It is a pleasure to serve under your chairmanship, Sir Charles. In making a speech, the advice is usually say what you are going to say, say it, and then say what you have said, but I am going to start by saying what I am not going to say, because I understand that the specific rules around this next lockdown were signed off during the course of this debate, and will be published at around 5 o’clock this evening. Some hon. Members have mentioned specifics for places of worship, golf, gyms, and so forth. So as not to give Members duff information, I will not go into detail on that, except to say that I have had daily calls with Members. I have been listening to concerns from many Members about those issues and ensuring that those taking decisions and designing policies are very aware of the concerns of Members on both sides of the House, as well as the importance of things such as exercise to people’s wellbeing, alongside the importance of visits to family members in homes and the isolated elderly in particular.
I am also not going to go into detail about the general issues that my hon. Friends the Members for Ipswich (Tom Hunt) and for Wycombe (Mr Baker) and the hon.
Members for Coventry North West (Taiwo Owatemi) and for York Central (Rachael Maskell) have raised about testing, track and trace and PPE. Those issues have been well rehearsed, and those Members’ points have been well made and will certainly be listened to.
I want to get to the heart of this matter, and of the issue that was raised by my hon. Friend the Member for South Dorset (Richard Drax), who secured this debate. I thank him for having done so and, in response to his opening remarks, I will not say that that any Member who has spoken today wishes to let this virus rip. I regret those accusations that have been made in the past about people who are sceptical of the Government’s approach. None of wants to let this virus rip. All of us understand how devastating it is; many of us have had bereavements as a consequence of it. We have all been touched by this virus, and my sympathies go to the hon. Member for Strangford (Jim Shannon). Given that there is no silver bullet on the horizon, hon. Members are rightly asking whether this is the right course of action. That is a completely legitimate question to ask; in fact, it is our job in this place to ask those kinds of questions.
The question is whether we are paying too high a price to push infections out. As hon. Members will know, the Prime Minister has been trying to avoid a second lockdown, and has instead been pursuing local and regional lockdowns in the first instance. However, he has reluctantly decided to take this decision, and outlined his reasons for doing so at the weekend and yesterday in the House. I realise that it is incredibly bad news for many hon. Members and their constituents. I understand that people who are in areas of the country that have very few infections or none will be very aggrieved by this situation, and I also understand that there are parts of the country that have not just had the double whammy of two lockdowns—one gone and one to come—but have been under other restrictions in the interim. That is a very painful place for them to be.
Why are the Government pursuing this strategy? At the heart of it is the NHS. The aim is simple: to avoid hospitals buckling under the weight of covid patients, and to prevent deaths. Shortages of bed spaces and staff in certain parts of the country mean that the system is already under pressure, and we are told that the whole system capacity, including the additional Nightingale capacity, could be overwhelmed by Christmas if we do not take this course of action. Of course, there are costs to healthcare and the NHS of pursuing that strategy. Many hon. Members have spoken, not just today but previously, about the consequences of the first lockdown. We know that there were people who did not seek help —who did not access healthcare. We know that treatments were delayed, and we know that there is a real human cost to delaying those treatments and surgeries.
In social care, too, there has been a price to pay: isolation for many of those in their twilight years, but also—this is often not spoken about—adults of working age, such as those with a learning disability who have seen their care packages cut because of the provisions understandably put into the Coronavirus Act 2020. Mencap’s survey of carers across the UK revealed that 69% of people with a learning disability have experienced cuts to their social care during the pandemic. That is not for any malicious reason: it is because they could not access daycare centres and have the social contact that was so critical to their care. Of course, there will
be an economic hit, too: if people are poorer, they are likely to suffer the long-term effects of mental and physical poor health.
However, the Government argue that the price of not pursuing this course of action would be greater than the damage I have outlined. The bottom line is that if the NHS becomes overwhelmed, deaths from covid and other diseases will soar, with doctors unable to treat everyone. The bottom line is that if the NHS becomes overwhelmed, then deaths from covid and other diseases will soar, with doctors unable to treat everyone. That is the worst outcome from the negatives I have outlined.
The strategy that the Government are pursing would indicate that that also has consequences for the future of healthcare spend and policy. Whatever criticisms are levelled at the NHS, it is a very efficient system. People often argue that it could have better outcomes, but it is a lean and efficient system. What it has, it uses. There will undoubtedly be questions in the future about capacity and staffing levels. Lessons must be learned about the future shape of policy in the NHS, as well as the specifics of the pandemic, not just in health but in social care too.
How effective will this lockdown be? It will drive down infections, but by how much depends on who is making the estimate, as we have debated today. Some models show infections being reduced to a quarter of what they are now, but others show reductions of just 10%, in which case the NHS will still be under strain. It will be a fortnight, at least, before people see change. I am afraid to say that those who may sadly lose their lives from covid at the end of November, probably have the virus today.
The Prime Minister and his team think that doing this now will provide the optimum outcome. They are hopeful about being able to unlock in December, but, as they have said, they are being driven by the data. Once lockdown is lifted, as Members have said, cases will rise. It means that a high proportion of the population will remain vulnerable to infection, which is why some scientists expect a third or more waves of the virus to be managed by repeat lockdowns.
Others argue that the need for future lockdowns is evidence that they do not work, but that is to misunderstand what they are there to do. As the Health Secretary has stated, this approach buys us time and is the optimum use of the healthcare we have in the meantime, while capacity is built and vaccines are sought. I thank hon. Members who have paid tribute to those working in health and care, in track and trace, in testing, in the heroic search for a vaccine and in improving treatments.
My hon. Friend the Member for Shrewsbury and Atcham (Daniel Kawczynski), made some comments about devolution. I think it is a good thing, but the price of devolution is divergence and diversity. I know that it has had very real consequences for border communities, particularly for businesses that have been asked to lock down one side of the border and not on the other. We have to learn lessons about better co-ordination from that, and we might try using the same app in the future. Devolution is a good thing and diversity is the price.
Many hon. Members have spoken about the hit to the economy and the human consequence of that. About a quarter of GDP was erased in quarter 2, but in quarter 3 there were signs of a sharp recovery. A number of factors were involved in that, including confidence in
the drop-off of cases but also pent-up consumer demand and the Chancellor’s measures to stimulate the economy, which Members have mentioned. I know that Members do not want that choked off. That upturn shows that we have an incredibly robust and innovative private sector.
All of us are impressed by how businesses have adapted swiftly, to carry on and live with this virus, from investing in signage, PPE and sanitiser, dealing with fewer customers, moving online, changing shift patterns and introducing one-way systems in stores. I understand that those adjustments had real costs and, having invested in them, how aggrieved businesses must be to have to close down. We must not forget that.
Before I close, I wish to say a few words about the authoritarian nature of the lockdown, as people have described it. I say that knowing that the British people like rules. Anyone familiar with the off-side rule or the Duckworth–Lewis–Stern method will testify that British people like their rules. They like clarity and fairness, but I understand that they also like to be able to choose to follow rules. I know how uncomfortable many of us are in having to take these measures. I was asked by the Department of Health to take through the Coronavirus Bill and I remember the emotional state of my hon. Friend the Member for Wycombe (Mr Baker), who was kind enough to say that he recognised that I might be in a similar state today.
I know that we have asked our constituents to do very painful things, and there has been real material harm to people’s livelihoods and emotional well-being, including, as my hon. friend the Member for Shrewsbury and Atcham said, women having to give birth on their own. I can assure Mrs Coleman that, in great part due to the efforts of my hon. Friend the Member for Rutland and Melton (Alicia Kearns), those guarantees were secured for women giving birth and, I think, were announced at the weekend.
We are asking our constituents to do very difficult things, and that is matched by how little agency Members of Parliament feel they have over this situation. You, Sir Charles, alluded to this, saying that you felt the only thing you could do was to vote against the Government. However, I think that whatever seat we occupy, whether junior Minister, Secretary of State or Back Bencher, there is always something that we can do. What I will take away from this debate is to feed back to the Government the need for better and clear data. I looked at what the House of Commons provides Members with as well as what Government provide, and there is room for improvement. I will do that, recognising suggestions that hon. Members have made. If there are specifics on data, please let me know. As hon. Members know, I take calls with all MPs every single day, and I want to hear their ideas if they think policies are not working. I will continue to take that forward.
We also need to think about the future and our economic recovery. My hon. Friend the Member for South Dorset, in whose name this debate stands, called
for low taxation. We need to think about the future—not just about how we can ensure that we stick to our agenda of levelling up but how we can, through the G20, lead the global recovery as well. We are well placed to do that.
Finally, I think everyone in this debate will agree that we have to learn how we can live with the virus. I know my hon. Friend the Member for Harwich and North Essex (Sir Bernard Jenkin) has suggested that we need a White Paper on that topic, and I will report back. I thank all Members who have taken part in this debate. If there is a lesson we should have learned in this place over the last four years, it is that when politics and politicians are in tune with the British people’s character, success follows. That is a lesson that we should bear in mind in the coming days and weeks.
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