Covid-19 Update

Baroness Verma Excerpts

Wednesday 23rd September 2020 Lords Chamber

[Lord Bethell (Con)]

My Lords, I recognise the expertise of the noble Lord on public transport. It is my observation that the public have come a long way on mask wearing. When I was on the Tube this morning, absolutely everyone, including small children, was wearing a mask. That is huge progress. Yes, there is more that could be done, and we have brought in fines and support for isolation, but I pay tribute to the public attitudes that have moved a long way in this matter.

[Baroness Verma (Con)]

My Lords, first, I thank the Minister for all the work that he and the Government have done in Leicester. The many millions that have been spent have been hugely helpful to our communities there. However, given yesterday’s Statement by the Prime Minister about increased restrictions, my concerns relate to the mental and physical well-being of women and girls, in particular, in the densely populated areas of Leicester, as they will not be able to go out and get the right amount of exercise or make good choices when it comes to eating. Will my noble friend assist me in trying to get those messages across to people in communities such as mine in Leicester, where the messaging is so important? If the restrictions are extended, those communities will suffer far worse outcomes, and for much longer

[Lord Bethell (Con)]

My Lords, I recognise that this epidemic has hit women hard—it really has—particularly in high-density areas such as Leicester where women and girls do not have access to the kind of exercise and space that they need in order to lead fulfilled lives. We have given substantial funds to the authorities in all cities, including Leicester. I greatly encourage those authorities, including the ones in Leicester, to think about how they can help women and girls to access the space and exercise that they need to fulfil their lives during this difficult period.

Anti-obesity Strategies

Baroness Verma Excerpts

Monday 14th September 2020 Lords Chamber

[Baroness Verma (Con)]

My Lords, will my noble friend take into account that in the south Asian community there are larger numbers of people with diabetes, heart disease and a lack of vitamin D? Through his campaigning and communications—he has been really mindful of this—will he try to ensure that we are also reaching communities in which exercise and sport do not always come as a first priority? Is he willing to meet with me and a team of people working on this?

[Lord Bethell (Con)]

My noble friend is right, and Covid has really spelt out the challenge in this area to the NHS and the Government. The incidence of serious Covid effects on BAME communities has been more intense because of the prevalence of diabetes and overweightness in many of those communities. We have relooked at our marketing and communications to those communities and need to redouble our efforts. That is why, as part of the obesity strategy, we are putting in serious, concentrated efforts in reaching the communities, as my noble friend advised. I would be glad to talk to her about how we can do that better.

Covid-19 Update

Baroness Verma Excerpts

Monday 14th September 2020 Lords Chamber

[The Deputy Speaker (Baroness Finlay of Llandaff) (CB)]

I apologise to the noble Baroness, Lady Verma, who I should call now.

[Baroness Verma (Con) [V]]

Thank you, Deputy Lord Speaker. My noble friend has talked about Covid, but I think it is important in the same debate to talk about the flu injections that are available to help people reduce their ability to catch Covid. Will my noble friend ask the pharmacies that are distributing flu injections to step up their communications, in particular to people with south Asian backgrounds, who are slightly resistant to going into pharmacies to get flu jabs? I know from my experience of having to persuade my mother that this is an issue, and it would be helpful to get the communications about getting flu injections out as quickly as possible, so that people build up their immunity as quickly as possible.

[Lord Bethell (Con)]

My Lords, we are hopeful that this season the number of flu injections will be a massive increase on previous seasons. We will, therefore, be putting huge responsibility on the shoulders of pharmacies and pharmacists to deliver them. I take on board completely the very good advice from my noble friend about the reputation of pharmacists compared to GPs, particularly in certain communities. I trust that the pharmacy profession will be doing an enormous amount to promote the flu injection itself, and to reassure its customers about the efficacy of its service. It is, however, an idea that I will take back to the department.

Covid-19: Rise of Positive Tests

Baroness Verma Excerpts

Wednesday 9th September 2020 Lords Chamber

[Lord Bethell (Con)]

My Lords, I am aware of the Abbott test. I spoke to Chris Scoggins from Abbott yesterday, and I pay tribute to innovators in this country, in America, and around the world for the dramatic increase in the speed, accuracy and scale of these tests. We hope that they will make a big difference.

[Baroness Verma (Con) [V]]

My Lords, given that the virus is spreading and we are fast approaching autumn and winter pressures, can my noble friend ensure that the NHS and local authorities are communicating in different languages to communities to encourage them to go and get their flu injections as quickly as possible?

[Lord Bethell (Con)]

The use of different languages for promoting all aspects of our Covid response is critical. We have massively increased the number, accuracy and stylistic resonance of our marketing materials in order to reach all audiences. I very much welcome the noble Baroness’s remarks.

Covid-19

Baroness Verma Excerpts

Thursday 3rd September 2020 Lords Chamber

[Lord Bethell (Con)]

My Lords, on behalf of the House I pass on our sympathy to the noble Baroness, Lady Benjamin, for her experience with the friend who committed suicide. It is a touching story and we feel sorry them.

Suicide is important for this Government and we have a number of programmes that address it. One of the peculiar aspects of the epidemic is that the mental health tsunami that we were all braced for and deeply concerned about has not manifested itself in the way we thought it might. There is currently no evidence that the suicide rate has increased in any way. We keep a careful eye on this. When a major epidemic such as this happens, we worry that it will have a huge impact, particularly on the young—particularly young girls—and those groups, such as BAME, who may feel that the prevalence is higher in their community. To date, however, the statistics suggest that we are blessed by having avoided harsh effects so far.

[Baroness Verma (Con) [V]]

Will my noble friend tell the House what communication plans are in place to ensure that, as winter approaches, all communities are well informed on what measures need to be followed to prevent or reduce the impact of a second wave, and that where spikes are found in local communities, wider immediate testing is available to everyone in that locality? I also thank my noble friend for the funds that the Government gave us in Leicester to ensure that communications were sent out in languages other than English.

[Lord Bethell (Con)]

I thank the noble Baroness, Lady Verma, for her comments. What happened in Leicester has informed our response to the epidemic in many ways, including a much greater emphasis on languages. Many of the publications and technologies that we are rolling out in preparation for the second wave will use a hugely increased number of languages, so that we reach those communities which might otherwise have been overlooked.

In answer to the overall question put by the noble Baroness, I would place massive emphasis on our preparations for the flu vaccine. If we can spare the NHS the pressure of the annual flood of flu infections, we will do the country a huge favour. If we can spare patients the impact of flu that runs down their immunity and leaves them vulnerable to Covid, we will do them a huge favour. If we can get flu vaccine take-up higher, that will be a huge benefit for the system and the country.

Health Protection (Coronavirus, Restrictions) (Leicester) Regulations 2020

Baroness Verma Excerpts

Wednesday 29th July 2020 Lords Chamber

[Baroness Verma (Con) [V]]

My Lords, I have been in Leicester since the country went into lockdown and have witnessed the huge pressures that the second lockdown has put on local people and businesses. So I have three comments, or suggestions, for my noble friend the Minister to take back to the department.

Given that the Government have provided local authorities with new powers in the event of increased spikes of coronavirus, does my noble friend agree with me that local authorities, now knowing where spikes have occurred, should engage regularly in multiple testing to ensure that ongoing, regular monitoring is taking place? This would enable them to close individual properties or ask individuals to self-isolate if necessary, so that the rest of the city can carry on as normally as possible.

Does my noble friend the Minister agree that the local public health director, Ivan Browne, should be proactively collecting local intelligence through the local authority, GPs and community leaders, and that government data is just one part of fighting the spread of the virus? Will my noble friend ensure that the collection of local intelligence is part of the ongoing monitoring?

There has been a lot of concern from people, and some have contacted people such as me in Leicester. Some GP surgeries are now not only not allowing in-person appointments but not having telephone consultations, instead directing people to 111. This will not reduce pressure on the NHS or enable local knowledge to be used to inform local decision-making.

This has been a hugely testing time for Leicester’s citizens. A failure to ensure that BME communities with poor English language skills received appropriate communications from the local council did not help reduce the spread of the virus. There were many areas where there was no social distancing, and in some densely populated areas parks were the only option for fresh air. Does my noble friend the Minister agree that after the pandemic there should be a lot of focus on the mental health and well-being of citizens who have been in these closed communities for a long time?

Covid-19 Update

Baroness Verma Excerpts

Wednesday 1st July 2020 Lords Chamber

[Lord Bethell]

The noble Lord is right to raise the question of marketing and communications to BAME audiences. We are looking at it very closely, because there is a natural concern about the regular epidemiological phenomenon that those who do not feel in the mainstream of society are sometimes the hardest to reach. We are focused in both our communications and our marketing on working with the groups that most fairly represent BAME communities to ensure that the message gets through. I would welcome any recommendations or suggestions from him on how we can do that better.

[Baroness Verma (Con) [V]]

My Lords, I declare my interest, as listed in the register, as a social care provider in Leicester. I am currently in Leicester and I have listened to noble Lords very carefully. Perhaps I may quickly pick up on a number of points. We in Leicester consistently pointed out to our local authorities and to the mayor and his councillors that they should look at areas where we believed there would be peaks in outbreaks of the virus, particularly in factories. We were totally ignored. We have raised the communications issue over and again, and we have been totally ignored. Now that the data is coming in and is being shared properly, will my noble friend confirm that there will be strong and swift enforcement in areas where we know that breaches have gone on, are going on and continue to go on, so that other parts of the community stay well protected?

[Lord Bethell]

My noble friend points to the crux of the matter, which is that the correct response to such a local outbreak requires careful collaboration between PHE, with its expertise, insight and data, and local leaders, who have local insight, regulatory muscle and influence. Her account of talking to the mayor and raising these issues is very important and interesting. All I can say is that we are now focused on making sure that PHE and the local authorities in Leicester work together very closely. We have learned lessons in this area. Certainly, outbreaks in some other towns and cities have been handled with a higher degree of collaboration at an early stage.

Nurses: Recruitment

Baroness Verma Excerpts

Thursday 18th June 2020 Lords Chamber

[Lord Bethell [V]]

I reassure the noble Lord, Lord Clark, that from September 2020 eligible pre-registration students in English universities studying nursing, midwifery or one of the many allied health professional courses will benefit from additional funding of £5,000 per academic year. The correct number of places will be made available to hit our objective of 50,000 more nurses by 2025.

[Baroness Verma (Con)]

Can my noble friend say what the take-up is of nursing apprenticeships, and will his department consider a combined apprenticeship that includes social care workers to ensure a route to career progression?

[Lord Bethell [V]]

My noble friend makes an incredibly interesting suggestion on a combined course. I am prepared to look into that and write to her about whether work has been done on such a measure.

Covid-19: Response

Baroness Verma Excerpts

Wednesday 3rd June 2020 Lords Chamber

[Lord Bethell]

If I was not clear, I hope the noble Baroness will forgive me. The test is open to anyone in the population. It is not restricted to key workers or those who are over five, as it once was. However, the clinical advice is that you should seek a test only if you show symptoms, partly because the test will not necessarily work if you do not have symptoms. That remains the case.

With regard to expanding the list of symptoms, we changed the symptoms about two weeks ago. We have done a huge amount of work to understand the best way of recommending symptoms. This is an amazingly complicated area. A lay person like me would think it was not too difficult to define symptoms for an important disease, but actually it is an extremely contested area. We have broadened it, we keep it under review, and if what we have done is not working well enough, we will update it again.

[Baroness Verma (Con)]

Does my noble friend not agree that where there are densely populated communities and a greater risk of spreading the coronavirus, testing should take place through booked appointments with their regular GP surgeries? Many of those communities do not know how to access online appointments and come from larger families. They could then also be asked about how they were following the guidelines set down by the Government. My worry is that many communities are not being communicated to and are falling through the gaps. I urge the Minister to take that on board.

[Lord Bethell]

I agree with my noble friend. It is a grave concern that key communities, particularly those to which she alludes, are not hearing the message and do not have the available resources for booking tests. We are working hard on that. In particular, we are working with GPs to ensure that they have the ability to book tests. They can of course do so on the portal like anyone else, but we are working to create a special prioritised facility for GPs to be able to book tests for their patients. I completely agree with my noble friend’s assessment that in many communities GPs play a trusted role. A practical issue is that many GP surgeries are currently closed, but I welcome the fact that many are now reopening.

Mental Health Services

Baroness Verma Excerpts

Tuesday 19th May 2020 Lords Chamber

[Baroness Verma (Con)]

Will my noble friend assure me that all communities will be able to access appropriate mental health services? What work is being done to speak to local women’s and girls’ groups in the ethnic-minority communities, where language and access to online services may often be a barrier?

[Lord Bethell]

One thing that Covid has thrown a light on is that digital communications have been greatly improved; the use of video conferencing in mental health services is one of the things that have helped. Groups that do not have access to video conferencing need to be reached in other ways. We are working on using telephones and community outreach to do that. My noble friend is entirely right that this needs to be a focus of our work.