Commons Sense

House of Commons · General Debate

Public Health

14 December 2021 · 90 other contributors

Opened by Sajid Javid Con Bromsgrove

NHS

Summarised by AI from the official record, so it can contain mistakes.

At a glance

Sajid Javid raised concerns about public health in the House of Commons. A government minister responded. Other MPs also contributed.

Key points

  • The Minister acknowledged the strength of feeling across the House regarding the Health Protection (Coronavirus, Wearing of Face Coverings) Regulations.
  • Measures include face covering regulations, daily lateral flow tests for close contacts, and negative test results or vaccination status requirements for entry to nightclubs and large events.
  • The Minister addressed concerns about people in managed quarantine from red-list countries.

How the debate unfolded

MPs spoke in turn to share their views and ask questions. Here's what each person said.

Opened the debate

Sajid Javid Con Bromsgrove

Moves the Health Protection (Coronavirus, Wearing of Face Coverings) (England) (Amendment) Regulations 2021 for approval.

Other contributors (90)
  • Clarifies the debate proceedings and introduces motions related to public health regulations.

  • Asks if the Government will commit to recalling the House if further measures are necessary during recess.

  • Andrew Murrison South West Wiltshire

    Encourages considering the information available in near real time and committing to ensure the House can consider these matters next week.

  • Andy McDonald Middlesbrough and Thornaby East

    Proposes addressing issues of statutory sick pay to allow people to isolate without spreading the virus or ending up in hospitals.

  • Toby Perkins Chesterfield

    Requests that businesses receive financial support if fewer people are going into their premises due to social distancing measures.

  • Critiques the Government's mixed messaging and asks for clearer guidance on reducing social contacts.

  • Andrew Bridgen North West Leicestershire

    References a South African Medical Association statement suggesting omicron is mild and may aid herd immunity.

  • Alec Shelbrooke Wetherby and Easingwold

    Questions the timing of deciding whether omicron's spread is advantageous for achieving herd immunity.

  • Requests to give way but no position provided in text.

  • Bob Seely Isle of Wight

    Questions the accuracy and reliability of previous forecasts regarding hospitalisations due to omicron.

  • Points out that evidence from South Africa suggests shorter hospital stays, affecting occupancy rates in hospitals.

  • Steven Baker Wycombe

    Asks for clarification on the rationale behind the measures proposed by the Secretary of State.

  • Encourages the Government to take modest steps and be prepared, but also promises relaxation if situation improves.

  • Rachael Maskell York Central

    Questions whether current measures are out of date given escalating infection rates.

  • Provides testimony from Dr Angelique Coetzee endorsing Government's actions and supporting the boosters, masks, and avoiding mixing as priorities.

  • Chris Grayling Epsom and Ewell

    Asks for clarification on hospitalisations caused by omicron versus hospital admissions with other reasons.

  • Richard Burgon Leeds East

    Requests a vote on increasing sick pay to real living wage levels to support low-paid workers during self-isolation.

  • Layla Moran Oxford West and Abingdon

    Raises concerns about frontline NHS staff suffering moral injury due to decisions made and asks for assessment of omicron risk to children.

  • Luke Evans Con Hinckley and Bosworth

    Asked about the issue of the 15-minute wait post-Pfizer and inquired if the Medicines and Healthcare products Regulatory Agency or the Joint Committee on Vaccination and Immunisation have come to a conclusion on this matter.

  • Alec Shelbrooke Con Wetherby and Easingwold

    Agreed with the Secretary of State about the pressure on the NHS due to unvaccinated people blocking ICU beds. Inquired about the plan for future variants.

  • Angela Eagle Lab Wallasey

    Inquired if the Secretary of State agrees that omicron may have originated in an immunosuppressed sufferer of HIV and proposed getting vaccines into as many people in Africa as possible, along with ensuring proper treatment for HIV/AIDS sufferers.

  • Inquired about the median age in South Africa being 27.5 years compared to the UK's 40.5 years.

  • Clive Lewis Lab Norwich South

    Thanked the Secretary of State for taking interventions and proposed that acknowledging the pandemic as a situation affecting the whole house rather than just one room is necessary, advocating for the TRIPS waiver to increase vaccine supply.

  • Inquired about lateral flow tests being used instead of vaccine passports to ensure everyone has equal access.

  • Ben Spencer Con Runnymede and Weybridge

    Asked if it is possible for someone without internet or a phone to provide proof of a negative lateral flow test.

  • Alistair Carmichael Lib Dem Orkney and Shetland

    Inquired about the impact of vaccine passports on transmission in Scotland and Wales.

  • Asked for assurance that measures today are not a step towards further restrictions on social gatherings and businesses, seeking confirmation they will be rescinded before 26 January if possible.

  • Welcomed the abolition of the red list but asked to release those in quarantine hotels and remove recent extra restrictions.

  • Inquired about the Government's decision to pull the plug on the Valneva contract and requested a commitment to revisit it considering the technology involved could help vaccine distribution worldwide.

  • Asked for those in self-isolation due to 11 countries not removed from the red list to be released and reimbursed fees.

  • Inquired about resolving the issue of constituents unable to access lateral flow tests.

  • Requested authorisation for each director of public health across the country to have a float stock of 500 PCR tests they can use to disrupt covid outbreaks and slow transmission.

  • Sammy Wilson DUP East Antrim

    Asked how unvaccinated staff decisions will not reduce NHS capacity, especially concerning care homes.

  • David Davis Con Goole and Pocklington

    Inquired about the effectiveness of daily lateral flow tests compared to vaccination given current vaccine efficacy against omicron.

  • Caroline Johnson Con Sleaford and North Hykeham

    Asked if it would be reasonable to offer medical staff and nursing staff the option of daily testing instead of vaccination due to lack of transmission reduction through vaccines.

  • Wes Streeting Lab Ilford North

    Supports the Government's measures as necessary to protect public health against omicron. Emphasises the need for effective testing, prioritising confidence in businesses and the economy during winter pressures. Argues that mandatory vaccination for NHS staff is justified by infection control needs and professional duty.

  • Simon Hoare Con North Dorset

    He endorsed the position of the shadow Secretary of State regarding comments about Nazis, and emphasised that care sector workers in his constituency had expressed a desire to be vaccinated when the vaccine was available. He supported the idea that those caring for vulnerable individuals should be vaccinated.

  • Kim Johnson Lab Liverpool Riverside

    He questioned whether mandatory vaccines would have a significant impact given the current under-staffing in the NHS and expressed concerns about the potential harm it could cause. He highlighted serious concerns raised by the British Medical Association.

  • Marie Rimmer Lab St Helens South and Whiston

    She reported high vaccination rates in her constituency, emphasising that persuasion rather than threats was effective. She warned against threatening people with dismissal and suggested involving GPs in the process to ensure continued support for vaccinations.

  • Angela Eagle Lab Wallasey

    She addressed the issue of anti-vaxxer propaganda and urged the Government to do more to counteract it, as it was causing worry among vaccine-hesitant individuals. She suggested that psychological propaganda used by anti-vaxxers could be harmful.

  • Bob Seely Party Not Specified

    He clarified that getting vaccinated does not prevent someone from spreading the virus but significantly reduces the likelihood of severe harm. He corrected a misconception about the effectiveness of vaccines in preventing transmission.

  • Clive Efford Lab Eltham and Chislehurst

    He supported the call for more caution when implementing changes to staff terms and conditions regarding vaccinations, advocating for cooperation with trade unions and royal colleges. He stressed the importance of taking staff concerns seriously.

  • Graham Stringer Lab Blackley and Middleton South

    He emphasised the need for transparency from the Government on issues related to vaccines and other policies, advocating for a cost-benefit analysis before implementing new measures. He highlighted that statutory instruments were being passed without impact assessments.

  • Seema Malhotra Lab Co-op Feltham and Heston

    She argued that the urgency of passing these measures is paramount to protect public health during the rise in Omicron cases. She stressed the importance of acting quickly to ensure community safety and prevent further spread.

  • Sara Britcliffe Party Not Specified

    She called for a commitment from the Government that any future restrictions would be subject to a vote in Parliament, aiming to reassure Members about transparency in decision-making processes.

  • He acknowledged the speech made by the Opposition spokesman and expressed support for the regulations proposed by the Government. He noted that some of these regulations were relaxations rather than restrictions. He highlighted the importance of vaccination, especially among those under 40 who had a later opportunity to be vaccinated.

  • Graham Stringer Lab Blackley and Middleton South

    Mr Stringer criticises the Government for not providing an impact assessment for policy decisions. He points out that the Coronavirus Act of 2020 is barely being used when less restrictive alternatives, like the Civil Contingencies Act of 2004, could have been utilised with more scrutiny available.

  • Steven Baker Intervention

    Mr Baker presents an impact assessment indicating that imposing vaccination as a condition for employment in health and care providers may result in up to 88,000 people leaving the sector, including 73,000 from the NHS and 15,000 from independent sectors. He suggests this is sufficient reason to oppose such measures.

  • Desmond Swayne Con New Forest West

    Mr Swayne argues that the measures proposed are a matter of opinion regarding personal risk appetite and whether they are proportionate. He criticises the Government for instilling fear in the public, leading to increased demands for enforcement and restrictions, particularly impacting hospitality industries during their peak seasons.

  • Caroline Lucas Green Brighton Pavilion

    The NHS is under significant strain, with some professionals stating it is at breaking point. Emphasises the need for a range of measures beyond vaccinations to reduce transmission rates, including ventilation in schools and limiting social contact. Urges honesty and clear messaging about reducing social contacts as a direct relationship exists between contacts and infection spread. Advocates removing disincentives that prevent self-isolation and improving sick pay and business support. Criticises the Government for rushing statutory instruments and failing to advance the scientific case for vaccine passports, arguing they entrench opposition among those hesitant towards vaccination. Calls on the Government to change its position regarding the TRIPS waiver at the WTO to address global vaccination inequality.

  • Liam Fox Con Wealden

    Fox emphasised the importance of not underplaying the success of the vaccine programme and urged people, especially young individuals, to get their second dose. He criticised the Government's messaging around booster doses and asked for clarity on why some people are still in enforced 10-day quarantine despite these measures being abandoned. Fox supported mask-wearing due to its common-sense benefits but opposed the introduction of a covid passport system, arguing it is unnecessary and could strain an already overloaded legal system. He also questioned the enforceability of mandatory vaccinations for NHS workers and highlighted potential staff shortages arising from such policies. Finally, he stressed the importance of promoting booster shots as the best way to combat the virus.

  • Justin Madders Lab Ellesmere Port and Bromborough

    Madders discusses his experience with parliamentary scrutiny of regulations introduced during the pandemic, expressing concern over the timing of some regulations' publication. He addresses constituents' concerns about compulsory vaccine passports but emphasises that negative test results can serve as an alternative. Madders supports the regulations while urging for clarity on their scope and impact, particularly regarding enforcement costs and potential future extensions. He also calls for confirmation from the Government that there are no plans to introduce charges for lateral flow tests. Madders highlights evidence suggesting that vaccinating NHS staff could reduce covid admissions and pressure on the NHS but criticises the Government's handling of workforce issues and lack of transparency.

  • Matt Western Lab Warwick and Leamington

    Western supports calls for greater transparency from the Government regarding its pandemic response, suggesting that increased openness could lead to greater support across the House.

  • Steve Brine Con Winchester

    Steve Brine criticised the government's approach to handling the omicron variant, questioning the effectiveness of current measures like mask-wearing and vaccine passports. He expressed concern over the late release of legislation and the lack of clarity on how these measures would slow the spread of the virus. Brine was ambivalent about face coverings but supported self-isolation moving to tests if lateral flow test supply issues are resolved, while opposing a vaccine passport system.

  • Daisy Cooper Lib Dem St Albans

    Daisy Cooper from the Liberal Democrats supported face covering and self-isolation statutory instruments but criticised the government for scrapping mask-wearing on public transport in July. She expressed concern about potential plan C measures and called for clarity regarding Christmas restrictions. The Lib Dems welcomed the ambitious booster programme but criticised its lack of planning and the lack of prior warning given to NHS staff, GPs, local authorities, and volunteers. Cooper also called for an urgent hospitality summit and financial support for businesses, individuals with caring duties, and schools.

  • Huw Merriman Con Bewdley

    Supported some covid measures while opposing others based on proportionality and clarity of policy. Advocated for temporary face coverings in specific settings, mandatory vaccination for social care workers due to its efficacy against transmission rates, and vaccine certification at larger venues as a means to keep people safe without draconian restrictions.

  • Paula Barker Lab Liverpool Wavertree

    Expressed reservations about the logic of mandating vaccinations for NHS staff. Criticised the inconsistency in government messaging and raised concerns over the dismissal of unvaccinated workers on 1 April despite their crucial role during the pandemic. Emphasised the importance of negotiations with trade unions, constructive measures to support health services, and ensuring public trust.

  • Andrew Murrison Con South West Wiltshire

    The statutory instruments, while modest compared to previous measures in other jurisdictions, should be reconsidered given the rapidly evolving nature of evidence regarding new variants. The Government should consider convening Parliament for real-time updates on the pandemic situation. I support SI No. 1415 as it avoids another 'pingdemic'. However, concerns arise over SI No. 1400 and SI No. 1416 due to varying interpretations of evidence and potential impacts on healthcare workers.

  • Meg Hillier Lab Co-op Hackney South and Shoreditch

    The statutory instrument No. 1416 allows entry to venues based on vaccination status, which is a temporary measure aimed at reducing virus spread without requiring health data for public services access. While it compromises individual privacy, it protects industries from complete closure and ensures the safety of patients by potentially making vaccines compulsory for healthcare workers.

  • Mark Harper Con Winchester

    Expressed disappointment with the Government's handling of the Omicron variant, noting that they have gone into panic and emergency mode. Criticised Ministers for scaring people without proper information and highlighted the economic and social impacts of these decisions on the NHS and other sectors. Opposed vaccine passports, arguing that they should be limited to non-mandatory measures.

  • Layla Moran Lib Dem Oxford West and Abingdon

    Called for a more proactive approach in dealing with Omicron, citing evidence from South Africa and Denmark. Highlighted concerns about the impact on children and the need to ventilate public spaces, support social care, improve test, trace and isolate measures, limit mixing, and address long covid.

  • Andrew Bridgen Con North West Derbyshire

    Critiques the Government's Plan B measures as ineffective, evidence-based and lacking public support. Expresses concern over vaccine passports and mandatory vaccination, highlighting potential risks to NHS staff and patient safety. Raises concerns about mental health impacts of prolonged restrictions.

  • Rachael Maskell Lab Co-op York Central

    Expresses serious concerns about the principle of mandatory vaccination for public safety and patient safety, criticising the Government's lack of strategy in managing the pandemic. Highlights inconsistency in policies and raises concerns over job losses among NHS staff.

  • Agrees with plan B measures but opposes vaccine passports, seeks reassurance from government on future restrictions. Argues for temporary nature of current measures to mitigate omicron variant's spread.

  • Fleur Anderson Lab Putney

    I thank everyone who has had their booster and all NHS staff for their efforts. I note the concerns of constituents about both insufficient and excessive measures. Omicron is highly contagious, with cases doubling every two days. Two vaccines do not reduce transmission as effectively as they did for Delta. Thus, immediate action is necessary to prevent hospitalisations in the future. Masks should have been mandatory from the start; vaccine passes are proportionate to allow venues to remain open while ensuring safety. I welcome changes to the red list and quarantine costs. Schools need support and communication must be ramped up with health staff. Statutory sick pay increases are needed. Voting ID requirements under the Elections Bill infringe on civil liberties less than vaccine passes.

  • Ben Spencer Con Runnymede and Weybridge

    I support self-isolation statutory instrument and daily testing but struggle with mandatory face masks and working from home guidance. Concerned about the exclusion of marginalised individuals due to vaccine status certificates' requirements for internet access. Ask: What will be the impact on A&E, elective care, missed GP appointments? How will NHS recover post-wave? How does Government plan for next variant? Will schools remain open?

  • Wera Hobhouse Lib Dem Bath

    The Liberal Democrats support mask-wearing and vaccinations as the best way to beat covid. The speaker acknowledges logistical difficulties faced by constituents, such as quarantine hotel issues and access to booster shots for housebound individuals. She calls for urgent compensation for those affected by these issues.

  • The speaker supports the Government's aim of increasing booster take-up but emphasises the importance of language used in regulations and the need to trust the British people to comply voluntarily without excessive regulation. She stresses that compliance can be increased if people feel their concerns are being heard.

  • Alec Shelbrooke Con Wetherby and Easingwold

    The speaker is uncomfortable with the measures but supports them for this moment in time. He believes that lateral flow tests could be a way to protect society and prevent ICU beds from being overwhelmed by unvaccinated patients. He questions future approaches, such as mandatory lateral flow testing or adopting models like Singapore's.

  • Luke Evans Con Hinckley and Bosworth

    Evans commends the Government for their booster programme, supporting face coverings and isolation changes. He is in favour of mandatory vaccinations for NHS workers but opposes vaccine passports, citing concerns about practicality, ethics, and potential future regulations.

  • Leadsom criticises the Government's measures as harmful to citizens, advocating instead for a public health campaign promoting testing and vaccination. She is against mandatory vaccinations for NHS staff and carers, preferring daily tests or vaccine exemptions, and expresses concern over ongoing restrictions.

  • Clark acknowledges the Government's difficult task but questions the necessity of regulations, particularly regarding access certificates which he finds unclear in purpose. He raises concerns about inconveniencing vaccinated individuals and proposes alternatives such as on-site vaccine centres or self-administered lateral flow tests.

  • Alicia Kearns Con Rutland and Stamford

    Although I support the Government's determination to protect communities, I seek clarity on evidence-based policy making. I will vote for precautions such as face masks and NHS mandates but find difficulty with vaccine passports due to lack of evidence on reducing transmission, contradicting booster emphasis, mechanical issues, data availability concerns, fundamental unease about discrimination, school closures impact, and clinic shortages.

  • I support the Government's precautionary measures based on balancing public health with economic needs. Vaccine passports should be seen as 'covid passes' rather than true vaccine passports to reduce confusion. While I agree with slippery slope concerns, this debate is not about mandatory vaccination but current omicron measures. We need further data and balanced approach until more information is available.

  • Greg Smith Con Mid Buckinghamshire

    Smith congratulates the Government on stepping up the booster programme and aims to get boosters into people’s arms by the end of the year. However, he is against extended mask mandates, covid passes, and mandatory vaccination in the NHS due to their long-term implications for individual freedom and the relationship between citizens and the state.

  • Thomas expresses concern over the impact of restrictions on cancer diagnosis and care, people with learning disabilities, mental health issues, school disruptions, and overall societal well-being. He supports booster jabs and testing but opposes other measures proposed today.

  • Gareth Bacon Con Orpington

    Bacon supports the extension of face coverings, mandatory vaccination for NHS workers with patient contact, and self-isolation rules. He is cautious about entry to venues requiring vaccine status or lateral flow test results but supports this measure due to recent concessions by the Government.

  • Anne Marie Morris Con Newton Abbot

    Morris emphasised the focus of these regulations on slowing transmission and reducing NHS capacity strain. She praised vaccine uptake but criticised mask wearing and passport measures for not being properly assessed, potentially doing more harm than good to society's mental health and non-covid healthcare access. Morris urged the Government to form an emergency resilience taskforce before Christmas to address resource adequacy issues in healthcare.

  • Nicholas Fletcher Con Don Valley

    Fletcher supported taking tests instead of self-isolation, mask-wearing as a positive move despite discomfort, and the vaccine requirement for NHS frontline staff. He addressed concerns about pregnant staff needing assurance on vaccine safety. He highlighted that unvaccinated individuals are contributing to hospital bed blockages and elective care backlogs. Fletcher expressed support for status certification but not vaccine passports unless there is evidence they work. He asked for no extension of legislation if hospitalisations do not increase.

  • Anthony Mangnall Con West Penwith

    Mangnall praised the Government's vaccine roll-out and booster programme but criticised the mask measures in SI No. 1400 for being shoddy and poorly thought through. He opposed vaccine passports due to lack of evidence showing their effectiveness and potential for abuse with lateral flow tests. Mangnall expressed concerns about mandatory vaccinations without sufficient data on staff departures from care homes since policy introduction.

  • Richard Graham Con Gloucester

    Celebrated the end of red list restrictions and extension of travel passes for teenagers. Supported modest increase in mask wearing, lateral flow tests instead of self-isolation, mandatory vaccination for NHS workers, and requirement for lateral flow test at venues with over 500 indoors and 4,000 outdoors.

  • Richard Drax Con South Dorset

    Opposed mask wearing, supported self-isolation, opposed vaccine passports and mandatory inoculation for NHS workers. Argued against more restrictions due to new variants, economic damage, fear in the public, and lack of evidence supporting these measures.

  • Tim Loughton Con East Worthing and Shoreham

    Supported some measures like mask wearing but opposed vaccine passports and mandatory vaccinations for NHS workers. Criticised Government's approach as disproportionate with negative consequences on children, economy, and non-Covid deaths.

  • Miriam Cates Con Hitchen South

    Opposed the measures citing lack of evidence supporting them and potential harms like increased domestic abuse from working from home. Emphasised the importance of civil liberties and standing up for minority views, advocating for a society based on freedom.

  • Bob Seely Con Isle of Wight

    Supports vaccination but opposes mandatory jabs and passports. Criticises forecasts, leaks, and the impact on public trust and education.

  • Maria Miller Con Basingstoke

    Commends Government's measures to protect NHS and supports booster programme. Asks for updates on hospitalisations and stresses importance of protecting children's education.

  • Andrew Gwynne Ind Gorton and Denton

    Supports precautionary measures but criticises mixed messaging from the Government and lack of tests available. Emphasises need for clarity on booster roll-out timelines, ventilation improvements, sick pay provision.

  • Steve Barclay Con North East Cambridgeshire

    Mr. Barclay emphasised the need for a cautious approach to the Omicron variant's rapid spread, noting its potential economic impacts beyond the NHS. He praised the effectiveness of booster vaccines and highlighted the decision to release people from managed quarantine early under certain conditions. Mr. Barclay also addressed concerns regarding face coverings, lateral flow tests, and vaccine passports, stressing that vaccination remains crucial in health and social care settings.

  • Dawn Butler Lab Brent Central

    Ms. Butler questioned the Minister about whether people who were already in managed quarantine could be released early before completing their 10-day isolation period, especially for those returning from South Africa. She also raised concerns regarding safety measures within Parliament given its large number of staff and MPs.

  • Chris Bryant Lab Rhondda

    Mr. Bryant inquired about the early release of people who were already in managed quarantine for countries on the red list, particularly mentioning rugby players from his constituency still in quarantine. He highlighted that these individuals had completed 10 days of quarantine abroad but remained in mandatory quarantine in the UK.

Government Response

The Minister responded by acknowledging the strength of feeling across the House and emphasised the importance of being vaccinated and receiving booster shots. He detailed measures such as face covering regulations, daily lateral flow tests for close contacts, and requiring negative test results or vaccination status to enter nightclubs and large events. The Minister also addressed concerns about people in managed quarantine from red-list countries.

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