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  • Helen Whately – 2023 Statement on the Testing of Care Home Residents

    Helen Whately – 2023 Statement on the Testing of Care Home Residents

    The statement made by Helen Whately, the Minister for Social Care, in the House of Commons on 1 March 2023.

    The covid-19 pandemic was an unprecedented global health emergency involving a novel coronavirus that we were still learning about day by day, even hour by hour. Even in those early days, the UK Government and colleagues in my Department were clear that testing would be crucial. That is why the former Secretary of State, my right hon. Friend the Member for West Suffolk (Matt Hancock), set ambitious testing targets to drive a true step change in the quantity of tests, because he knew that testing would be a vital lifeline until vaccines could be developed and proven safe and effective.

    The importance of testing was never in doubt, and there was full agreement on that in every part of Government, from the chief medical officer to the Health Secretary and the Prime Minister. But in a situation where we had the capacity to test, at most, a few thousand each day, tough decisions about prioritisation had to be made. Those decisions were taken on the best public health advice available. Thanks in no small part to the bold testing ambitions driven by the Government, we were able to build the largest testing network in Europe.

    I put on record my thanks to all those who worked tirelessly on this mission day and night, from civil servants to the NHS and, of course, our incredible social care workforce, who did so much to look after their residents. They all deserve our lasting gratitude.

    The situation in our care homes was extremely difficult during the pandemic, not just in England but across the UK and, indeed, across the world. Because of the vulnerability of residents and the large number of people who come in and out of care homes, it is vital that we learn lessons.

    It is equally vital that we learn those lessons in the right context. Selective snippets of WhatsApp conversations give a limited and, at times, misleading insight into the machinery of government at the time. The covid inquiry is important so that we have the right preparations in place to meet future threats and challenges.

    Liz Kendall

    Throughout the covid pandemic, Ministers repeatedly claimed that they had thrown a protective ring around England’s care homes and that they had always followed the evidence and scientific advice, but WhatsApp messages from the former Health Secretary revealed in today’s Daily Telegraph suggest that nothing could be further from the truth.

    Will the Minister confirm that the chief medical officer first advised the Government to test all residents going into care homes in early April 2020? Can she explain why the former Health Secretary rejected that advice and failed to introduce community testing until 14 August—a staggering four months later? Can she publish the evidence that following the advice would have muddied the waters, as the right hon. Member for West Suffolk (Matt Hancock) claimed? And can she confirm that 17,678 people died of covid in care homes between the CMO’s advice and the Government finally deciding to act? She should know, because she was responsible for care homes at the time.

    Former Ministers are touring the studios this morning claiming that this delay was simply because there were not enough tests. Where is the evidence for that? Even if tests were in short supply, why were care homes residents not prioritised when the devastating impact of covid was there for all to see?

    Nobody denies that dealing with covid was unbelievably difficult, especially in the early days, but care home residents and staff were simply not a priority. Yet the former Prime Minister and former Health Secretary were first warned about the emerging horror in care homes by my hon. Friend the Member for Hove (Peter Kyle) in March 2020. I myself raised the lack of testing in care homes with the Health Secretary on 8 April, 28 April, 19 May and 17 June 2020, long before the CMO’s advice was finally followed.

    The Minister will no doubt say that all these issues will be looked at in the public inquiry, but its findings will not be available for years. The families of the 43,000 care home residents who lost their lives will be appalled at the former Health Secretary attempting to rewrite history—an attempt that will turn to ashes along with his TV career. We need more humility and less celebrity from the right hon. Member for West Suffolk, and above all we need answers.

    Helen Whately

    It is relatively easy for the hon. Member to come to the House today and make these highly political points. Knowing how she and I worked together in the pandemic, and that she and I talked about all that we were doing to look after people in care homes, I am shocked and disappointed by the tone she has taken today, when we are dealing with extremely serious questions.

    I will turn first to some of the difficult prioritisation decisions that were made, given the limited quantity of testing we had at the beginning of the pandemic. The Government followed the expert public health advice available at the time. We had the capacity to test just 3,000 cases a day in mid-March, and I am sure colleagues will understand why the health advice at the time was to prioritise those working on our NHS frontline and, for instance, the testing of people in hospitals and care homes who had symptoms. In fact, the courts have already agreed that our prioritisation decisions on testing were completely rational.

    As we dramatically ramped up testing capacity, we also adjusted that prioritisation in line with the public health advice and the capacity, so by mid-April—just a month later—with testing capacity exceeding 38,000, we were in a position to test more widely. In fact, that is reflected in our adult social care plan published on 15 April, which made it clear that everyone discharged from a hospital to a care home should be tested even if asymptomatic, and that all discharged patients, regardless of the result of their test, should be isolated for 14 days. It is worth reflecting just what a dramatic increase in testing the Government oversaw, from just 3,000 in March 2020 to over 38,000 in mid-April, to over 100,000 by mid-May, to the point where we could test many millions in a single week. We established the largest testing network in Europe from a standing start, and the science proves that it saved lives.

    The hon. Lady asked about the content of the WhatsApp messages that have been published. I say to her that it is a selection from a larger quantity of messages. Clearly, while there were discussions and debates between Ministers and colleagues, partly on WhatsApp, there were also meetings and conversations and other forums in which advice was given and decisions made. A huge quantity of that is with the public inquiry, but I can say to her that, for instance, a meeting to discuss the implementation of the advice on testing was not referenced in the WhatsApp messages she is talking about. There is an email following the exchange to which she is referring that says, “We can press ahead straightaway with hospitals testing patients who are going into care homes. And we should aspire, as soon as capacity allows and when we have worked out an operational way of delivering this, that everyone going into a care home from the community could be tested.” As I say, she is basing her comments on very selective information.

    As I said, the hon. Lady knows how the Government, and me personally, strained every sinew, worked day and night, and did everything in our power to help people, and specifically the most vulnerable, during the pandemic. She and I spoke about it regularly during our frequent calls. In fact, at the time I appreciated her perspective, questions and insights from her own area of Leicester. I say to her that we should go about this discussion in the right way for the country. This is not the time to play political games. We should look to save lives. That is the purpose of the public inquiry: to learn lessons in the right way in case this should ever happen again.

    Sir Oliver Heald (North East Hertfordshire) (Con)

    My hon. Friend will agree that it was Labour that called for a public inquiry, and the Government agreed to it. It is a full public inquiry and we could not have a better judge than Dame Heather Hallett, one of our most experienced and distinguished judges. She will do a very thorough job. Does my hon. Friend agree that what we are seeing today is a bit of trial by media and party politics?

    Helen Whately

    My right hon. and learned Friend is exactly right; we are having a public inquiry and the Government are fully co-operating with it so that it has all the information required to look through all that happened, to investigate it and, rather than trying to score political points, to truly learn lessons for the benefit of the country.

    Barbara Keeley (Worsley and Eccles South) (Lab)

    On 2 April 2020, I wrote to the former Health and Social Care Secretary, jointly with my right hon. Friend the Member for Leicester South (Jonathan Ashworth), highlighting the urgent need for testing in care homes for staff and residents and, in particular, for patients being discharged from hospital. I knew at the time, as did other colleagues, that without that testing, care homes in my constituency and those across the country were suffering a heavy toll of deaths of residents. Indeed, one of our care home managers died of covid in my constituency.

    Furthermore, at a session of the Select Committee on Health and Social Care in July 2021, I asked the right hon. Member for West Suffolk (Matt Hancock) why the Government had not taken up the offer from care providers of facilities to isolate people discharged from hospital before admitting them to care homes. He told me that he did not know anything about the letter, despite it being sent by Care England. Will the Minister now admit that the Department and Ministers failed to understand and to involve social care in the key decisions about the covid pandemic, and ignored letters offering help that could have saved lives?

    Helen Whately

    The hon. Lady is right about the importance of testing. It is a view that she has and that I had at the time; some of the exchanges will show how I, as Social Care Minister, was arguing very hard for testing for care homes, as Members would expect. I know that other Ministers and other people were arguing for the things that they had oversight of. Ultimately, of course, the Health Secretary and the Prime Minister had to make decisions, based every step of the way, clearly, on the scientific advice on these things, as we did. To that point, during the course of the pandemic, as the capacity allowed, millions of tests were distributed to care homes. As I have said, as the capacity increased, care homes were prioritised in that process. Specifically to address one of the points she made, let me say that the guidance set out on 15 April was not only that everyone discharged from hospital to a care home should be tested, but that they should be isolated.

    Mr Peter Bone (Wellingborough) (Con)

    It seems that the Opposition want to rewrite history. The fact is that at the time people did not know what was right or what was wrong. The then Secretary of State listened to a whole lot of advice and then had to make a decision. Even one of the WhatsApp messages I have seen said:

    “Tell me if I’m wrong”.

    What should happen is that the covid inquiry should deal with all these matters properly. The one question I have for the Minister is this: is it possible to get the covid inquiry to report earlier?

    Helen Whately

    I completely agree with my hon. Friend about the covid inquiry being the right place for people to go through the details of what happened—who said what and, as he said, the genuine debates that took place behind the scenes. This was a new virus and, at the time, we had only limited information about it. For instance, when it first hit our shores, it was not known who would be most vulnerable to it. We also did not know about asymptomatic transmission. There was a huge amount of uncertainty at the time, but the best possible decisions were made. As for the timing of the public inquiry, that is not within the control of Ministers.

    Daisy Cooper (St Albans) (LD)

    The leaked WhatsApp messages from the then Health and Social Care Secretary, the right hon. Member for West Suffolk (Matt Hancock), showed that, despite a shortage of covid tests in September 2020, one of the Minister’s advisers sent a test to the home of the right hon. Member for North East Somerset (Mr Rees-Mogg) by courier. This is yet more evidence that it is one rule for Conservative Ministers and another for everyone else. Can the Minister please inform the House how many other Government Ministers, Conservative MPs and their families received priority tests during the pandemic when there was a shortage of tests?

    Helen Whately

    It is difficult for me as a Minister to see WhatsApp messages from me in the pages of a newspaper. If the hon. Lady has read those, she will have seen that I was seeking a test for a member of my family and that I used exactly the same test app as everybody else to try to access a test that was needed.

    Tim Loughton (East Worthing and Shoreham) (Con)

    I seem to recall that two years ago, when there was a limited supply of testing equipment, there were all sorts of calls for certain groups to be prioritised. There were also urgent calls for available beds in hospitals to be freed up to cope with the likely surge in cases. In hindsight, some of those priorities may have been wrong, but at the time it was an urgent situation. Will my hon. Friend confirm that exactly the same set of priorities about access to testing prevailed in Wales, and it took the Welsh Government two weeks longer to mandate testing for care home residents in Wales than it did in England? Why are we not seeing equal outrage from the Opposition about that?

    Helen Whately

    My hon. Friend makes an important point about the challenges that were faced around the world in handling the pandemic, and very conspicuously for us across the UK. Decisions were having to be taken in Scotland, Wales and Northern Ireland as well as here in England. Had Opposition Members been in our position, in government, and having to make these difficult decisions, I am sure that they, like us, would have strained every sinew and done their very best to make the best possible decisions in a situation of limited information.

    Janet Daby (Lewisham East) (Lab)

    Even if we now know that the Secretary of State was not following the scientific advice, the Minister was in her job at the time these decisions were being made. Can she explain why she did not do the right thing then? Was she not listening to the chief medical officer either?

    Helen Whately

    I fear that the hon. Lady did not hear my previous answer, which was that the public health advice and the advice of the chief medical officer was followed. Of course there is a job to do when advice is given, and then there are the practicalities of implementation. As the volume of tests became available, those tests were used as advised, following the public health advice.

    Dr Kieran Mullan (Crewe and Nantwich) (Con)

    I will not forget the totally shameless politicking by Opposition Members during the pandemic. I specifically remember the Deputy Leader of the Opposition, who is no longer in her place, and the Leader of the Opposition talking about how we had the worst death toll in Europe. They said that again and again. [Interruption.] I hear the shadow Minister say from a sedentary position that we did, but the studies now show that we were ahead of Italy, ahead of Spain, broadly in line with France and Germany, and very far from the worst in Europe. Have we ever heard any Opposition Member come to the Dispatch Box and apologise for misleading the British public about our record during the pandemic? Does my hon. Friend agree that they might seek to do that before criticising us any further for our record?

    Helen Whately

    My hon. Friend is right. The right thing for us to do as a country is to reflect overall on how we handled the pandemic, on the decisions that we made and, indeed, on how prepared we were in the first place. That is the right way to do it. Of course we regret every life that was lost; I think about the families who lost mothers, fathers, brothers, sisters and grandmas. It is so deeply sad that so many lives were lost, but that is something that affected us here in England, across the UK and, indeed, across the world. But the right thing for us to do is to look at these things in the reasoned environment of the inquiry and then use the lessons learned and the reflections from that inquiry to make sure that, in the event that we ever have to face another pandemic like it, we can do better.

    Karin Smyth (Bristol South) (Lab)

    The Government entered the pandemic unprepared, ignoring the lessons from Operation Cygnus, and ran the NHS at 96% capacity. That was part of the problem. We all know that mistakes happen. We all know that it was really difficult. However, today is disappointing, because some humility should have been brought to this place. More than 17,000 people lost their lives. It is our job as the Opposition to scrutinise decisions. The former Secretary of State has thrown his colleagues under a bus because of his own vanity, but I suggest that Government Ministers need to use this time before the inquiry to ease families’ suffering by coming forward with more detail on actually what did happen.

    Helen Whately

    There has already been a legal investigation into some of the aspects that we are talking about today. Given the huge number of decisions that had to be made and the period of time that we are talking about, the right way to do this is to bring all the evidence together, in the form of a public inquiry, and have it fully examined. That is the best way to answer the sorts of questions that the hon. Lady suggests.

    Damian Green (Ashford) (Con)

    This is a profoundly serious question—literally a matter of life and death. As such, I am sure that my hon. Friend is right to say that the appropriate way to reach conclusions is through a proper public inquiry conducted by a very distinguished judge. Can she assure the House that the Government will be as transparent and as open as possible in giving evidence to that public inquiry, so that we can all be confident at the end of this that we have reached the appropriate conclusion?

    Helen Whately

    I can absolutely assure my right hon. Friend that the Government are sharing with the public inquiry a huge quantity of evidence so that it can reach the best possible, best informed conclusions.

    Clive Efford (Eltham) (Lab)

    The emails and WhatsApp messages expose the fact that the scientific advice was that people leaving hospital should be swabbed before going into care homes, and the Government ignored that. That shows that the Government were not following scientific advice. The Minister has said that other priorities had to be considered before the Government could implement that policy, but no one would have been more aware of the competing priorities than Professor Whitty. What was it that the Government knew that Professor Whitty did not when they decided not to follow his advice?

    Helen Whately

    It really feels as though Opposition Members have not been listening to my answers. The public health advice was followed. The situation was that we had a limited capacity for testing. That is not spelled out in those messages, because, as I have said, other meetings and other conversations were taking place. As soon as testing capacity was available, further testing was used—for example, on people being discharged to care homes. Having been Care Minister at the time, I can tell the hon. Gentleman how hard we worked across Government. We all worked—not only me, but all of us involved in this—to get millions of tests out, during the course of the pandemic, to care homes in order to help protect those residents. This was followed by our prioritising those in care homes for the vaccination because, when it came down to it, although testing was helpful, what really made a difference was being able to vaccinate people. That is what really started to provide protection.

    James Wild (North West Norfolk) (Con)

    Is it not regrettable, if all too typical, that the Labour party ignores the fact that when the pandemic struck there was capacity for only 2,000 tests a day—ignoring, too, the huge, successful efforts to massively increase that capacity—and instead chooses to leap on partial information to make political points rather than listen to the full facts of the public inquiry?

    Helen Whately

    My hon. Friend is absolutely right about how we ramped up incredibly fast from a capacity of just 3,000 tests a day in March 2020, to more than 38,000 in mid-April, and more than 100,000 by May. We were then able to test many millions per week during the course of the pandemic. That was the most extraordinary increase in the capacity to produce, carry out and analyse tests, and he is absolutely right to draw attention to it.

    Derek Twigg (Halton) (Lab)

    The Minister said that what my hon. Friend the Member for Leicester West (Liz Kendall) said was shocking. What is shocking is the number of people who died but who might have been saved in the first place. Is the Minister really saying that, at the beginning of the pandemic, there was no rush to get people out of hospital and back into the community without being tested?

    Helen Whately

    The questions about the discharge policy have been interrogated on a number of occasions, including by Select Committees. The hon. Gentleman will well know that in general, and in the work that we are doing now on discharge, it is rarely good for somebody who is medically fit for discharge to continue to be in hospital beyond that time. So of course it is right that when people are medically fit, they should be discharged home. The guidance of how that was done was set out on a number of occasions during the pandemic, and that guidance was updated both as we learned more about the virus and as greater testing capacity became available.

    Alexander Stafford (Rother Valley) (Con)

    I am very proud of this Conservative Government’s record during the pandemic: 400 million tests, a world-leading and world-beating vaccine programme, and £400 billion spent to keep jobs and people’s prospects going. Clearly, hard decisions were made, and hindsight is a wonderful thing, but we should not be reflecting with hindsight now; we should deal with the facts at hand. Does the Minister agree that this Government will continue to take measures, and that if—God forbid—there is another pandemic, we will not let party politicking get in the way of making decisions to protect lives, fund jobs and keep our country going?

    Helen Whately

    My hon. Friend is absolutely right to point out the extraordinary things that were done during the pandemic. I do not think that the Government should seek to take credit for that; so many people worked incredibly hard, whether in local authorities, social care or the NHS, or through their involvement in supply chains and the huge efforts to secure personal protective equipment when that was incredibly hard to get hold of across the world. I am glad that he draws attention to some of those things. He is absolutely right that, in the context of the public inquiry, we should reflect overall.

    Mrs Emma Lewell-Buck (South Shields) (Lab)

    In April 2020, now-disappeared Government guidance in relation to hospital discharges stated:

    “Negative tests are not required prior to transfers/admissions into the care home.”

    It was later reported that the Minister then leaned on Public Health England to alter its proposed advice to care homes from ensuring that those discharged from hospitals tested negative to not requiring any testing at all. Why, at every stage, were the Government content to send people to their deaths in our care homes?

    Helen Whately

    I do not recognise the hon. Lady’s account at all. If she looks back at one of the legal cases that has looked into this question, she may find more accurate information about some of the conversations that went on behind the scenes. I can assure her that, as she would expect, in my capacity as social care Minister, I fought the corner for people receiving care—both home care and in care homes—throughout the pandemic.

    Aaron Bell (Newcastle-under-Lyme) (Con)

    Leaked WhatsApp messages will be partial and selective, but in reading even those I note that the Minister was doing her job on behalf of my constituents. In a message on 8 April, she spoke up for a care home in Newcastle-under-Lyme and raised it with the Government and her fellow Ministers. Everyone was doing their best. I served in the lessons learned inquiry, and there are lessons that can be learned with the benefit of hindsight, but the hindsight that we have seen from the Labour Front Bench is opportunistic. Does she agree that the Government were doing everything they could to respond to an unprecedented situation under severe pressure and severe supply and capacity constraints?

    Helen Whately

    My hon. Friend is 100% right. The context is absolutely important as part of this conversation. It was a global pandemic about which very little was known and about which we worked incredibly hard to find out more, and on which we continually made the best possible decisions in the light of the information that we had. At all times, we prioritised protecting people and saving lives, particularly those who we learned would be most vulnerable. It is extremely disappointing to see an attempt to play politics with this issue.

    Dan Carden (Liverpool, Walton) (Lab)

    Care home residents and their families were failed not just at the beginning of the pandemic but in the months and years that followed, as families and loved ones were prevented from visiting. The leaked WhatsApps show that the Minister was arguing against the ban on visiting. Can she say why the ban was sustained for so long throughout the pandemic, and what plans she has to ensure that families with loved ones in care homes have the right to visit if this ever happens again?

    Helen Whately

    I know how strongly the hon. Member feels about this. Clearly, we are having ongoing conversations about visiting in care homes at the moment. As is evident in the WhatsApps, I was concerned during the pandemic about ensuring that families were able to see loved ones in care homes. As I have said in response to a number of questions, public health advice had to be taken into account all the way through the pandemic. Getting the right balance between protecting people from the risk of covid being taken into care homes and seeing friends and family will, I am sure, be looked into as part of the public inquiry discussions to answer questions such as his about the decisions taken on visiting. I will continue to work with him here and now to ensure that those who are currently in care homes get the visiting that they need.

    Emma Hardy (Kingston upon Hull West and Hessle) (Lab)

    The front page of today’s Telegraph, which reveals that the medical advice was not followed, will be heartbreaking for so many families up and down the country, re-opening the grief that so many felt about the loss of their loved ones. I have listened carefully to the Minister’s responses, and she has basically said that she is unable to compel the public inquiry to move more quickly—that it is above her pay grade. But what she could do now is commit to lobbying the Government to complete that public inquiry before the end of the year, and to doing everything she can to bring those answers forward for all those families who are today feeling so deeply hurt and upset.

    Helen Whately

    On the first point about the use of public health advice, the hon. Lady is wrong; all decisions were informed by public health advice. On her request about the public inquiry, that inquiry is independent of government, so I cannot do what she asks.

    Florence Eshalomi (Vauxhall) (Lab/Co-op)

    To reiterate the point that my hon. Friend the Member for Kingston upon Hull West and Hessle (Emma Hardy) just made, every time there is a statement, every time there is a revelation, every time such an issue is raised, whether in this House or in the press, it triggers trauma for many people who have not healed from losing their loved ones, who were not able to go to funerals, and who were not able to seek closure. I hope that the Minister will reflect on her response in that context.

    To come back to the public inquiry, Covid-19 Bereaved Families for Justice said that the revelations show why the inquiry must allow the bereaved families to

    “be heard in the hearings and for our lawyers to cross-examine key people”—

    including the former Secretary of State, the right hon. Member for West Suffolk (Matt Hancock)—

    “so we can get full answers to our questions in the right setting instead of having to relive the horrors of our loss through exposés.”

    Does the Minister agree?

    Helen Whately

    As I have said, we are talking about, very sadly, people’s lives being lost—people’s mothers and fathers, grans and grandpas, sons and daughters, and sisters and brothers. We should always remember the genuine and real human cost, as well as all those who worked in health and social care looking after dying people and who had a traumatic time themselves.

    On the trauma that the hon. Lady talks about, it is Labour Front Benchers who have asked the urgent question and made this conversation happen in this forum rather than in the context of a public inquiry, which might encourage a more reasoned form of debate. I hope she will have noticed that my tone fully appreciates the points that she makes, but it is not for me to dictate who will give evidence to the public inquiry.

    Justin Madders (Ellesmere Port and Neston) (Lab)

    As the Minister will recall, I spoke for the Opposition on dozens of regulations to do with the pandemic, and on occasions I questioned some of the decisions that were made. The suspicion was that sometimes political rather than medical or scientific decisions were taken. What has come out overnight has caused me to question that again, and I hope she can understand why. It is an important question of trust for us as politicians but also for the wider public. Does she agree that rather than a partial and selective release of information to sell newspapers or books, the public deserve from the Government the release of all information so that we can get to the bottom of this?

    Helen Whately

    I do remember many of those SI debates. I can assure the hon. Gentleman that it was not political decision making as he suggests. At every step of the way, Ministers such as I, the Health Secretary and of course the Prime Minister were making incredibly difficult decisions but always trying to do the right thing to save people’s lives and to protect people from that cruel virus which particularly attacked those who were most vulnerable, such as the frail elderly. In doing so, we continuously took public health advice. The way to look into everything that happened is indeed through the public inquiry: that is where the evidence is being provided and that is the forum in which the reflections will be taken and the lessons can be learned.

    Layla Moran (Oxford West and Abingdon) (LD)

    My heart goes out to the bereaved families and I cannot imagine what they must be feeling again today. My heart also goes out to care workers, many of whom lost their lives having contracted covid. Many also survived but are now living with long covid and have lost their livelihoods. The Minister may be aware that advice from the Industrial Injuries Advisory Council that would give compensation to just some of those brave workers is currently with the Department for Work and Pensions. In a recent meeting with me, the Minister told me that it could take years for that to be taken up. What conversations has this Minister had with the DWP and, if it will take years, will her Department set up a compensation scheme so that those brave workers get the support they deserve?

    Helen Whately

    As the hon. Lady says, care workers were among those on the frontline during the pandemic and they had some incredibly difficult experiences. They took the risk of catching covid and, very sadly, some care workers and NHS workers were among those who lost their lives. Others have long covid. The question of compensation is currently with the Department for Work and Pensions. The Minister for Disabled People, Health and Work, my hon. Friend the Member for Corby (Tom Pursglove), is in his place on the Front Bench: his Department is looking at this and will respond in due course.

    Jim Shannon (Strangford) (DUP)

    I thank the Minister for her answers. Everyone’s thoughts and prayers are with those who lost loved ones. The impact of the covid lockdown on mental health was felt most keenly in care homes. To see what the elderly people were put through, and learn that the full protections were not in place and they could not see loved ones at the end of life, is totally unacceptable. What would the Minister offer to those who lost precious hours with those they loved and adored on hearing this tragic news today?

    Helen Whately

    I reiterate to those living in care homes and their loved ones and families that the Government took every step throughout the pandemic to protect those we knew were vulnerable. For instance, we prioritised testing with more than 180 million tests going to care homes during the pandemic, and we prioritised vaccinations. I remember talking to residents in care homes at the time, and vaccination was a huge moment for them because it was the first time they had felt really protected from that cruel virus. I know how hard it was for families that they could not see loved ones in care homes, and that was one reason we put out guidance about visiting, saying that if someone was close to end of life they should be able to receive visitors. I will continue to do my utmost as Minister for Social Care to make sure that we do our very best for those living in care homes.

  • James Murray – 2023 Speech on Removing VAT from Sunscreen Products

    James Murray – 2023 Speech on Removing VAT from Sunscreen Products

    The speech made by James Murray, the Labour MP for Ealing North, in Westminster Hall, the House of Commons on 9 February 2023.

    It is a particular pleasure to serve in this debate with you, Mr Sharma, my parliamentary neighbour, as Chair. I congratulate the hon. Member for East Dunbartonshire (Amy Callaghan) on securing the debate and raising this important health issue. I am pleased to be here on behalf of the Opposition and I thank all hon. Members for their contributions. People have spoken powerfully about the impact that skin cancer can have on people’s lives, and on friends and family.

    There is consensus among hon. Members present about the importance of sunscreen products and their growing importance in our lives. While these products have perhaps historically been associated more with travel to warmer climates, the past year has demonstrated how susceptible we are to heatwaves and the intense periods of direct sunlight they can bring to the UK.

    I echo what other hon. Members have said today. Organisations including Cancer Research UK have long made clear that the amount of UV exposure over someone’s entire lifetime is one factor that contributes significantly to the risk of skin cancer. According to the research, melanoma is the fifth most common cancer in the UK, with 16,000 cases a year, of which almost nine in 10 cases are preventable. It is vital that people can access sunscreen products when they need them.

    As we heard earlier, high factor sunscreen products are already available on the NHS prescription list for a few specific conditions, and are exempt from VAT when dispensed through pharmacies. However, we are only too aware of the crisis facing our NHS and the difficulties people can encounter trying to secure an appointment with an NHS GP. That may restrict access to prescriptions, especially in cases where a repeat prescription is not available.

    In her response, it would be very helpful if the Minister could share with us any information she has on the number of people receiving sunscreen products as a prescription on the NHS, and how many receive their prescription free of charge. It would also be helpful if she could update us on the average waiting time to obtain an NHS GP appointment. I am sure that the Minister will also set out the Government’s position in response to the call from the hon. Member for East Dunbartonshire. The Opposition appreciate that expanding the scope of VAT release is a complex consideration that can add pressures to public finances.

    There is a wider point about the affordability of sunscreen and other products that consumers may need to buy, as my hon. Friend the Member for Reading East (Matt Rodda) said. As the cost of living crisis has deepened, costs for ordinary households have risen to record highs. The Office for Budget Responsibility has predicted that living standards will be worse at the end of this Parliament than they were at its start. It has also outlined that real post-tax household income is expected to fall by 4.3% in 2022-23—the biggest fall since comparable records began nearly 70 years ago.

    Finally, I would be interested to hear from the Minister what discussions the Government have had with sunscreen product manufacturers and retailers to determine what steps can be taken to ensure that such products are affordable for consumers. I would be grateful if she could also set out what support those manufacturers have said they may want or need from the Government to help make sure this can be achieved.

  • Patricia Gibson – 2023 Speech on Removing VAT from Sunscreen Products

    Patricia Gibson – 2023 Speech on Removing VAT from Sunscreen Products

    The speech made by Patricia Gibson, the SNP MP for North Ayrshire and Arran, in Westminster Hall, the House of Commons, on 9 February 2023.

    It is a pleasure to serve under your chairmanship, Mr Sharma. I am delighted to participate in the debate and I pay tribute to my esteemed colleague, my hon. Friend the Member for East Dunbartonshire (Amy Callaghan), for her pursuit of this important matter and for her excellent, comprehensive and very powerful opening speech.

    My hon. Friend, along with the hon. Member for Erewash (Maggie Throup), came to Westminster Hall today to speak as a survivor. That gives what they say power and authenticity. When survivors speak, it is incumbent on us all to listen to the lessons they are trying to teach us. Whether we are in government or not, what they say matters and must be listened to in that way.

    It seems odd to most people that suncream is not already classified as an essential healthcare item in the UK and, as such, is not exempt from VAT. After all, we know and have heard today in some detail that suncream plays a vital role in preventing serious health conditions such as skin cancer. In all honesty, I am not aware of anybody who wears suncream for cosmetic purposes; they wear it because the consequences of exposing themselves to the sun without sunscreen are extremely serious and potentially fatal. That is because it provides protection against harmful ultraviolet radiation. Importantly, it is strictly regulated to ensure that it provides sufficient ultraviolet protection for consumers, so there is no sense or logic in classifying it as a cosmetic product.

    As we have heard, that is recognised in the US, where sunscreen is regulated by the Food and Drug Administration, and in Canada, where it is classified as a non-prescription drug, so there is international precedent for reclassifying the product as a healthcare item. The hon. Member for Strangford reminded us of those international examples and precedents for the change that everybody in the Chamber seeks.

    The debate matters, and it is even more important when we consider that skin cancer is now much more common across the UK, where around 16,000 new cases of melanoma are diagnosed each year. Of the 16,000 people who are diagnosed, about 2,300 will die. Cancer Research UK concludes that being sunburnt just once every two years can triple the risk of melanoma, and statistics show that more than one in four skin cancer cases are diagnosed in people under 50. When we consider the cost of treating the growing numbers of people diagnosed with skin cancer, removing VAT from suncream should be considered as important preventive spend. I suspect that the Minister will tell us about the pressure on the public finances and the significant contribution that VAT makes to the public finances, but, like others in the debate, I find it unbelievable that simply removing VAT from sunscreen—that one act on its own—would create insurmountable fiscal challenges for the Treasury. It would make sunscreen more affordable, and that can only be positive when we think about the quest to reduce skin cancer cases and pressure on our NHS.

    Some retailers, such as Tesco, have decided to absorb the cost of VAT on sunscreen, so that at the point of sale the consumer is spared that cost. It is worth noting that when Tesco made that announcement, in May 2021, consumers were outraged to discover that sunscreen was subject to VAT. There is a lesson in that outrage for all of us and for the Government: we are working in a situation in which the public believe one thing when the reality is entirely different. Of course, the public are using logic, which we all want the Government to use. The work that Tesco and other retailers have done is to be applauded, but it is a pity that the Government will not and have not taken the lead on the issue and shown that they understand the importance of making that important health product VAT-free.

    Tesco made the decision to absorb the cost of VAT on its sunscreen products because, after it did some research, it discovered that 57% of adults think sunscreen is too expensive, 29% say that they would wear it daily if it was a little bit cheaper and 31% of parents—this is important in terms of the stats for melanoma—state that they cannot always afford to apply sunscreen to the whole family. That means that this is not really a debate about sunscreen; it is a debate about public health. It is hugely disappointing that the Government are content to leave this important public health concern to the discretion of retailers, who have taken a lead on the issue. It is important that retailers have done so when the Government have not acted, because we know how financially challenged households are at this time.

    I do not want to second-guess what the Minister will say, but I suspect that she will say that high factor sunscreen is available on the NHS on prescription for certain conditions, and therefore is provided VAT-free when dispensed by a pharmacist. That point has been made to me in the past. As my hon. Friend the Member for East Dunbartonshire said, that does not really help someone in Scotland; to be honest, it does not really help all the people who do not get it on prescription but who would benefit enormously from using it.

    Removing VAT from sunscreen for everybody will help make the product just a little cheaper during these difficult times. More people would be able to stretch to affording it and would get the protection they need, and it would thereby help to prevent some of the 16,000 diagnoses a year of melanoma. We all urge the Minister to rethink. This is not a debate about the wider principle of VAT—we understand that VAT is levied on certain products. It is about VAT on sunscreen. When I have asked about the issue in the past, I have been told, in great detail, why VAT matters. VAT does matter, but the Treasury is well able to forgo VAT on this particular product, for the sake of public health.

    The levy on this particular product has to end. As my hon. Friend the Member for East Dunbartonshire said, that would logically go alongside a public health campaign on the importance of wearing sunscreen. Such measures would ultimately take pressure off our NHS. I urge the Minister to ensure that sunscreen is no longer categorised as a cosmetic item—that is just daft; it is ludicrous. We need to call it what it is. Sunscreen is an important weapon in our armoury for tackling melanoma.

  • Matt Rodda – 2023 Speech on Removing VAT from Sunscreen Products

    Matt Rodda – 2023 Speech on Removing VAT from Sunscreen Products

    The speech made by Matt Rodda, the Labour MP for Reading East, in Westminster Hall, the House of Commons on 9 February 2023.

    It is a pleasure to serve under your chairmanship, Mr Sharma. I congratulate the hon. Member for East Dunbartonshire (Amy Callaghan) on her excellent work in securing this debate and on her powerful speech. I also commend colleagues from all parties in the House for their speeches.

    I want to make three brief points, first about the obvious importance of sun protection, secondly about the context of the cost of living crisis, and thirdly about the importance of investment in public health.

    First, on sun protection, we have heard a persuasive argument today about the importance of protecting ourselves from skin cancer. Quite clearly, it is a threat that can be managed and that we can protect ourselves from, and the hon. Member is absolutely right to point that out. However, those 2,000 preventable deaths surely prompts a question for the Government: what is the state of their current public health work on this important matter? I hope that the Minister will be able to answer that in detail when she responds.

    I also urge colleagues from all parties in the House to consider the context for families—who will perhaps have started thinking at this time about booking a summer holiday, or going away for a weekend or to the seaside at Easter—because we are living through the most serious and sustained cost of living crisis for 40 years. When families go to purchase everyday goods, they will see cost increases of around 20% for those goods in the supermarket, and there is a real issue with additional items possibly not being bought as a result. We need to understand that that is a huge risk. There have been many reports in the media of families paring back other products and services because they are under such severe pressure. I hope the Minister will consider that context and see the obvious additional importance of wise public health advice and any measures that are deemed necessary.

    When we consider the cost of the summer as a whole for families, particularly those with two or even three children, which involves buying hats, sunglasses, loose-fitting clothing—as we heard earlier—and sunscreen, there are quite obviously considerable extra costs for the many families who are thinking about a summer holiday, either in the UK or abroad. Obviously, sunscreen is part of that cost, so the point that the hon. Member for East Dunbartonshire made about the cost of sunscreen is an important one.

    Finally, I turn to the need for more investment in public health. It is noticeable that in this country we have a very strong tradition of public information campaigns, which have actually been very successful over the years. Some of us will remember campaigns such as Clunk Click, or other campaigns to try to prevent smoking or many other health risks. What are the Government prepared to do to try to prevent the risk of melanoma, perhaps through better advice, through the media and by directing Government information in a more effective way?

    There is also a wider point about working with the health service and other public health professionals. It is a tragedy that since 2010, and certainly for the period immediately before the pandemic, there was a cut in Government spending on public health. In my opinion that is a tragedy, and sadly many important health priorities were allowed to drift in that time, including action to tackle smoking, and there may well be other important measures that were not supported, possibly including the battle against melanoma.

    I am conscious of time, so to conclude, this is an important health issue, and the hon. Member for East Dunbartonshire has made an interesting point. This debate is also timely, given that this is the time of year when many families are booking holidays and considering what to do in the summer, and at Easter and in other holiday periods approaching in the spring. I look forward to hearing the Minister’s response, and I hope she will address a number of the points made today.

  • Jim Shannon – 2023 Speech on Removing VAT from Sunscreen Products

    Jim Shannon – 2023 Speech on Removing VAT from Sunscreen Products

    The speech made by Jim Shannon, the DUP MP for Strangford, in the House of Commons on 9 February 2023.

    It is pleasure to be called to speak in this debate and to serve under your chairmanship, Mr Sharma. I thank the hon. Member for East Dunbartonshire (Amy Callaghan) for bringing the issue forward. She and I have been friends for a long time in this House, and I am really pleased to see her in her role here. We share APPG roles and I deputise for her—not very well; she does it much better than I do. What a pleasure it is to be here.

    I want to add a Northern Ireland perspective to this debate, as I always do. I fully support the hon. Lady’s request to reduce VAT on sunscreen products. Melanoma is a growing health problem in Northern Ireland. My office has six staff members, and three of them—50%—told me that they have immediate family members who had melanoma. One of the younger girls, who is in her early 20s, admitted that she used sunbeds until her father had third-stage melanoma. This is not a disease of the tropics. Perhaps because of our skin and where we are from, we take the sun a wee bit more aggressively than they do in the Mediterranean, for instance. We usually go boiled red to start with, and then when the pain is too much we move to the sunscreen, which we should have done at the very beginning.

    It has been found that 86% of cases of melanoma can be prevented by adopting simple sun protection measures, including wearing factor 30-plus sunscreen. That is a very small thing to do, but the hon. Members for East Dunbartonshire and for Erewash (Maggie Throup) and I are asking the Government to do something to incentivise that. We are not asking for a lot; we are just asking for a wee nudge in the right direction. The United States of America and Australia have already done that.

    The incidence is increasing, and there are now more than 16,000 new cases of melanoma skin cancer each year in the UK. The problem is growing, and therefore the need is greater than it ever was. Of course, that does not take into account repeat diagnoses of melanoma—the hon. Member for East Dunbartonshire said that she got it twice.

    In the 15-to-44 age group, melanoma skin cancer is the second most common cancer in males and the third most common in females. I find it difficult to comprehend why that is the case when all those people were taught the dangers of the sun in school. We were told to be careful when we go out—mum and dad told us that as well, but more often than not we ignored it.

    Amy Callaghan

    Does the hon. Gentleman agree that, despite people believing they do not need to wear sunscreen in Scotland, Northern Ireland and other places across the UK, it is essential that they do? They are more likely to contract melanoma if they are pale and fair haired, or have red hair, which is common in our isles.

    Jim Shannon

    In my case, with no hair.

    Amy Callaghan

    You’ve got a wee bit.

    Jim Shannon

    I’ve got a wee bit round the sides. I used to have a whole lot of hair. The hon. Lady makes a fantastic point, and it is true: we are of a fair skin, and that right away puts us in the target area.

    We have the information, but for some reason the message just is not getting across. One in 36 males and one in 47 females will be diagnosed with the deadliest form of skin cancer in their lives, so we need to stop seeing sunscreen as a luxury, like a nice moisturiser. We should instead see it as an essential, like good nutrition or drinking water. If it is put in that category, the seriousness of what we are trying to achieve will be clear.

    One way of getting the message across is to make it cheaper to purchase sunscreen. My speechwriter—a very busy girl—loves her holidays abroad. I think it is because it means she does not have to answer my calls for two weeks. She has no speeches to prepare, and of course she has no internet access due to overseas roaming charges. She never buys sunscreen before she goes because it is half the price in Florida—that is where they go for their holiday every year. She waits until she gets to Florida and buys enough to bring home and do the whole year back here, because the savings are significant. Hon. Members might say that is an Ulsterman or Ulsterwoman thing, but we do look for a bargain. If it is a bargain that helps our skin and protects us, that is why we do it.

    In the US, sunscreen products have been exempt from VAT-style taxes since 2012. In Australia, they are exempt provided they are principally marketed for use as a sunscreen and have an SPF rating of 15 or more. The reason for that is that in Australia and America, sunscreen is seen as an essential daily living product. That is how they categorise it. Some of us have been conditioned to see it as a holiday item, but they see it as something they need to have all the time. Many people who have never gone abroad have melanoma. It is not a holiday problem; it is a lifetime problem.

    Public polling indicates that many people find the cost of sunscreen too high, and with the current cost of living crisis deepening, that cost is likely to deter increasing numbers of people from buying sunscreen. The major retailers Tesco and Asda have recognised cost as a prohibitive barrier for people buying sunscreen, and Tesco reduced the price of its own-brand sunscreen by 20% in 2021 to offset VAT. In a consumer poll—such polls are good barometers of what people are thinking—some 57% of respondents said that the product was too expensive, and 29% claimed that they would wear it daily if it were a little bit cheaper. Incentivise it, make it happen and address the issue.

    The call for VAT to be removed from sunscreen was part of a sun safety campaign in 2013. That is why I support removing VAT from sunscreens that are factor 30 or more: as Melanoma Focus has said, doing so will make sunscreen more affordable and send a powerful message from the Government about the importance of skin protection. We only have one chance for our skin: it will last us our lifetime, but if we have constant cases of melanoma, then unfortunately it might not last us for the right time. I further support the recommendation that that measure be coupled with a Government-backed cross-media awareness campaign akin to the Australian Government’s successful Slip, Slop, Slap campaign, which the hon. Member for East Dunbartonshire referred to. It reminds me of one of those catchy 1960s tunes from when I was a wee boy—I am aging myself by saying that —but a campaign is significant.

    With increasing temperatures in the United Kingdom from climate change, such a measure is becoming increasingly urgent. The hon. Member deserves great gratitude for bringing this debate forward, because—as others have said, and as those who follow my speech will say as well—this is an urgent subject. Removing VAT from sunscreen would not have been possible under EU rules, but it is now; there is nothing to restrict us, except those of us who live in Northern Ireland. I hate to say it, but in every debate I have, I have to temper everything with the Northern Ireland protocol. In Northern Ireland, we would not be able to take advantage of leaving the EU in this way, due to the protocol. However, that is a different issue for another day.

    Melanoma Focus believes that if this policy were implemented, the reduction in VAT revenue would be offset by reduced melanoma skin cancer cases and therefore reduced costs to the NHS. That is a crucial factor: if we take action to ensure that people can protect themselves more by being able to buy sunscreen that wee bit cheaper, we can ensure that those people do not need ongoing healthcare, with its associated costs. That seems logical to me.

    Amy Callaghan

    The hon. Gentleman is making a great speech, and I welcome his support for VAT Burn. On his point about the EU, there are little to no advantages of Scotland being outwith the EU, but while we are tied to this place and also outwith the EU, we can reform the VAT on products such as sunscreen. We will take that tiny little benefit that we can, and we appreciate it.

    Jim Shannon

    I thank the hon. Lady for her intervention. We certainly encourage the Government to take advantage of opportunities to promote better health as a result of leaving the EU.

    The “Getting It Right First Time” NHS review of dermatology highlights high and increasing demand for skin cancer treatment, with 200,000 surgical operations for suspected skin cancer carried out every year, and skin cancer rates doubling every 14 to 15 years. That is the main factor driving the request being made today. When it comes to health, those are the stark figures, and I believe they highlight the need for additional workforce to meet current and future pressures, and also suggest that we need to raise sun and skin awareness to reduce pressures on dermatology services.

    In conclusion, I support the call to remove VAT from sunscreen. I say to the Minister, who knows that I respect her greatly, that we make that call today because we believe it is worth supporting. The Government have taken other steps when it comes to VAT—the hon. Member for East Dunbartonshire referred to sanitary products. Removing VAT from those products was something that the Government should have done; they did so, and I welcome that. Today, we make another request.

    It is not just a matter of listening; it is also about taking action to protect our people and our NHS, and the future of its services. Here is a figure for everyone— 85% of cancer is preventable. This is preventable, if we take some steps in the right direction. Let us take the steps in this place to prevent it right across all of this great nation, this United Kingdom of Great Britain and Northern Ireland.

  • Maggie Throup – 2023 Speech on Removing VAT from Sunscreen Products

    Maggie Throup – 2023 Speech on Removing VAT from Sunscreen Products

    The speech made by Maggie Throup, the Conservative MP for Erewash, in the House of Commons on 9 February 2023.

    “It won’t happen to me”—that is what we all think. But then it does. It happened to me. Back in 2019, I noticed a blemish on my left arm. Knowing that both my parents had benign skin cancer, I decided to get it checked out. After a biopsy, my blemish was diagnosed as melanoma and I underwent surgery to remove the cancer. I was one of the lucky ones. The melanoma had not spread. I was not ill. I was discharged from the cancer specialist in 2020, free from melanoma. While I am left with an impressive scar on my left arm, the outcome could have been so different had I not been aware of the signs to look for and caught the cancer early.

    One in 36 men and one in 47 women in the UK will be diagnosed with melanoma in their lifetime. Tragically, 2,300 people die from the disease each year. That number has included a business acquaintance of mine, who very sadly passed away in his early 40s, and BBC Radio Derby presenter Colin Bloomfield, who passed away at the age of just 33 in April 2015 after his melanoma metastasised to his lungs.

    These deaths do not need to happen—86% of melanomas are preventable by adopting simple sun protection. That is why I back the call for sun protection of SPF 30 and above to be available VAT-free. I congratulate the hon. Member for East Dunbartonshire (Amy Callaghan) on securing today’s debate and on all the work she has done on this issue.

    The Government can do a lot, but they cannot stop people going out in the sun; they can do a lot, but they cannot change the weather. But they can remove VAT from sunscreen. We need to remove every possible barrier that could stand in the way of people buying a life-saving product. At the same time, such a measure sends out the message that the Government are serious about tackling all types of cancer. From an economic perspective, a healthy workforce is a productive workforce. The cost to the NHS of not taking action against a preventable cancer must be huge. We need to break down the silos in the NHS, between the NHS and the Treasury, and between all Government Departments, and look at the cost of not removing VAT on such a product.

    As is often the case, each and every one of us needs to take some personal responsibility. They say that only mad dogs and Englishmen go out in the midday sun. We should be taking the same preventive measures during the hot summer months here that we would if we were on holiday abroad. That includes seeking shade, wearing a hat and loose clothing, and keeping out of the sun when it is most prevalent. Through a combination of these actions, we will see a noticeable decline in cases of melanoma, which at the moment takes far too many lives, far too early, but the Government have a part to play as well.

  • Amy Callaghan – 2023 Speech on Removing VAT from Sunscreen Products

    Amy Callaghan – 2023 Speech on Removing VAT from Sunscreen Products

    The speech made by Amy Callaghan, the SNP MP for East Dunbartonshire, in Westminster Hall, the House of Commons on 9 February 2023.

    I beg to move,

    That this House has considered the matter of VAT on sunscreen products.

    We should be united across this House in our efforts to beat cancer, and that means all cancers—not just the ones it is politically expedient to target. Melanoma is the fifth most common cancer in the UK, killing 2,300 people each year. It receives only a fraction of the political attention it deserves, especially when we consider that 90% of cases are preventable with adequate skin protection—that is more than 2,000 lives we could save each year.

    In recent years, both melanoma and non-melanoma cancers have been on the rise across the UK, with around 16,000 new cases of melanoma diagnosed each year— 90% of which, as I said, could be prevented by staying safe in the sun. With Cancer Research UK finding that getting sunburnt just once every two years can triple a person’s risk of melanoma, which sunscreen plays a vital role in preventing, it is just common sense that we should work together to make sunscreen products that bit more affordable for our constituents.

    With the support of several organisations and Members across the House, my VAT Burn campaign seeks to reform the value added tax charged on sunscreen products of SPF 30 and above—products deemed by the NHS to provide significant enough coverage to our skin if applied correctly. Removing VAT from sunscreen is not a radical idea; in fact, when asked, most people are surprised, if not shocked, that VAT is charged on sunscreen. It is not a novel idea; both the US and Australia have made sunscreen exempt from VAT-style taxes. But removing VAT is a necessary idea—one that should, can and must be done to promote sun safety measures and reduce cases of skin cancer. It would be an important step to demonstrate the UK Parliament’s commitment to sun safety and send a clear message to the public about the importance of sunscreen.

    We should not stop there. As in Australia, removing VAT from sunscreen should go hand in hand with an awareness campaign. The Australian Slip, Slop, Slap campaign was a huge success, and there is no reason why something similar could not be replicated in the UK. This is not hard. As Australia and the US have shown, any barriers to implementing this policy change are surmountable. That is why there are two folds to my VAT Burn campaign: first, to reform the value added tax charged on sunscreen products; secondly, education and awareness around skin protection from the sun. I encourage colleagues present today and others to sign early-day motion 839, in my name, which calls on the Government to launch an Australia-style awareness campaign around skin protection in the sun and the risks of prolonged sun exposure.

    Sunscreen products are currently treated and defined as cosmetics or luxury goods for VAT purposes, which, given their clear health benefit, is unacceptable and unjust, particularly with temperatures rising—although, I must say that sunscreen should not be worn only when we perceive it to be hot outside. It should be worn all year round, which is why I launched this campaign in February, on World Cancer Day, and not at a sunnier time.

    I am incredibly passionate about this issue, and I will put front and centre the reasons why. People like me, whether because of background, class or opportunities, do not tend to end up in this place. For those who do, we end up in politics, I hope, to create positive change for us and for our communities, but most importantly, for our constituents. Not many 30-year-olds—nor Members of Parliament, for that matter—can speak from a position of experience of having survived melanoma twice. It would be a dereliction of duty to my fellow cancer survivors, my surgeon and my family if I did not use that experience to speak up for those who cannot.

    I will clarify that VAT Burn seeks a VAT exemption for sunscreen products of factor 30 and above, with a four-star UVA rating and marketed exclusively as sun protection. I will be crystal clear that this exemption will not encompass products from the cosmetics industry, such as foundations including SPF, as those products provide little or—I argue—no protection from the sun.

    The anomaly of sunscreen products being exempt from VAT is longstanding, and seems perfectly reason to question, given we are in a cost of living crisis and a climate crisis. Also, given the VAT relief provided to drugs, medicines, medicinal products and aids for the disabled, it seems logical that preventive healthcare measures should be exempt too. Many of my constituents will find it hard to believe that the like of Calpol and paracetamol are exempt from VAT, but not sunscreen products.

    The Government line that sunscreen products are exempt from VAT when dispensed by a pharmacist simply does not hold up to scrutiny. First, only a tiny amount of the population receive sunscreen on prescription. Secondly, prescriptions are already free in Scotland, meaning that our constituents do not receive any benefit from that. The Government, I assume, will also argue that this policy will cost the Treasury too much money. But given that it is estimated to cost somewhere in the region of £40 million, which is only 0.03% of the total amount of VAT the Government receive, it is a tiny amount of money in the context. This is clearly not about the money; it is about the Government’s unwillingness to act.

    We should not be talking about money, especially the money it will cost the Government. Instead, let us think of the lives that can be saved—those 2,030 lives per year that I mentioned earlier. Let us think of the effort saved by our NHS diagnosing and treating less skin cancers. The money saved within this vital public health service cannot be ignored. At the risk of pre-empting the Minister’s response, why does she recognise the merits of zero-rating some products, but not sunscreen? Do the Government value the protection of our skin from the sun? Do they see merit in an Australian-style awareness campaign? Will the Minister take the proposal to the Prime Minister, and share his views on whether sunscreen products should be more affordable to our constituents?

    I understand that there are some reservations about VAT exemptions, because previous zero ratings have not produced savings for consumers. That is exactly why, as part of VAT Burn, I have a pledge for retailers and producers to sign up to. I can confirm today that Morrisons has agreed to sign up to it, and, given that Tesco already absorbs the VAT on sunscreen products, I feel confident that our constituents will see a saving when it comes to sunscreen, should the Government choose to back VAT Burn.

    VAT Burn is the product of months of work. To be honest, I never wanted to get to this stage. When I submitted a written question pointing out the anomaly of VAT charged on sunscreen, I had hoped that the Minister would respond positively, and the UK Government would intervene to remove the VAT and quickly bring sunscreen into line with all other healthcare products. But that was not the case. I was told people should wear hats, cover up and sit in the shade, while the Minister curiously ignored sunscreen. Those are important measures to keep safe in the sun, but only alongside wearing sunscreen.

    I organised a cross-party letter to the Chancellor, and 40 MPs from every major political party signed the letter. The Chancellor, at the time the right hon. Member for Spelthorne (Kwasi Kwarteng), reiterated the UK Government’s opposition to removing the VAT, citing the same arguments as before: sunscreen alone does not mean someone is safe in the sun. But no one ever said that it does; it is clearly just one part of the solution. When the Chancellor changed, and we had a former Health Secretary in post, the right hon. Member for South West Surrey (Jeremy Hunt), I re-sent the letter. I hoped that someone with experience in health policy would see the sense in this simple change, but I received another stock rejection.

    Whether it was parliamentary questions or meetings with Ministers, none of it has got us anywhere. That is why we are here today, and why the campaign is being covered in the media. It is why six charities are backing the campaign, and why I will keep pushing until we see movement on the issue—specifically, with a ten-minute rule Bill on VAT Burn on 23 February.

    I touched very briefly on the organisations supporting VAT Burn. I place on record my thanks to each and every one of them for the great work they do to raise awareness of the signs and symptoms of cancer and its impact. I thank the Teenage Cancer Trust, Skcin, Melanoma UK, Young Lives vs Cancer, Melanoma Focus, and, last but not least, Melanoma Action and Support Scotland—Scotland’s only skin cancer specific charity, based in my constituency of East Dunbartonshire.

    It is also a workers’ issue. Too many workers spend prolonged periods of time exposed to the sun without adequate, or any, protection. I note that Police Scotland provide their officers with sunscreen if they spend prolonged periods of their shift exposed to the sun. If sunscreen were more affordable, more employers would step up and provide sunscreen products for their staff. This Government proposed to provide free sunscreen to all emergency workers. It would be useful to get an update on that from the Minister. No worker should be put at unnecessary risk of skin cancer due to a lack of sunscreen being provided by their employer.

    This common-sense approach to zero rating sunscreen can help everyone. It almost feels daft that I have to stand here today and make a case for it. Let us agree to work together to make this simple change for the benefit of all our skin.

  • Steve Barclay – 2023 Speech on Ambulance Services and Consultation on Minimum Service Levels

    Steve Barclay – 2023 Speech on Ambulance Services and Consultation on Minimum Service Levels

    The speech made by Steve Barclay, the Secretary of State for Health and Social Care, in the House of Commons on 9 February 2023.

    The Strikes (Minimum Service Levels) Bill requires the Secretary of State to consult with such persons as they consider appropriate prior to making regulations to establish minimum service levels for relevant health services in the event of strike action. The regulations must be approved by both Houses of Parliament before they are made. The consultation requirements may be fulfilled before and after the Bill receives Royal Assent. Minimum service levels will enable employers to issue work notices, ensuring adequate staffing for a minimum level of safety to be achieved in the event of strike action.

    Minimum service levels aim to limit the impacts of strike action on the lives and livelihoods of the public and to strike a balance between the right of unions and their members to strike with the need for the wider public to be able to access key services during strikes.

    This consultation focuses on minimum service levels for ambulance services, which the Prime Minister has identified as a priority, alongside fire and rescue services and rail services. Our proposal is that ambulance services should be covered in regulations as a priority recognising that disruption to blue light services puts lives at immediate risk. This consultation will help to inform a decision as to whether ambulance services should be covered by the regulations and if so the detail regarding the minimum service levels required in the ambulance service.

    The consultation will open today, Thursday 9 February 2023, and will be open for a period of 12 weeks, closing on Thursday 4 May 2023.

    Copies of the consultation will be deposited in the Libraries of both Houses.

  • Eluned Morgan – 2023 Statement on Ministerial Priorities for the NHS in Wales

    Eluned Morgan – 2023 Statement on Ministerial Priorities for the NHS in Wales

    The statement made by Eluned Morgan, the Welsh Minister for Health and Social Services, on 7 February 2023.

    The increased emergency pressures on the NHS, which have been so evident over the winter months, have been compounded by a number of factors, including concurrent surges in a range of respiratory viruses, including Covid-19, flu and scarlet fever.

    But external factors, such as the ongoing consequences of Brexit, the cost-of-living crisis and the war in Ukraine, are all also impacting our health and care services.

    I have recently spoken about the need for clear priorities – this statement highlights the priorities I have set for the health service in Wales. They will help address the immediate pressures and help to build a sustainable health and care service over the next year.

    It is important people play their part in helping the NHS by looking after their own health and wellbeing and taking steps to stay well. I want to continue this conversation with the public so together we can create a healthier population, reduce pressure on acute NHS services and improve outcomes in the longer term.

    The current environment means the priorities need to be targeted to the challenges we face. The NHS Planning Framework 2023-26 sets out the broad requirements that will underpin NHS plans going forward – this includes the importance of quality, safety, prevention and good health outcomes at the heart of the NHS in Wales.

    We must continue to focus on population health and prevention as the route to better health and wellbeing and to sustainability in the longer term. Reducing inequity and improving the quality, safety and experience of those in need of health services must always be a driving force in service planning and delivery. Delivering efficiently, effectively, and optimising service delivery is how the improvements must be embedded in the DNA of the NHS in Wales.

    It is crucial the NHS focuses on these priorities so resources and capacity can be used to make a real difference to people throughout Wales.

    Members will be very well aware that frailty is driving demand for healthcare, particularly urgent emergency care, and social care.  Once clinical interventions are complete, people should be able to return to the community, and services must be available in an integrated way to facilitate that.  That’s why in this calendar year I am prioritising work to increase the number of healthy days at home for people experiencing frailty.

    This must be an equal partnership between the NHS and social care organisations, and be really focussed on people receiving a consistent standard of community care across Wales.  The approach, backed up by improved data collection will provide a better basis for focused support.  In developing a plan for this work with organisations and other key partners, the aim is to have regions and localities working towards the national service specification and workforce model well ahead of next Winter, and for there to be means in place for identifying relative impact.

    Priorities

    • A closer relationship between the NHS and local government to tackle delayed transfers of care, and an effort to move further and to deliver an integrated community care service for Wales is essential. Work is ongoing across health and social care to introduce the Pathways of Care Reporting framework for delayed transfers of care in 2023. Health boards will be expected to use this to monitor the progress of safe and timely discharges of patients.  All organisations must deliver care closer to home. The focus should be on doing the right things to support people, to ensure they receive the care they need at home.
    • Improving access to general practice, dentistry, optometry and pharmacy This will include independent prescribing and increasing self-referral to a wider range of community-based allied health professionals, including rehabilitation, mental health and audiology.
    • Urgent and emergency care must focus on the effective management of people with urgent care needs in the community 24/7, and help more people to safely access alternatives to hospital-based care, for example through robust, seven-day same-day emergency care services and integrated health and social care community response models. Health boards must work with partners to significantly reduce the time patients spend waiting in ambulances outside emergency departments.
    • Planned care and recovery is being led by the National Recovery Programme, which will set specific requirements for health boards. Meeting these requirements must be a priority. Regional diagnostic centres and treatment centres should be at the forefront of organisations’ plans. This must include actions to move services, workforce and funding from hospitals into the community so people need to go to hospital when it is right for them. Organisations must demonstrate how they will deliver a significant increase in the numbers of patients who undertake pre-habilitation. Diagnostics services improvements must result in a reduction in numbers of people waiting for diagnostic tests to pre-pandemic levels as a minimum, including for mental health diagnosis.
    • Cancer services must enact the quality statement on cancer and ensure there is a reduction in the backlog of patients waiting too long on the cancer pathway. Achieving the required standards must be a priority for health boards.
    • Mental health and child and adolescent mental health services there must be improvements across all age services and equity and parity between physical and mental health services. Health boards must plan to expand tier 0/1 support to provide easy access to population level support for lower-level mental health issues, improve services across CAMHS, adults and older adult services and implement 111 press 2 for urgent mental health support. Reconfiguring eating disorder services to target earlier intervention and ensure a maximum of a four-week wait for routine access to eating disorder services is required. Improving memory assessment services to obtain a timely diagnosis and treatment should also be included. Improved access to full range of all age mental health and wellbeing services, particularly for children and young people, boosting prevention support for adults and children and de-medicalise the approach to mental health services where appropriate.

    Core Supporting Functions

    Digital, innovation, technology and transformation must underpin the delivery of optimum care and services for patients, alongside workforce, wellbeing and robust financial management.

    It is important the NHS focuses on ways to deploy the existing and future workforce to best effect. This includes enhanced use of multidisciplinary teamworking, role redesign, developing new roles, and advanced practice models, enabling people to develop their careers and work at the top of their license.

    The economic and financial outlook is extremely challenging. The value of the overall Welsh Government budget has fallen in real terms by £3bn over the current spending review period. A renewed focus on cost reduction and value improvement in the NHS is therefore critical to ensure the ongoing sustainability of services.

    Robust financial planning, fully integrated with service and workforce planning, is essential, as is tight financial governance and financial management. Capital plans must be prioritised and aligned to decarbonisation targets.

    The role of NHS organisations as anchor institutions provides a driver to implement care and services in a way that supports individuals and communities as part of normal business. This will include the approach to the foundational economy and how the NHS can respond to the cost-of-living crisis for both patients and staff.

    The net zero target for the public sector in 2030, decarbonisation action plans and social value, as part of contributing to achieving the aims of the Well-being of Future Generations (Wales) Act 2015, remain as commitments and opportunities to build in actions and benefits as part of service planning and should be taken.

    All NHS organisations must submit board-approved plans providing firm commitments about how these priorities will be delivered by 31 March 2023.

    This is a challenging period in which to plan and deliver health services but I am confident the NHS will continue build on the progress and learning from the pandemic and the ongoing pressures to deliver the sustainable services we all want.

  • Eluned Morgan – 2023 Statement on NHS Pay Update in Wales

    Eluned Morgan – 2023 Statement on NHS Pay Update in Wales

    The statement made by Eluned Morgan, the Welsh Minister for Health and Social Services, on 3 February 2023.

    Following continued discussions over the last week, we are pleased to announce that an enhanced pay offer has been made to our health trade unions. On this basis, we are hopeful that the planned industrial action over Monday 6th and Tuesday 7th February will be postponed, allowing trade unions to discuss the proposals further with their members. Individual trade unions will confirm their intentions regarding next week’s action, prior to further talks with their members.

    This revised pay offer comprises an additional 3%, of which 1.5% is consolidated so will be in pay packets year-on-year, on top of the Pay Review Body recommendations, which have already been implemented in full. This offer will be backdated to April 2022. Included in this revised package are a number of non-pay commitments to enhance staff well-being, on which negotiations will continue next week.

    Whilst there is currently no improved pay offer on the table for NHS staff in England, it was also agreed that any resulting Barnett consequential following any improved offer to staff in England would result in a further pay offer to staff in Wales.

    We would like to thank those that have participated in the negotiations for their positive engagement and goodwill. We are awaiting a formal response from each of the individual trade unions.