3. Statement by the Minister for Health and Social Services: Update on Coronavirus

Part of the debate – in the Senedd at 12:47 pm on 30 December 2020.

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Photo of Vaughan Gething Vaughan Gething Labour 12:47, 30 December 2020

Thank you for the comments and questions. It was very helpful, I think, to start the comments with not only thanking staff but recognising how unacceptable it is for our staff to be attacked and criticised, whether on social media or otherwise, for the job that they do, and being honest with the public about the scale of the challenges we face. But the scale of the challenge we face reiterates why we're in level 4. It's because of the significance of the virus circulating and because of the extraordinary pressures that our health and social care system are soaking up and coping with that we're in level 4.

And just to consider this: there are more than 2,600 people being treated for COVID in a hospital bed here in Wales—more than in the April peak. There are more than 1,600 confirmed people with COVID in our hospital beds. There are still hundreds of people—I think over 700 people—recovering from COVID in our hospital beds. They still need the care and treatment that only an NHS bed can provide. And there are more than 200 people in critical care. These are not trifling matters. This shows the serious harm that is already being done, and if we were not in the midst of level 4 restrictions, we can, I'm afraid, be confident that even more people would be going into hospitals in the next two to three weeks, and there would be a very real risk that our NHS would indeed be overwhelmed. That's why the level 4 measures are in place, and that's why all of us have a responsibility to reiterate the 'stay at home' message for our constituents in any and every part of the country, however they vote, or if they choose not to vote, if that's their choice. This is about all of us being in this together. 

On vaccination, I'm happy to confirm again that we are getting our share. I know the question is regularly raised and I keep on giving the same answer: we are getting our population share of each of the vaccines. Actually, on the Oxford vaccine, a significant part of it is manufactured in north Wales. So, the supply chains for this are shorter and more secure from our point of view. But the really good news comes back to the Member's questions about access, and accelerating the programme for our most vulnerable citizens. Because the Oxford vaccine is easier to store and to transport, it will allow greater acceleration and practical access, so we won't need to move people to larger vaccination centres. General practice and community pharmacy will be able to undertake a greater share of this work. I'm really pleased they've been in such a 'can do' place in terms of not just agreeing the contracts around this, but actually then wanting to positively get on and vaccinate their patients and people that they know within a greater number and range of places around the country. But it will also mean that those people who are housebound, whether in a residential care setting or otherwise, will be much easier to reach with the new vaccine. 

On the vaccine, the official figures are out tomorrow, and I don't think they'll show that Wales is lagging behind at all. It's somewhat frustrating that whenever a story is run that Wales is somehow behind the curve, it appears to have legs and accelerate faster than any time we're actually ahead of where other countries are, and this is yet one more of those examples. We're currently vaccinating around about 2,000 people a day. I do expect that after a week or so of having the Oxford vaccine available, when we'll have been able to test out our systems, we'll start to accelerate and vaccinate many more people, as indeed will the other UK countries.

I should, though, point out to the Member that if he were looking at the news in Northern Ireland, Scotland or England, then he'd find people there who are in care homes or over the age of 80 raising concerns that they haven't yet been contacted or reached by the NHS as well. The idea that Wales is uniquely not reaching vulnerable people simply isn't true. We have many, many vulnerable people to reach. In the first two priority categories that we're currently vaccinating, there are over 360,000 Welsh citizens, so it will take time to vaccinate all of those people. We're not behind where other countries are. We're making progress, and, as I say, you can speak to over-80s in England, in Scotland or in Northern Ireland who won't have received their contact yet, because it wouldn't be at all reasonable to expect that you would have covered all of that part of the population to date.

We will, though, be sticking to the prioritisation approach set out in the advice of the Joint Committee on Vaccination and Immunisation. I know this is difficult, because there are different groups making a case for them to be advanced up, over and above that prioritisation list. But, that priority list is there to indicate where the greatest benefit can be given, and by that I mean where the greatest number of lives can be saved. It's a good thing that people working in our schools should be aware that they're not a high-risk profession when it comes to COVID. Their occupation does not place them at greater risk than other professions, whereas, actually, our staff who work on the front line in health and care are very much placed at a greater risk.

We're undertaking a pilot with the South Wales Police force that all other police forces are supporting, because they recognise that the physical contact they will have with members of the public, including in enforcing some of the COVID laws that we have had to introduce to keep people safe, means that they are at a different level of risk. That serial testing is part of helping them to understand where they get. The priority that we have from the JCVI is about how we keep people alive and how we avoid the levels of excess deaths that we would otherwise see. I don't think any responsible professional group would want to argue that they should leapfrog a group of our most vulnerable citizens who could otherwise come to harm and, potentially, lose their lives. So, we'll follow the objective advice we're given.

I know they're looking at the various cases that different groups have been making. If the advice changes on the relative level of impact and the benefit to be given, then, as I've said on many occasions in the past, if the evidence and the advice changes, Ministers have to be prepared to make different choices. We'll continue to do so, but at this point in time there's no reason to depart from the current priority list. We will use the vaccine to keep our country safe. We'll use the vaccine to save lives.