Covid-19: Conflicts of Interest
Lord Faulkner of Worcester Excerpts(3 years, 5 months ago)
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Lord Bethell (Con)
The noble Lord asks a reasonable question about the management of staff in an epidemic such as this. He is right that these were extremely confusing times that put a huge amount of pressure on civil servants and all those who contributed to our response. I am enormously grateful to civil servants for their work, in particular Sir Chris Wormald, our Permanent Secretary—he played an absolute blinder and is one of the top civil servants of his class—and David Williams, the Second Permanent Secretary of our department. Both were absolutely fantastic.
I am grateful to all who stepped forward, not just at a senior level—from noble Lords who worked with us to people who worked at other levels of our response. It made a huge impact. The arrival of military advisers, consultants, volunteers and business advisers lifted the spirits of the whole organisation and brought with it networks of expertise and energy, which saw a huge amount of collaboration. When I hear a debate such as this and the tone that is sometimes represented in the Chamber, I do not recognise the incredible spirit of energy and collaboration that characterised our response to the pandemic. I cannot help repeating myself: it is something that I am extremely proud of.
The Deputy Speaker (Lord Faulkner of Worcester) (Lab)
My Lords, the time allowed for this Question has elapsed. I apologise to the three noble Lords who were unable to ask their supplementary questions.
Health Protection (Coronavirus, Local COVID-19 Alert Level) (Very High) (England) Regulations 2020
Lord Faulkner of Worcester Excerpts(3 years, 6 months ago)
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Lord Dubs (Lab) [V]
My Lords, I support my noble friend’s amendment. Just before this debate began, I was downstairs at home, switched on my television, and Andy Burnham was on, the Mayor of Manchester. His concern was that Manchester might shortly be put in the “very high” category, and he made the plea that local government should be properly involved and consulted in those decisions, as opposed to being bypassed, which seems to have been the plea of local authority leaders for several months now. It is time that the Government trusted local authorities of whatever political complexion. They should also trust scientific advice. I have listened to earlier discussions today and other discussions in the Commons, too, and I have yet to hear one argument why the SAGE advice was not accepted at the time, on 21 September.
Somebody asked what the advantage would be of a circuit-breaker. I think that the advantage is that it would buy time to properly implement a trace and test system, which we do not have at the moment.
I want to make two other points. One is about smartphones. I have one, but it is too old or not of the right type to be part of this track and trace system. So apart from the many people in this country who do not have a smartphone at all, there are also many of us who have smartphones that are too old, and that will cause a problem.
My other point is that there is a real uncertainty about what travel is appropriate or being advised against. The Welsh Government are concerned about people moving into Wales from higher-risk areas. What is the Government’s advice about travel, not just within very high category areas but from one to another?
I finish by saying that we should trust local authorities and scientific advice, and trust the people of this country to do the right thing.
The Deputy Speaker (Lord Faulkner of Worcester) (Lab)
The noble Baroness, Lady Wheatcroft, is apparently not taking part in this debate. I call the noble Lord, Lord Desai.
Covid-19: Great Barrington Declaration
Lord Faulkner of Worcester Excerpts(3 years, 6 months ago)
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The Lord Speaker (Lord Fowler)
I call the noble Lord, Lord Faulkner, who I forgot to call before.
Lord Faulkner of Worcester (Lab) [V]
My Lords, is the Minister aware that this so-called declaration is principally the work of the American Institute for Economic Research, a libertarian think tank funded by the Koch foundation and best known for its denial of climate change? As the Minister said in an earlier answer, a large number of the signatories are completely bogus. Does he agree that we should have nothing to do with fake science, which provides cover for a cull of the elderly and the disabled under the guise of herd immunity and promotes an American far-right agenda?
Lord Bethell (Con)
My Lords, there is some shared interest with those who drafted the Great Barrington declaration. They quite rightly make observations about the impact of the pandemic on education, and we are providing £1 billion to support those whose education has been hit by Covid. They make observations about support for those who are shielding, and we have written a new letter to 2.2 million people who are undergoing shielding. However, the noble Lord is entirely right: this is Johnny Bananas science, and we will not support it.
Health Protection (Coronavirus, Wearing of Face Coverings in a Relevant Place) (England) Regulations 2020
Lord Faulkner of Worcester Excerpts(3 years, 7 months ago)
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Baroness Hooper (Con) [V]
My Lords, I welcome the clarifications from my noble friend as to the purpose and operation of these regulations. I also welcome the opportunity to question him about them, even if it is ex post facto.
As someone who was reluctant to wear a mask, I now find them rather comforting, and I predict that when the weather gets really cold, mask wearing will become positively popular. On the whole in the United Kingdom, our rules so far in this respect have been less stringent than in some other countries. For example, in Spain, even in holiday resorts, the wearing of masks outdoors as well as in shops, restaurants and so on is compulsory.
However, as has already been said by previous speakers, and indeed in the previous debate, there is considerable confusion among the general public. I appreciate the need for flexibility and change to respond to changing circumstances, but it is essential to get the message across.
The Government have issued guidance in relation to all these regulations. Can my noble friend tell us how this guidance and advice is made available to the general public? Most people get their information from television, radio and newspapers, but it is often interpreted and rephrased, which sometimes adds to the confusion. Further, can my noble friend tell us whether guidance has been issued in other languages and whether the guidance includes advice about hygiene in relation to face coverings, which I fear could become a germ trap if not regularly cleaned?
To add to the confusion, I note that these regulations apply only to England. It is to be hoped that those living and moving on a regular basis across United Kingdom internal borders are not faced with different sets of regulations and penalties if they do not comply with them. Did any consultation take place with the devolved Administrations before the issuing of this guidance to avoid any such added confusion?
I look forward to my noble friend’s replies, not only to my questions but to the amendment moved by the noble Baroness, Lady Thornton, with which I have some sympathy.
The Deputy Speaker (Lord Faulkner of Worcester) (Lab)
The noble Baroness, Lady Andrews, is now not participating in the debate, so I call the noble Lord, Lord Flight.
Covid-19: Rise of Positive Tests
Lord Faulkner of Worcester Excerpts(3 years, 7 months ago)
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Lord Bethell (Con)
My Lords, I used to organise raves, and I used to love them—but I implore all those who organise raves to stop, because they are creating a massive public health disaster. Fines have been put in place, and we will come after them. But I ask them, “Please, look into your conscience. Stop the raves. Protect lives.”
The Deputy Speaker (Lord Faulkner of Worcester) (Lab)
Lord Desai? Lord Harries of Pentregarth.
Lord Harries of Pentregarth (CB) [V]
Moving on from the question asked by the noble Baroness, Lady Jolly, about care homes, and the Minister’s response, are the Government publishing the number of cases and deaths due to Covid in care homes? If not, why not?
Lord Bethell (Con)
My noble friend is entirely right to say that the measures that the Prime Minister will describe will impose a huge burden on the whole country. However, he alludes to a hope that I am afraid cannot be borne out in practice, because we have seen, in country after country, that after prevalence follows hospitalisation and mortality, as night follows day. There is an immediate and strong connection between the rise of mortality and the rate of prevalence in the country as a whole. Children see their parents, and parents see the grandparents, so if we really want to protect all those in society, we have to lean into the disease at every level. In addition, it is emerging that the long-term effects of Covid on young people can be profound. Even those with relatively low or asymptomatic reactions to the disease can be affected by fatigue, loss of memory, breathing difficulties and other long-term effects. It is for those reasons that I ask all young people to ensure that they take every step to avoid catching this disease.
The Deputy Speaker (Lord Faulkner of Worcester) (Lab)
My Lords, all supplementary questions have been asked.
NHS Counter Fraud Authority (Establishment, Constitution, and Staff and Other Transfer Provisions) (Amendment) Order 2020
Lord Faulkner of Worcester Excerpts(3 years, 7 months ago)
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The Deputy Chairman of Committees (Lord Faulkner of Worcester) (Lab)
The Grand Committee stands adjourned until 4 pm. I remind Members to sanitise their desks and chairs before leaving the Room.
Health Protection (Coronavirus, Restrictions) (Leicester) Regulations 2020
Lord Faulkner of Worcester Excerpts(3 years, 9 months ago)
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Lord Willis of Knaresborough (LD) [V]
My Lords, no doubt these regulations are technically competent, and no doubt they will be used as other communities—perhaps Oldham or Peterborough—become the latest virus hotspots. What they do not do is to put into legislation the tools that would give local health authorities and local councils the data to act more confidently and effectively to minimise disruption to lives, businesses and social structures in some of our poorest communities.
On 6 June, the Covid-19 Clinical Information Network recommended the co-ordination of all clinical and health records of patients admitted to hospital with suspected Covid. Has this happened in Leicester, and has it been published? Is this data available to those who require it, and why is there not a requirement to do so via this SI? On 22 June, the Scientific Pandemic Influenza Group on Modelling recommended linking health with clinical data and data from other systems, including employment and social security. Why has this recommendation not appeared in the SI? It would enable a much more vigorous examination of outbreaks, something Leicester has urgently needed, yet nothing has appeared in these regulations. Why is there no requirement for all healthcare workers, patients and care home residents in Leicester to be repeat-tested for Covid-19 during the lockdown? Why has universal serological testing not taken place to seek out antibody carriers in Leicester?
Research data will increasingly play a vital role in managing future outbreaks of Covid, and these regulations were an opportunity to grasp that. Sadly, we have missed that glorious opportunity.
The Deputy Speaker (Lord Faulkner of Worcester) (Lab)
The noble Lord, Lord Cormack, has withdrawn from this debate, so I call the noble Baroness, Lady Uddin.
Baroness Benjamin (LD) [V]
My Lords, the coronavirus pandemic has exposed deep inequalities in our society. It has caused so much pain, death and suffering in areas across the country. This is evident in Leicester, where many families are from minority communities with low-level incomes and are reportedly working in unacceptable sweatshop conditions. Many are also living in cramped housing conditions, which is having a huge impact on their children’s mental and physical well-being. The report from Public Health England in June stated that the Government must:
“Ensure that COVID-19 recovery strategies actively reduce inequalities caused by the wider determinants of health to create long-term sustainable change. Fully funded, sustained and meaningful approaches to tackling ethnic inequalities must be prioritised.”
When Ministers placed new restrictions on Leicester a few weeks ago, it came after weeks of warning from local authorities of major gaps in the Government’s Covid-19 policy. One of the gaps was the pillar 2 testing system. The data from these tests was received very late by Leicester authorities. Local authorities and communities need much clearer information and answers, because by not knowing they cannot prepare.
Leicester has a high number of diverse communities, so why was more not done in anticipation of a second outbreak of Covid-19? Worryingly, that situation could be replicated in other areas and is a huge cause for concern. If long-term sustainable preventive measures are not put in place to avoid major problems in the future, further outbreaks are likely to occur in other parts of the country. So what long-term action do the Government propose to counteract these threats, ensuring that people are better paid, have improved working conditions and better access to housing and healthcare? What short-term measures are being used to communicate public health messages such as social distancing, in Leicester and other communities such as Oldham, to ensure that people are aware of the Covid regulations imposed? Prevention is better than cure, and never before has that been so important to deal with this pandemic.
The Deputy Speaker (Lord Faulkner of Worcester) (Lab)
I now call Baroness Gardner of Parkes. Is she there? No? Then I call Lord Bhatia.
The Deputy Speaker (Lord Faulkner of Worcester) (Lab)
My Lords, the noble Lord, Lord Wei, has withdrawn so I call the noble Baroness, Lady Tyler of Enfield.
Lord Roberts of Llandudno (LD) [V]
This morning I spoke to some of our local councillors, who all said that the areas worst affected by the virus outbreak are the poorest ones. I therefore suggest that our battle is not just against the virus but against poverty, and we must take that seriously. We must realise that even when this lockdown comes to an end and people go back to work, about 4 million are forecast not to have any work as their jobs will have come to an end, which will just add to the poverty. We must therefore now make sure that the benefits received and help given to those who are furloughed in various parts of the country continue, to stop the desperation that people must feel when their income more or less disappears and all the other help that they get has gone. We must somehow stop poverty itself, as it increases the harshness of the virus.
We could of course look at Brexit because, yesterday or the day before, the LSE forecast that the areas worst affected by the exit from Europe will be very hard-pressed, and said that they will have difficulties on top of the virus. I therefore ask the Government—I know it is late but it is possible—to cut that poverty at a stroke, and by so doing make it easier for us to recover from the virus epidemic.
The Deputy Speaker (Lord Faulkner of Worcester) (Lab)
I call the noble Baroness, Lady Gardner.
Smoking
Lord Faulkner of Worcester Excerpts(3 years, 9 months ago)
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Lord Faulkner of Worcester
To ask Her Majesty’s Government how they plan to achieve their objective of making England smoke-free by 2030.
The Parliamentary Under-Secretary of State, Department of Health and Social Care (Lord Bethell) (Con) [V]
The Government are moving fast on several fronts to address the issue of smoking. That is why we have brought forward the prevention Green Paper and the tobacco control plan. Covid has offered an opportunity for more people to give up smoking, which is why we have instituted the Quit for Covid plan.
Lord Faulkner of Worcester (Lab) [V]
When will the Government publish their response to the prevention Green Paper consultation? Will today’s proposed guidance for smoke-free areas outside pubs and restaurants be agreed with his department, the DHSC? Will it be published before the House rises and will it be subject to parliamentary scrutiny?
Lord Bethell [V]
My Lords, the government Green Paper published on 19 July is an extremely complex proposal. That is why we are considering it in great detail. It addresses the urgent need to tackle the disproportionate amount of smoking in deprived areas and among marginal communities. We are engaged with those communities to figure out what will work best. When we have those answers, we will publish our reply.
Covid-19: Personal Protective Equipment
Lord Faulkner of Worcester Excerpts(3 years, 9 months ago)
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Lord Bethell [V]
My noble friend Lord Deighton is still in place: I spoke to him recently. His impact has been immense, and I owe him a huge debt of thanks for that. He is particularly focused on the “make” leg of the PPE project, and within that he has recruited firms such as Medicom, Redwood, Photocentric, Ramfoam, Elite and Macdonald & Taylor Healthcare—British manufacturers that are, between them, providing hundreds of millions of items of PPE.
The Deputy Speaker (Lord Faulkner of Worcester) (Lab)
My Lords, the time allowed for this Question has elapsed and Question Time has now finished.
Covid-19 Update
Lord Faulkner of Worcester Excerpts(3 years, 10 months ago)
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The Parliamentary Under-Secretary of State, Department of Health and Social Care (Lord Bethell) (Con)
My Lords, I thank the noble Baronesses, Lady Thornton and Lady Brinton, for their thoughtful questions. To answer directly, it is extremely important that we are currently here debating the outbreak in Leicester, because in a way it is a tribute to the success of the hygiene, isolation and social distancing strategy that has borne so heavily down on this disease that we are now in the position of focusing on those rock pools of the epidemic that have been left behind by the tide of this disease going out. But I completely accept the importance of this outbreak management. That is where the Government’s focus is centred.
I reassure both noble Baronesses that the data that local authorities and local directors of public health require is being given to them and access is being provided. All local authorities were issued with data-sharing agreements to access personally identifiable local testing data on 22 June. After signing those data-sharing agreements, the first local authorities accessed the data on 24 June. Leicester accessed it with its log-in details on 25 June. An enormous amount of progress is being made in an area that is now very much our focus. Local authorities, public health directors and infection control teams have worked hard in the past few weeks knuckling down on those lockdowns that did not get away, on the local outbursts that were well managed and that have not hit the headlines and that are now falling lines on the epidemiological graph.
The noble Baroness, Lady Brinton, asked about the legal aspect. I reassure her that the lockdown in Leicester is being carried out under the Public Health (Control of Disease) Act 1984 at the request of the local authority as the provisions of that Act require. Therefore, regulations will not be brought to this House. The Secretary of State and the Government have sought to manage the epidemic through the consent of the people, not through making things mandatory. That has been our consistent approach because trust and collaboration are at the heart of this country’s response and we do not believe that making things mandatory through regulation will be as effective. However, if regulations are necessary, we will bring them to bear in order to protect lives and save the NHS.
I pay tribute to the British people for their enormous collaboration and the huge sacrifice that many have made in order to put in social distancing and other necessary measures. I pay tribute to the shops, pubs, churches and other venues that are working so hard in order to apply the necessary regulations for reopening on 4 July, which will be an incredibly important but worrying experiment in opening up our society.
On further lockdowns around the country, none is currently planned. Our profound hope is that none will be necessary. Our severe fear is that they will be, because epidemiological experience suggests that a virus that has a doubling rate of two or three days very quickly spirals out of control in geographical focal points. But we remain incredibly vigilant, and the focus of our effort is to use the necessary data to identify outbreaks when they happen and to move epidemiological resources into place in order to deal with those outbreaks.
On further data, we hope to make announcements shortly in order to get the most local data open to the dashboards available to local authorities and public health officials in the very near future.
The noble Baroness, Lady Thornton, asked about the involvement of the Mayor of Leicester in decision-making in Leicester. I reassure the noble Baroness that he was very much at the heart of all the analysis, the meetings with PHE, the gold meetings of the JBC and the process of agreeing the lockdown arrangements. That is entirely right and proper for such a situation.
The noble Baroness, Lady Brinton, asked about PPE in social care. I reassure both noble Baronesses that the measures in place to manage imports and the manufacture of the necessary domestic PPE have proved to have a huge yield and at the moment our RAG rating is extremely positive on PPE for all aspects of the healthcare system.
The Deputy Speaker (Lord Faulkner of Worcester) (Lab)
We now come to the 30 minutes allocated for Back-Bench questions. I ask that questions and answers be brief so that I can call the maximum number of speakers.