Stuart McDonald – 2022 Speech on Manston
The speech made by Stuart McDonald, the SNP Westminster spokesperson on Home Affairs, in the House of Commons on 28 November 2022.
I thank the Minister for bringing his statement to the House, but it is another day and another very disturbing development. Our thoughts and condolences must go to the family and friends of the man who died at Manston.
The Minister is right that it is important to emphasise that there is a very small risk to the UK population, but the converse is that, to those from nationalities that do not have an extensive vaccination programme, this is a very dangerous and contagious infection that can be fatal, as we have just seen.
On the rate of the response, the Home Office seems again to be in crisis mode, having waited until we are in a really serious crisis. Were there no indications from colleagues on the continent that there were rising cases of diphtheria there? It was only a matter of time before cases arrived on these shores, so we should have had plans in place much further in advance. I welcome the work to improve the medical facilities at Manston, which we saw when we visited it as the Home Affairs Committee. The Association of Directors of Public Health has accused the Government of putting
“asylum seekers and potentially hotel workers at avoidable and preventable risk”.
Its president says that an offer to help Ministers cope was rebuffed, making the situation
“far worse than it could have been.”
Does the Minister want to comment on those assertions? He spoke of robust screening but, as far as I can tell, it is still only of people presenting with symptoms. Is there not a case for at least some degree of asymptomatic testing, so that the Home Office has an indication of whether a boat-load would be worth further investigation before onward movement?
Finally, the Minister has spoken about procedures being put in place today, but does that mean that people were moved to new accommodation even though they were known to have diphtheria, or to have been awaiting test results, and how was that managed? What notification was there for health authorities in places of dispersal? Have people with diphtheria been sent to hotels without anyone being told? What protocols are in place to ensure that public health leaders have the information they require, because some have been complaining that there is zero information coming from the Home Office?
Robert Jenrick
I thank the hon. Gentleman for those important questions. The most important point to stress is that the advice of the UKHSA has been followed throughout. With any emerging health issue, the response has to be dictated by medical advice and the response has to increase along with the issue and the challenge. That is exactly the approach we have taken. When there were a very small number of cases, the approach of the UKHSA was that we screened individuals, that we provided medication and support for those who had symptoms, and that we ensured that the directors of public health in the community knew how to treat those people who responded later on with symptoms. Now that the number of cases is somewhat higher, it is clear that we have to up the response, which is why we are now ensuring that no one with symptoms leaves our care at Manston or at the accompanying secure hotel. It does mean that we need to ensure that the right data flows with the individuals—I think that is the point he was making—so that, if migrants arrive in a particular location, the directors of public health and the local NHS know as much as is possible about their pre-existing medical conditions, given the cohort of people.
Now that we are operating Manston in the way that I would wish, meaning that individuals flow through it within a matter of hours, fewer people will be detected at Manston because they will be there for far shorter periods. It is important that we work with directors of public health to put in place the correct procedures in the community so that they can identify people, get them the treatment they need, vaccinate them where appropriate and ensure they are properly isolated.
Finally, the hon. Gentleman asked a valid question that I too have asked of our advisers: is there a simple test we can apply to all those with diphtheria? It is the advice of Dame Jenny and UKHSA that there is not a lateral flow-style test that could be applied to all individuals while they are at Manston that would provide any degree of accuracy. However, we will be screening people thoroughly and, if there are any symptoms, they will be put into this new procedure.
