

I have a local care home that, thankfully, is free from covid-19 at the moment. The manager there is trying to get all his staff tested, just to check that they are free from covid-19 too. Not all those staff have a car, so they are not able to travel the miles to the local mobile testing facility. Can the Secretary of State tell me the best way for that manager to get his staff tested so that they can continue to look after all their vulnerable residents in a safe way?

Yes, we are rolling out testing to all care home residents and staff, symptomatic or asymptomatic, for elderly care homes. I announced that at the start of this urgent question. It is an important expansion of our testing now that we have built up the 100,000 tests a day capability. We will do that in part through mobile testing units, which are delivered by the armed forces; the testing unit goes to the care home, and staff and residents alike can be tested at the care home rather than having to travel. Clearly, whether people have a car of their own or not, when we test a whole care home, taking the testing to the care home rather than having to take everybody from the care home to a drive-through centre is a much better way of doing it.

I am very grateful to the armed forces for the part they have played in making this capability available. Our armed forces have done an amazing job in this whole crisis. Right across the board, the armed forces have stepped up where we have needed them. They have played a critical part in testing capability; we would not have got to 100,000 tests a day without them. The example that my hon. Friend rightly raises is just one of the ways our armed forces are playing their part and doing their duty in this crisis.

I am grateful, Mr Speaker. The Health Secretary told me that he would make public the evidence behind the Government’s repeatedly confirmed decision, in contrast with other countries, not to ask people arriving at our ports and airports to self-isolate. However, that evidence was not included in the Scientific Advisory Group for Emergencies papers published today, even though the papers say we were affected by many cases arriving or coming back from Italy and Spain. Surely, we need to see the evidence and scrutinise it in order to get border policy right. Why has it been withheld?

More than two hours having elapsed since the commencement of hybrid scrutiny proceedings, the Speaker brought them to a conclusion (Order, 21 April).

Sitting suspended.

On resuming, the House entered into hybrid substantive proceedings (Order, 22 April).

[NB: [V] denotes a Member contributing virtually.]

Business of the House (5 May)

Motion made,

That—

(1) The following arrangements shall apply to today’s business:

Business

Timings

Remote division designation

Local Government: motion to approve the draft Greater Manchester Combined Authority (Fire and Rescue Functions) (Amendment) Order 2020

Up to 90 minutes

None

Social Security: motion to approve the Employment Allowance (Increase of Maximum Amount) Regulations 2020

Up to 90 minutes

None

(2) At the conclusion of each debate, the Speaker shall put the Question on each of the motions on the Order Paper relating to the business listed in the table for that debate.—(James Morris.)

The Deputy Speaker declared the Question to be agreed to (Order (4), 22 April).

Local Government

I beg to move,

That the draft Greater Manchester Combined Authority (Fire and Rescue Functions) (Amendment) Order 2020, which was laid before this House on 9 March, be approved.

The purpose of this order is to improve the delivery of public services in Greater Manchester by driving greater collaboration and bolstering the accountability of how those functions are exercised. The Local Democracy, Economic Development and Construction Act 2009 allows, in certain areas of the UK, the devolution of a number of municipal functions. In 2017, the Greater Manchester Combined Authority (Fire and Rescue Functions) Order conferred responsibility for the management of the Greater Manchester fire and rescue authority on the Greater Manchester Combined Authority. Fire and rescue services therefore came under the authority of the directly elected Greater Manchester Mayor, and arrangements were introduced to oversee the operational discharge of functions, with the scrutiny of fire and rescue functions being added to the remit of the corporate issues and reform overview and scrutiny committee.

In 2017, police and crime commissioner functions were transferred to the Mayor, and the role of deputy Mayor for policing and crime was established. The exercise of police and crime commissioner functions is scrutinised by the police and crime panel. Devolution of the exercise of fire functions to the Mayor, in parallel with the devolution of the police and crime commissioner functions, has provided for greater direct accountability of both functions under one individual, and has allowed opportunities for strategic and joined-up thinking in the blue light sector in Greater Manchester.

In July 2018, the Mayor of Greater Manchester wrote to the Home Secretary to request further changes to the governance arrangements for fire and rescue functions within the GMCA. He sought authority to delegate the exercise of the majority of those functions to the deputy Mayor for policing and crime, and to amend the scrutiny functions of the existing police and crime panel to include scrutiny of fire and rescue functions. The then Home Secretary approved the Mayor’s request in September 2018.

The order before the House today gives effect to the Mayor’s request by amending the 2017 order. It brings the exercise of police and fire functions closer together by allowing for the exercise of all delegable fire and rescue functions by the deputy Mayor for crime and policing. Some non-delegable functions—namely, those listed under article 6 of the 2017 order—remain the sole responsibility of the Mayor. These include the hiring and firing of the chief fire officer, signing off the local risk plan, and approving the annual declaration of compliance with the fire and rescue national framework.

To ensure that there are appropriate scrutiny arrangements of the exercise of delegated functions, the order also extends the remit of the Greater Manchester police and crime panel to include scrutiny of the exercise of fire and rescue functions, whether they are exercised by the Mayor or by the deputy Mayor for policing and crime. To reflect its wider role, the panel will become known as the police, fire and crime panel. The order will provide a clearer line of sight for the exercise of fire and rescue functions, with delegable functions being exercised by the deputy Mayor for policing and crime rather than by a committee. This will make it clearer to the public who is responsible for which decisions and bring further clarity to the governance process. It will also ensure that police and fire matters are scrutinised in the round by extending the role of the police and crime panel.

This brings similar scrutiny arrangements to fire as already exist for policing. Crucially, by bringing together oversight of policing and fire under the Deputy Mayor for policing and crime, it will also help to maximise the opportunities for innovative collaboration, foster the sharing of best practice, and ensure that strategic risks are reviewed across both services. The Kerslake report on the tragic Manchester Arena attack emphasised the need for greater collaboration between fire services and other public bodies. This order takes important steps to do just that.

Finally, I want to comment on the fantastic collaboration efforts taking place in Greater Manchester as part of the response to the covid-19 pandemic. I thank the incredible fire and policing personnel for everything they are doing in Greater Manchester and beyond. They have stepped up to volunteer to assist and protect their communities. It is right that we recognise the critical role they are playing in supporting the country’s response to covid-19, and I pay tribute to them for the difference they are making at this time of need. They are a credit to themselves and to the services they work within.

We are living through extraordinary times. Covid-19 has dealt a great blow to our country—its health, its economy and its way of life—and we are mourning the loved ones we have lost. But in the midst of this crisis, we have seen countless acts of extraordinary resilience and bravery.

As usual, as the Minister just said, the fire service has been front and centre in this battle, answering our calls for help, driving ambulances, delivering personal protective equipment, helping to distribute food and even, I hear, delivering babies. The fire service is the most trusted of all our emergency services because it is always there when we need it, so it would not be right to begin this debate without paying tribute to the work of our firefighters across the UK. Yesterday was Firefighters Memorial Day. The minute’s silence at midday was a moment to reflect on the more than 2,300 UK firefighters who have lost their lives in the line of duty. Each one of those tragic lives lost paints a stark picture of the realities faced by firefighters. They risk their lives every day to ensure the safety of each and every one of us.

We are here to debate the draft Greater Manchester Combined Authority (Fire and Rescue Functions) (Amendment) Order 2020. The Labour party supports the order. It is nearly two years since the Greater Manchester Combined Authority asked to bring responsibility of fire and rescue services into the hands of the deputy mayor for policing and crime, with no particular reason for the delay, as far as I can see, and there is precedent elsewhere in England for this model.

This relatively straightforward order represents the gentle evolution of devolution. As Donald Dewar said at the opening of the Scottish Parliament, devolution is not an end, but a “means to greater ends.” We should be constantly open to change, to better serve our local populations.

The order allows the Mayor to make arrangements for fire and rescue functions to be exercised by the deputy mayor for policing and crime, and amends the remit of the Greater Manchester police and crime panel to include scrutiny of the exercise of those fire and rescue functions in addition to their existing remit of police and crime commissioner functions. That allows the Greater Manchester police and crime panel to scrutinise the delivery of all the main functions of the deputy mayor for policing, fire and crime.

The order will build on the success of devolution that we have already seen in Greater Manchester. Under Andy Burnham, we have seen real action to tackle rough sleeping, real support for young people and the biggest investment in cycling and walking outside London. Devolution enables good local, joined-up and effective policy making.

I would like to take this opportunity to commend the efforts of the Mayor of Greater Manchester, Andy Burnham, his deputy mayor and the Greater Manchester Combined Authority for their recent work on fire and rescue services. Following the tragic fire at Grenfell, where 72 people lost their lives, they set up the Greater Manchester high-rise taskforce, chaired by Salford City Mayor Paul Dennett, to provide fire safety reassurance. They carried out proactive inspections of all high-rise residential premises to ensure that all buildings comply with fire safety regulations.

Greater Manchester has 78 high-rise buildings that have had to adapt interim safety measures because of serious fire safety deficiencies and slow Government action to support remediation. In late February, I watched Andy Burnham, City Mayor Dennett and other civic leaders and MPs from across the country join residents caught up in the cladding crisis at a rally on Parliament Square, calling for urgent action from the Government in the Budget. The Government listened, and the Chancellor announced the £1 billion building safety fund for the removal of dangerous cladding of all forms from high-rise buildings.

With thousands of leaseholders across the country still living in buildings wrapped in unsafe cladding, the focus must now be on completing remediation works as quickly as possible. We only need to briefly read the accounts of the Manchester Cladiators to know the dire situations they face on a daily basis.

From blocks like Imperial Point in Salford Quays to Albion Works in central Manchester, the stories are painfully similar: lives put on hold as residents are trapped in unsafe buildings, unable to sell their properties, and living in constant emotional and financial distress. I do not want to rehearse all the arguments from last week’s Fire Safety Bill, but we know that there is much more to be done by the Government and that we must move faster. I press the Minister again to provide an update on the progress of the review and the costs that residents are incurring while paying for waking watches. Is this review looking into the whole costs of interim fire safety measures?

As the Fire Brigades Union said yesterday, each time a firefighter dies at work, we need to understand what led to their death and what could have been done to prevent it. Yesterday we remembered the 2,300 firefighters who have died in service, but we must never accept their loss as inevitable. It is our duty to learn from every firefighter death and to fight for the improvements to operational practices that could save lives into the future. But that job has been immeasurably harder over the last decade, as we have seen brutal funding cuts.

After a decade of austerity, we have 11,000 fewer fire- fighters, so when fires sadly do occur, fire engines may answer the call without enough firefighters to tackle the blaze. That is not only dangerous for the public, but potentially deadly for firefighters too. We could not debate this order without considering the heavy hand of 10 years of cuts to our fire services in Greater Manchester and across the country. The landscape of complexity post Grenfell, with the enormous fire risk of so many buildings across the country, compounds an already difficult situation. Given the extent of the crisis in recent years and the number of individuals who live in unsafe buildings, we need a strong fire service to be ready to deal with what can perhaps be described as a ticking time bomb for as long as the cladding remains in place. Central Government funding for fire and rescue services in Greater Manchester has been decimated over the past decade; it has fallen by almost a third from £75.2 million in 2010 to £52.9 million now. Across the UK, between 2010 and 2016, the Government cut central funding to fire and rescue services by 28% in real terms, followed by a further cut of 15% by 2020. These cuts have led to a cut of 20% in the number of firefighters.

When a Grenfell Tower resident first called 999 just before 1 am on 14 June 2017, it was five minutes before a fire engine was at the scene and 13 minutes before the first firefighters entered the building. Equally, it was only a matter of minutes after the first call was made that fire services were on the scene of the fire at the student accommodation in Bolton in November last year. Clearly, when operating on such fine margins as the hazard of fire presents, fire services rely on rapid turnaround to be effective. It is shocking, then, to see that fire response times across Greater Manchester since 2010 have risen from seven minutes and 14 seconds to seven minutes and 20 seconds, with a rise of over 40 seconds across England. It may seem like only a matter of seconds, but with the fine margins that exist in fire and rescue situations, a rise in fire response times is unacceptable.

But this is no damning indictment of the fire service across central Manchester or anywhere else. No—it is far more a wrong that stems from a decade of successive Conservative Governments’ neglect of fire and rescue services. While funding has been cut, the number of firefighters across Greater Manchester has fallen by 29% since 2010—down from 1,923, to 1,368 in 2019. The number of operational appliances has fallen by 14% over the same period. The Mayor and deputy Mayor in Greater Manchester, and their teams, are doing their best in these circumstances—namely, with their pledge to bring in 108 new firefighters—but, despite their best efforts, there remains a gaping hole left by increasingly scarce central Government funds.