Covid-19 — House of Commons, 2020-09-28
Topic: Health
Rachael Helen Maskell (Labour, Centre-left): I am grateful for the opportunity to speak in the debate. I completely agree with the hon. Member for Thurrock (Jackie Doyle-Price): Parliament must be empowered not only to scrutinise Government but to aid them as we walk through this crisis The economic and health crises are accelerating, and national concern is deepening. There are many significant issues that I want to raise. The Chancellor’s announcement last Thursday barely touches the economic crisis facing York because of how its local economy is structured. I am significantly worried that we will be one of the places worst hit by this economic situation. We need to resolve, and I need the Chancellor to understand, the particular issues facing my constituency. I am worried for the people I represent I would like to have a discussion with the Under-Secretary of State for Health and Social Care, the hon. Member for Bury St Edmunds (Jo Churchill), about local control over decision making under the auspices of our director of public health. In our city, we know that we can run a very effective testing regime and contact tracing mechanism. We know the flows of local people. I met scientists in my constituency on Friday who are leading the way in the delivery of testing. Their work could really aid the Government’s programme, and I would be most grateful if the Minister would be willing to meet me to discuss that I witnessed shocking scenes in my constituency on Saturday night at 10 o’clock. As the bell struck, the streets filled. Had the virus been in that crowd, it could have spread across the people present and perhaps to some of the most vulnerable people in my city. The people of my city have worked so hard; they deserve better I want to talk about some of the most vulnerable people in our communities. We have heard much in the debate about people in care homes. Care homes became closed environments where family, carers, other health professionals and even the Care Quality Commission were locked out. One thing we know is that closed environments become unsafe environments, which is why it is so important that this situation does not arise again I carried out an investigation into care homes in York. The staff are tremendous, their efforts exceptional and the delivery of care outstanding, but we know that risks are introduced into the system. First, we must review the discharging of patients who are covid-positive into care homes and ensure that transitional arrangements are in place, so that infection is not introduced to the most vulnerable people. We also know that care staff are working above their professional competencies, particularly in the delivery of palliative care. To deliver the very best care, we need to ensure that proper training and proper staffing levels are in place In the light of the debate we will have on Wednesday about the Coronavirus Act 2020, I call on the Minister to review the recording of mortality. In one care home in York, 52 members of staff were sick during the peak of the crisis. Over that fortnight, 15 people died in the care home. None of them was recorded as dying with covid or possible covid. We know that that is not true, because staff tell me that they were displaying signs of covid and they died rapidly. They had all the signs, but the way that deaths were recorded and the fact that no tests were undertaken means there is no way of verifying that. Clearly we need a testing regime to address that, but we also need to go back to how deaths were recorded in the past, which brings more independence into the system. I plead with the Minister to take that back to the Department. It will dignify the families to know the reasons why their loved ones passed It is the right of residents and their families to know whether there is infection in a care home. We need to ensure that that information is communicated, so that they can make their choices accordingly. We need data to be available. I had to jump through hoops to get data about my local care homes. That should not be the case. We need to ensure that there is proper governance in place. When governance switched to the director of public health, we saw safety improve and infection prevention and control measures brought in, and then mortality rates fell. Over the coming days, I trust that we will find mechanisms to ensure that visits continue risk-free, in order to support people’s holistic wellbeing in the difficult period ahead.