Image source, UK Parliament

Conservative MP Nigel Mills says "we know that serious side effects from vaccines are very rare" - but he says one of his constituents lost most of her eyesight and now lives in constant pain after a jab.

He is asking for the government to get on with Vaccine Damage Payments, which still has not been started, saying people who have suffered these extremely rare but very serious cases are still not being paid.

The Vaccine Damage Payment is a one off payment of £120,000, given by the UK government, external.

Johnson says cases such as Mills' constituent are "extremely, extremely rare" and he urges people to continue getting booster shots.

But he says the government is "putting more money in to gather evidence for claims" in these rare cases.

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The SNP's Hannah Bardell asks the prime minister about the government cancelling a contract with vaccine developer Valneva - which is based in her constituency.

She says the company have been "shoddily treated" and that "a state-of-the-art vaccine plant now lies unfinished".

Boris Johnson says he was "personally disappointed when we couldn't get approval for the Valneva vaccine".

He adds that the government is investing "massively" in this country's vaccine capability, "so we are prepared for the next pandemic", adding: "And I hope Valneva will be a part of that."

Iain Watson
Political correspondent

The SNP's Ian Blackford suggested the PM could be shown the door.

The Labour leader openly mused on whether Boris Johnson would make it to the next election.

Against this anticipated backdrop, the Conservative whips seem to have co-ordinared vocal support from the government benches.

Talk of ousting the PM seems fanciful. He has a track record of bouncing back from adversity.

But it is worth noting that loud cheers from a leader's own side does not mean that underlying concerns have evaporated.

The former Conservative leader, Iain Duncan Smith, was greeted by regular, co-ordinated standing ovations at his party conference, but that didn't prevent MPs quietly but definitively submitting letters of no confidence.

The mood at the moment though seems to be for the current Conservative leader to get a grip rather than to get out.

While Mr Johnson was on the back foot at PMQs, he nonetheless managed to step up attacks on the Labour leader too - the most effective of which was to suggest that HS2 would never have been built at all if Sir Keir Starmer had got his way.

Boris Johnson's premiership has looked juddery recently, but hasn't yet been derailed.

Image source, UK Parliament

Parliament's sole Green MP, Caroline Lucas, says there are 39 fossil fuel projects in development in the UK, including the Cambo oil field in Scotland.

She asks for the government to cancel them.

And she says, if not, the PM will be responsible not just for "losing his place in a speech" but "losing the future for our children".

In reply, Johnson says the UK is working to end its reliance on fossil fuels - and the Cambo oil field is being studied by an independent regulator.

The Speaker now calls Conservative Jonathan Lord.

He is a relatively rare speaker in the House of Commons and we can hear one MP shout, "who?".

Lord says BTecs are valuable and asks the PM to protect student choice by keeping the qualification as an option for them.

Johnson says the government wants to keep some BTecs "where there is a clear need".

However, he adds: "We have to close the gap between what people study and the needs of employers, and that is what T-Levels are designed to do."

Image source, UK Parliament

The SNP's Westminster Leader, Ian Blackford, says: "The past few weeks have shown this Tory government at its very worst".

He says "sleaze and corruption" is on a scale "not seen since the 1990s". And he says there are broken promises, from pensions to green investment.

"At the centre of all this is one man, a prime minister who is floundering in failure," he says, before asking if Boris Johnson has "considered calling it a day".

The PM says the British public want to hear less about politics and more what the government is doing "for the people of Scotland". Mr Johnson says within the next few days, there will be a review on union connectivity.

But Blackford says: "In the real world, people are suffering a Tory cost of living crisis, Brexit is hitting the economy hard, but the prime minister can't even give a coherent speech to business leaders".

He asks why the PM is "clinging on when he quite clearly isn't up to the job".

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For his final question, Starmer says people will be "asked to pay twice" for care under the government's new system - first through the new tax hike, then when they begin care.

He says the system will not "protect" those "living off wealth" from paying more, calling it a "classic con game".

And he accuses the PM of "distracting people with wild promises" whilst the chancellor puts up tax.

Broadening out his attack on the government and quoting a series of critical remarks in recent days, he asks Boris Johnson whether "everything is OK".

In reply, the prime minister says the government is "delivering for the working people of this country".

He then goes on to attack the Labour leader, branding him "Captain Hindsight" once again, and saying the country would "still be in lockdown" if Labour were in charge.

Image source, UK Parliament

Starmer says that under the PM's plan, someone with assets of £100,000 would lose almost everything to pay for their care, while someone with assets of £1m would "keep almost everything".

"He's picked the pockets of working people to protect the estates of the wealthiest," he says, adding: "How could he have devised a working class dementia tax?"

Boris Johnson says his plans do more "for working people up and down the country than Labour ever did," adding: "We are solving the problem."

Image source, UK Parliament

Starmer says people "will still be forced to sell their homes" to pay for care.

He calls this "another broken promise" - following reversals on pledges to not put up tax and what he says has been a failure to deliver a "rail revolution" in the north of England.

The Labour leader asks: "Who knows if he'll make it to the next election, but if he does, how does his expect anyone to take him and his promises seriously?"

The prime minister replies by trying to turn the tables on Starmer, claiming he "campaigned against" the HS2 high-speed rail link.

Johnson says he backed HS2 in the national interest, even though it was "tough" to back it because it runs through his own constituency.

Iain Watson
Political correspondent

Starmer wants to rub salt into the social care wound where the prime minister suffered a sizeable rebellion this week.

He knows some Conservative MPs are worried that the cap will hit the least affluent disproportionately and focuses on whether people will have to sell their homes to pay for social care.

And he road tests a possible election attack line, portraying the government's plans as a "dementia tax".

The Labour leader says a person with assets worth about £100,000 mostly tied up in their homes would have to pay £80,000 for care.

"How would they get their hands on that money without selling their home," he asks.

Johnson accuses Starmer of being "befuddled" and says Labour haven't had "the guts" to fix this.

He says his government has introduced "deferred payment" to allow people to pay for their care and capped costs at £86,000.

And he says Labour wanted to put the cap at £100,000.

Image source, UK Parliament

Continuing, Starmer says the PM has not given a "straight answer" on the question of whether people will have to sell their homes to pay for care.

And he attacks Boris Johnson's tax increases that were not in the Tory manifesto.

Johnson once again replies by referencing the so-called "housing disregard".

Under this, people receiving social care at home, or in a care home where their spouse is living in the home, will not see the value of the home counted towards your assets.

You can read more about it here

Iain Watson
Political correspondent

Boris Johnson is greeted with cheers from his own side while the opposition leader is jeered as Conservative wagons are being circled in the face of attacks.

The Speaker's plea for civility was always likely to be honoured more in the breach than the observance...

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Labour leader Sir Keir Starmer begins by noting that at the last election, the PM promised no one would have to sell their home to pay for care.

"That's another broken promise isn't it," he asks.

Boris Johnson says his party is fixing something that Labour never fixed "in all their time in office".

He says the government's "huge investment" in health and social care means people will be able to insure themselves against the "catastrophic cost" of suffering from diseases such as dementia.

Image source, UK Parliament

There's a rousing reception from Conservative MPs for Boris Johnson as he gets to his feet.

But from the opposition benches come cries of "forgive me" - a reference to apologies he made on Monday when he lost his way in his CBI speech.

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Before he calls the first question, the Speaker urges MPs to show the same "decency and kindness" that he says David Amess showed during his career.

David Amess was stabbed to death at a constituency surgery in Leigh-on-Sea, Essex, on 15 October.

A mass for him was held on Tuesday.

Commons Speaker Sir Lindsay Hoyle gets to his feet to announce the beginning of Prime Minister's Questions.

Stick with us for all the updates.

Iain Watson
Political correspondent

It is fair to say that Boris Johnson has had a rocky few weeks since the Owen Paterson U-turn.

He was unable to prevent announcements on more money for the railways and a more generous social care system being portrayed as big political disappointments, and the polls have narrowed.

So there will be huge pressure on the PM today.

He will have to stay focused and rally the troops with no more diversions via Peppa Pig World or its equivalent.

But there is huge pressure on Sir Keir Starmer, too.

His MPs will keen to see him press home his advantage.

Can he turn the recent social care and HS2 announcements into a narrative of broken promises - and one that sticks and does permanent damage to the prime minister?

If he hits the bar instead of scoring an open goal, muttering may not be confined to the Conservative benches.

As for that muttering, it is rare for a member of the governing party to launch a full frontal assault on the prime minister at PMQs.

Most of the criticism tends to be delivered privately.

If backbench heads do go above the parapet this lunchtime, that's when the PM needs to worry.

Image source, Martis Media

Today's question session also comes after the government announced it is backing a campaign to give mandatory life sentences to the killers of emergency service workers.

The campaign has been led by the widow of PC Andrew Harper, who was dragged to his death by a getaway car in August 2019. Three teenagers were jailed for manslaughter.

The Ministry of Justice said it would aim to pass a law named after him "as soon as possible".

Harper's Law, which would apply in England and Wales, would introduce mandatory life sentences for those who kill on-duty emergency workers while committing a crime.

Read more on the story here.

Boris Johnson has been snapped leaving Downing Street and making his way to PMQs.

Stay with us for all the updates when he reaches the dispatch box.