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Covid-19 Update
09 November 2021
Lead MP
Sajid Javid
Debate Type
Ministerial Statement
Tags
NHSEmploymentWomen & Equalities
Other Contributors: 20
At a Glance
Sajid Javid raised concerns about covid-19 update in the House of Commons. A government minister responded. Other MPs also contributed.
How the Debate Unfolded
MPs spoke in turn to share their views and ask questions. Here's what each person said:
Government Statement
The Minister announced that all those who work in the NHS and social care will have to be vaccinated against covid-19, with two key exemptions for those without face-to-face contact and those medically exempt. The requirement is based on a consultation that received over 34,000 responses, where concerns about workforce pressures were noted but deemed less important than protecting patients and colleagues in the NHS. The Minister stated that this decision will be implemented through statutory instruments under the Health and Social Care Act 2008, with enforcement starting from April 1st pending parliamentary approval. He emphasised the importance of vaccination in building a wall of defence against the virus, and highlighted the high uptake rates among NHS staff at over 90%. The Minister also committed to supporting unvaccinated staff through engagement and accessibility measures.
Central Ayrshire
Question
The MP questioned whether the Minister will extend flu vaccinations as mandatory for NHS staff following his decision to implement mandatory covid-19 vaccinations. She noted that it is a matter of public health and raised concern about inconsistent policy-making.
Minister reply
The Minister responded by stating that while they have not introduced requirements for flu vaccines at this stage, the matter will be kept under review. He emphasised the importance of considering the specific nature of each vaccine before making decisions.
Leicester East
Question
The MP inquired about support mechanisms and resources provided to trusts experiencing significant pressure from staff opting out due to the mandatory vaccination policy. He highlighted challenges in workforce planning and management.
Minister reply
The Minister committed to working closely with NHS trusts to manage workforce pressures effectively, emphasising that the decision aims to protect patients, colleagues, and the NHS itself. He noted that existing measures such as support for unvaccinated staff will continue.
Jonathan Bayley
Con
Luton North
Question
The MP sought clarification on how the Minister intends to monitor compliance with the mandatory vaccination requirement and what steps he would take against non-compliance. He also asked about the role of CQC in ensuring adherence.
Minister reply
The Minister stated that the implementation will be done through statutory instruments, and enforcement will rely on registered persons’ responsibilities under the Health and Social Care Act 2008 to ensure safe care provision. He confirmed that the Care Quality Commission (CQC) would play a role in monitoring compliance.
Birmingham Hall Green
Question
The MP asked about how the Government plans to support vulnerable groups such as pregnant women, who might be hesitant about vaccination due to misinformation or lack of clear guidance. She highlighted concerns over low vaccination rates among this demographic.
Minister reply
The Minister acknowledged the need for targeted campaigns and reassurances for specific groups like pregnant women. He committed to enhancing outreach efforts to address hesitancy through information hubs, dedicated helplines, and community engagement.
Jon Ashworth
Lab
Leicester West
Question
Asked the Minister to proceed cautiously, citing NHS staffing issues and requested meetings with health bodies like the BMA. Inquired about the number of unvaccinated staff and success criteria for the vaccination programme.
Minister reply
Responded by thanking the right hon Gentleman for his approach towards vaccinations. Acknowledged 93% first dose and 90% second dose vaccination rates in NHS, leaving approximately 103,000 unvaccinated staff. Emphasised a cautious approach including grace period and support for hesitant staff through information and meetings with clinicians.
Jeremy Hunt
Con
Godalming
Question
Congratulated the Secretary of State on the decision, noting it as a patient-safety measure. Inquired about future plans regarding flu vaccine mandates for NHS staff.
Minister reply
Acknowledged support from Jeremy Hunt and noted that while the consultation on flu vaccines was considered carefully, they were not convinced to proceed with mandatory flu vaccination at this stage.
Question
Asked about monitoring potential skills shortages in different parts of the health service due to the new policy.
Minister reply
Guaranteed that day-to-day monitoring would take place by NHS England and the Department, with necessary workforce planning measures.
Matthew Hancock
Con
West Suffolk
Question
I warmly welcome the Secretary of State’s decision and the cross-party consensus behind it. Medicine is based on science and the vaccine is the best of science, and we should use all the science and tools at our disposal to keep people safe. That is the justification for this policy. I support the extension of the decision in due course to flu. May I invite my right hon. Friend to join me in saying that, given that there is cross-party consensus and that the announcement has now been made, this is clearly going to happen; and that all those working in the NHS, including those who have so far been hesitant, should therefore come forward as soon as possible to get the vaccines? They are going to have to get them, so better to get them sooner rather than later.
Minister reply
I agree wholeheartedly. May I take this opportunity to thank my right hon. Friend again for the work that he has done in Government, and particularly in this Department in laying the foundations of our successful vaccination programme? Without those foundations, we would not have been able to take this positive step today. He is right to point to the fact that vaccines work, and that they are safe and effective. Public Health England estimates that at least 230,000 hospitalisations and more than 100,000 deaths have been prevented by the vaccines.
Clive Efford
Lab
Eltham and Chislehurst
Question
I welcome the Secretary of State’s announcement, but if this is about minimising transmission, surely it follows that we should be reviewing the guidance on facial protection and FFP3 masks. Will he be following the recommendations of the royal colleges and trade unions that frontline staff in care homes and the NHS should be issued with FFP3 masks?
Minister reply
The hon. Gentleman will know that masks play an important role in vulnerable settings in healthcare and social care already. He points to a suggestion by some that the requirements regarding the type of masks should be changed. I reassure him that we keep this issue under review at all times, and if such a change were necessary, we would support it.
Edward Leigh
Con
Gainsborough
Question
It is obvious that the booster jab is essential to protect the very vulnerable. I have an elderly family member who is 90 years old and completely bedbound. He lives at home, and cannot get out of the flat and down the steps, and he has been waiting for weeks for his booster jab. He said to me on Sunday, “Where is my booster jab?”. I suspect that across the country it is quite inconvenient to get out to very elderly people who are living at home—not in care homes, but in their own home. These people are being looked after all day by care workers, coming in and out. Will the Secretary of State now give an instruction to health authorities, GPs and district nurses to get out and get the booster jabs into these very old and vulnerable people?
Minister reply
What my right hon. Friend has just said deeply concerns me. Anyone who is 90 years old and homebound should have been contacted—certainly at that age. I am assuming that it has been at least six months since the individual’s second jab. On that basis, he should have been contacted and visited by his GP. First, I would like more details about that particular case, if my right hon. Friend will supply them. I would want then to ensure that there are no other instances like that, because someone at that age who is homebound should certainly already have received their booster jab.
Question
I thank the Secretary of State for setting out his thinking today. The Government said in the Budget that they planned to invest responsibly. Does he believe that it was responsible to cancel a multimillion-pound contract to supply a covid vaccine that phase 3 trials show may be more effective than the Oxford vaccine, threatening hundreds of jobs in Livingston for no apparent good reason? Will he consider rethinking that unfortunate decision?
Minister reply
I know the case to which the hon. Lady is referring. We are clear in our decision, which was made for all the right reasons. I hope that she will understand that I am not at liberty at this point to share those reasons, due to commercial and legal sensitivities, but I assure her that there is absolutely no point in revisiting that decision.
Question
I welcome what the Secretary of State has said about his proposed method of dealing with this issue in Parliament, and his confirmation that he is going to publish an impact assessment ahead of the decision. That, of course, was not what happened when we voted on the care home vaccination issue, for which, to be fair to him, he was not responsible; the way in which that decision was conducted was an abuse of this House, which was asked to vote on it.
The Secretary of State has just confirmed that of the 40,000 care home staff who the Government estimated were going to leave the care home sector because they had not been vaccinated, 32,000 of them—two days away from the deadline—remain unvaccinated. That is a significant number. When he publishes all the information before we make a decision, will he ensure that as well as the impact assessment he includes a plan to deal with what sounds like it will be something like tens of thousands of NHS staff, who, if the care home workforce are any precedent, are going to end up leaving the national health service? It may be the right decision, but we must have a plan to deal with it. Not having had a plan for the care home sector is causing enormous pressure not just on the care home sector, but on the NHS.
Minister reply
My right hon. Friend is absolutely right that parliamentary procedure is vital. As well as publishing the impact assessment before a vote, I can share with the House that we will be publishing an impact statement today. That will be followed by the impact assessment, later. He mentioned the figure of 32,000. That is the latest published number, from the end of last month. Although it has only been a few days since then, the situation is currently quite fast moving because the number might include a number of people—perhaps in their thousands—who are medically exempt but about whom the Care Quality Commission has not yet been informed.
Daisy Cooper
Lib Dem
St Albans
Question
A number of care home owners have said that the damage has already started to be done, and that some of their carers are leaving either their jobs or the sector entirely. I welcome the Secretary of State’s statement that an impact assessment will be forthcoming, and look forward to seeing the impact statement later today. In response to the hon. Member for Rochdale (Tony Lloyd), the Secretary of State also mentioned that the Department is monitoring the issue on a “day-by-day basis”. I worry that an impact statement might be too late if we have to wait two or three months for a vote. Will he commit to publishing the data that he is looking at day by day, so that Members of the House can see in real time whether the policy is going to have an impact on the workforce situation in the NHS and care homes?
Minister reply
We will be publishing the impact statement today.
Question
Although I want everybody to be vaccinated, I do not support mandatory medical interventions, and I worry about the impact on the already high vacancy rate in the workforce. My right hon. Friend the Secretary of State must have done some risk assessments, so can he tell me this? As previously asked, how many of the 10% who are un-jabbed does he assess will be subject to medical exemptions? What calculations has he made of the likely job losses overall? When will he publish a list of exactly what personnel are involved? Will it involve cleaners, for example, who do not have medical engagement with patients but are certainly in proximity to them? When will he publish the evidence and the data on the number of patients who have been infected with covid by unvaccinated staff while in hospital?
Minister reply
I hope my hon. Friend appreciates that there were a lot of questions. The impact statement will be published today, and the impact assessment will be published before he and other Members are asked to vote. Those documents will help to answer their questions. I also draw his attention to the experience thus far of the condition of deployment measure that we took in a similar way with care homes, and how dramatically the numbers were cut from the point of announcement.
Karin Smyth
Lab
Bristol South
Question
Of course NHS and care staff should all be vaccinated—that is what we expect for our loved ones—and of course they should all be wearing masks. The Prime Minister parading around a hospital yesterday without a mask was a disgrace, and I hope that the Health Secretary is talking to him about that.
I support the questions that other hon. Members have asked about more detail in the impact assessments, because I want to know whether those 10% of un-jabbed staff are in Bristol, or whether the figure in Bristol is 20%, 30% or 2%. If the Health Secretary knows that information, I, as a Member of Parliament for Bristol, should also know it. If all staff and associated people in healthcare settings are to be vaccinated, will there be a covid passport for people to visit hospital and care settings?
Minister reply
I gently say to the hon. Lady that she really should not try to play politics with the story that she is perpetuating about the Prime Minister on a hospital visit yesterday. As the hospital trust said, and as I am sure she knows, the Prime Minister and his team followed all the rules that they were required to follow, whether they were about face masks or otherwise, in that hospital.
Andrew Murrison
Con
South West Wiltshire
Question
Asked about the risk assessment of transmission from healthy to vulnerable individuals and requested a reassessment on flu measures. He also questioned why April 1st was chosen as the deadline for vaccination.
Minister reply
Acknowledged the support and provided information on vaccine efficacy against delta variant, citing studies in public domain. Mentioned ongoing review of flu measures and prioritising the date to allow unvaccinated NHS staff to receive their first jab.
Rachael Maskell
Lab Co-op
York Central
Question
Criticised lack of government response based on public health expert advice, calling for increased measures such as moving contact tracing into local authorities and restoring public health measures like 'hands, face, space'.
Minister reply
Acknowledged high vaccination rates in York but maintained that the Government’s plan A approach is appropriate. Mentioned possibility of regional variations if supported by evidence.
Jim Shannon
DUP
Strangford
Question
Asked about availability and accessibility of molnupiravir for treating covid-19, particularly for vulnerable groups like diabetics and immunosuppressed individuals.
Minister reply
Confirmed the drug’s approval by MHRA and deployment in certain settings. Mentioned procurement orders placed for another antiviral drug with successful trial outcomes.
Tim Farron
Lib Dem
Westmorland and Lonsdale
Question
Discussed missed cancer diagnoses during the pandemic, highlighting the need for targeted resources and leadership to catch up on lost diagnostic services. Requested a meeting with clinicians and those involved in the 'Catch Up With Cancer' campaign.
Minister reply
Acknowledged the importance of cancer diagnosis despite the pressures from the pandemic. Mentioned investment in community diagnostic centres across England as part of the Government’s efforts.
Shadow Comment
Jon Ashworth
Shadow Comment
The Shadow Secretary welcomed the delay of implementation until after winter but urged caution due to existing workforce pressures. He raised concerns about potential staffing shortages if thousands leave their jobs, and called for meetings with relevant organisations to ensure a practical framework for the policy's execution. Jon Ashworth questioned the Minister on the specific numbers of unvaccinated staff and what success would look like in terms of vaccination rates across the NHS. Additionally, he asked about plans to increase testing frequency and vaccinate visitors entering hospitals. Concerning hesitancy among certain groups such as pregnant women, the Shadow Secretary proposed a large-scale campaign for reassurance and clear advice on vaccine safety.
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