Health Protection (Coronavirus, Restrictions) (North East of England) Regulations 2020
Baroness Altmann Excerpts(3 years, 7 months ago)
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Baroness Altmann (Con)
My Lords, I thank my noble friend for introducing these regulations and share others’ sympathy with the position he finds himself in on the Front Bench. I agree with him and echo his concerns that these measures have greatly affected families; they have interfered with the bonds that many children, parents, siblings, grandparents and friends rely on for their sense of worthwhile living. My noble friend mentioned that these SIs are vital to suppress and eradicate this disease. I understand how they suppress it, but how do they eradicate it?
As the noble Lord, Lord Hain, eloquently explained, we were in this position many months ago; the transmission rate fell but, once freedom was restored, the transmission reappeared. What consultation has occurred with the areas affected by these SIs? For example, will the 10 pm curfew merely transfer meeting to the street, or on to public transport, as all pubs and clubs empty at once?
We are once again being asked to rubber-stamp measures in this House that have already been introduced and amended twice—perhaps shortly to be thrice—yet there are still no impact assessments and no detailed cost-benefit analysis. I also echo the words of the noble Lord, Lord Shipley, in asking for evidence of how the rising number of cases is related to the extent of testing in any area, and how many are among only the young and asymptomatic, which may be of far less concern. These measures are so draconian, intrusive and dangerous to both lives and livelihoods that we surely need much more rigorous analysis than we have hitherto been offered.
When calling for a detailed cost-benefit analysis, we are not just talking about looking at the trade-off between lives saved by lockdown versus costs to business and economic growth, important though that it is. As mentioned so powerfully by my noble friend Lady Morrissey, analysis is required of the costs and benefits of Covid-19 deaths prevented by lockdown versus deaths from other causes caused by lockdown. Deaths and serious ill health, both physical and mental, will be increased by the measures we are debating today.
How many people will die or suffer life-limiting impacts? Who has done those estimates? For example, Hull University NHS teaching hospitals have already informed thousands of patients that they will have to wait two years for medical treatment. As another example, 16,000 fewer patients than expected are being urgently referred for lung cancer tests just since March—a 50% fall. Some fear going out, but others may develop a cough and just self-isolate rather than going for a check. Even if they try to see their GP, they may have only a virtual consultation, which may tell them to self-isolate. Cancer, heart failure and other illnesses are being worsened by the measures that we are debating today.
This is not an easy situation; we are in a very difficult position. But we need much better and more detailed information and analysis on which we can truly base judgments about these kinds of draconian measures, so that we can satisfy ourselves and the public at least that we understand what the costs are, that they are justifiable and that, in the end, we have a strategy for eradicating this virus rather than just suppressing it on an ongoing basis, with all the damage that that entails.
Food Hygiene Rating Displays
Baroness Altmann Excerpts(3 years, 7 months ago)
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Lord Bethell (Con)
My Lords, I completely acknowledge the persuasive statistics from the noble Baroness. FSA analysis suggests that food-borne illness outbreaks are twice as likely to occur in businesses with a low rating than those with a rating of three, four or five. These are very concerning figures. We completely take on board the statistics that the noble Baroness has cited, and I shall take them back to the department, as she suggests.
Baroness Altmann (Con)
My Lords, has the pandemic had any impact on the overall food standards and hygiene ratings of various outlets? Do local authorities need more resources to continue to carry out the checks that they are required to make?
Lord Bethell (Con)
My Lords, it is probably too early to make an accurate analysis, but one impact that has happened in the food industry is the move to online deliveries. That is why we are considering the application of mandatory rating for online deliveries as well as for restaurants. Online deliveries are a terrific benefit to society, but it is important that they also have regulatory scrutiny, and we will bear that in mind in any future review.
Covid-19: Adult Social Care Complaints
Baroness Altmann Excerpts(3 years, 7 months ago)
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Lord Bethell (Con)
The noble Baroness is entirely right that in April 2016 we committed, in fact sheets about the Care Act, to introduce an appeals process. That is still on the horizon, but this is best placed as an overall reform of the social care system that puts it on a sustainable footing where everyone is treated with dignity and respect. We have, therefore, delayed the implementation of this appeal system until we can make it part of a larger commitment to reforming social care.
Baroness Altmann (Con)
My Lords, I urge my noble friend to encourage his department to come forward with its plans for social care reform as soon as possible. How many complaints relating to Covid has the Local Government and Social Care Ombudsman received since it reopened on 29 June?
Lord Bethell (Con)
Last week, the Local Government and Social Care Ombudsman indicated that it had had around 100 Covid-related complaints. The department is closely monitoring the situation, including through our normal safeguarding networks. The ombudsman has confirmed that the current level of complaints is no higher than normal. We will be making sure that there is no backlog that ticks up this number.
Covid-19: NHS Application
Baroness Altmann Excerpts(3 years, 7 months ago)
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Baroness Altmann (Con)
My Lords, I too congratulate my noble friend on his birthday and I congratulate the Government on introducing this new technology. As he is aware, I am very supportive of this. I would be grateful if he could explain to the House what evidence there might already be from Scotland on the effectiveness of the Protect Scotland app in tracing contacts, ensuring isolation and reducing deaths.
Lord Bethell (Con)
My Lords, the Protect Scotland app has delivered huge value for the Scottish people. It has guided many to isolate and it has been downloaded a very large number of times. We seek to get the UK app and the Scottish app working together in the second version. We have learned an enormous amount by collaborating with Scottish colleagues and have gained enormous value from their learnings.
Covid-19: Tracking
Baroness Altmann Excerpts(3 years, 7 months ago)
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Lord Bethell (Con)
My Lords, the ultimate aim of the app is to break the chain of transmission. That is done through a number of ways. One is to provide a proximity alert for those who spend time with people who have tested positive. It also has a check-in capability to help our track and trace efforts, and we are building more applications on it all the time. One encouraging statistic is that until 10 o’clock yesterday, there were 6.5 million check-ins through the app. This is an astonishing number and it shows that those who are socialising are using the app.
Baroness Altmann (Con)
My Lords, I congratulate the Government on introducing this system of track and trace using apps. I encourage my noble friend to look carefully at introducing as soon as possible the express system available in the US and having it integrated into the telephones. He may not be aware that a number of people with whom I am in contact have downloaded the current app, found that it drains their batteries too quickly, and have therefore deleted it. Does he agree that if the express system were integrated into the app, it would do less damage to the battery and it would be more likely that people would stay with it?
Lord Bethell (Con)
My Lords, we are looking carefully at the Apple express system. It does not contain the substantial investment in the algorithm from the Alan Turing Institute that gives our own app the sensitivity and protection that phone users are seeking from such a device. We have looked carefully and worked extremely intensely with Apple on the battery and our understanding is that the app does not have a large impact on battery use.
Health Protection (Coronavirus, Restrictions on Gatherings) (North of England) Regulations 2020
Baroness Altmann Excerpts(3 years, 7 months ago)
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Baroness Altmann (Con)
My Lords, I too thank my noble friend for all his dedicated work.
I recognise that information about this virus is incomplete. I sympathise with the Government, who cannot be expected to get the responses right all the time. However, sitting here today, do we have sufficient evidence to justify these extraordinary ongoing— seemingly never-ending—repressive restrictions on basic freedoms, family life and our parliamentary democracy? Parliament is expected to rubber-stamp measures with comprehensive evidence and impact assessments not having been presented even weeks after the regulations have already been imposed.
My noble friend talks of a crisis level of infection. What does that mean? When will Parliament be presented with a balanced, comprehensive analysis and data to identify, for example, the most recent correlations between infection with Covid, admission to hospital due to Covid and deaths from Covid-19 relative to deaths due to the effects of lockdowns and ongoing Covid restrictions?
The Government say they hope to ease the measures when infection or transmission falls. What constitutes success here? What is the endgame? Will we continue to lock people down, rejoice at reducing infections, relax draconian restrictions and, though I can hardly believe I am saying this, allow people to see their friends and loved ones again without risking arrest? Then what? The virus will not have disappeared. Does this whack-a-mole strategy just start again?
Parliament should be able to judge the data. What is the risk to life of a Covid infection relative to the risk to life of missed cancer treatments, mental breakdown, stroke and heart failure, all of which lockdown worsens? Indeed, do we know to what extent the increased testing rates in the areas of the restrictions that we are debating today, which my noble friend mentioned, contributed to the rise in reported infection rates that led to these measures?
Health Protection (Coronavirus, Restrictions) (Leicester) (No. 2) Regulations 2020
Baroness Altmann Excerpts(3 years, 7 months ago)
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Baroness Altmann (Con)
My Lords, I thank my noble friend for his work on these regulations and for presenting them today. I am happy to join him in congratulating the leaders, public workers and residents of Leicester on their efforts to cope with the chopping and changing of restrictions on daily and family life.
As other noble Lords have commented, I am seriously concerned about the ongoing undermining of parliamentary scrutiny and accountability for measures that have such a devastating effect on areas of our country and its citizens. The seemingly arbitrary rules are having a detrimental effect on public confidence, and even though we are debating measures that have been superseded several times, we still have no information before us that explains the rationale in any detail and no information on the cost-benefit analyses of these measures, on the impact on other health concerns and the problems they cause for family life or on the potential number of deaths from Covid-19 that may be avoided, versus the number of deaths from other causes.
Could my noble friend please explain to us—if not today, then in writing—the Government’s overall assessment of the impact of local lockdown measures on public health? For example, a study published in the Lancet Public Health reports that detection rates for type 2 diabetes, cardiovascular and circulatory diseases, mental illness and cancer have plunged, citing a diagnosis rate around 50% lower than the average of the last decade. Lockdowns may suppress Covid-19 infection rates, but that is not the same as saving lives. There will be many people in Leicester who will not have received life-saving treatment and would like to know what assessment the Government have made of the number of deaths that have been caused by other illnesses during lockdown.
Lockdowns should be a last-ditch, life-saving measure after carefully balanced consideration of all other risks, rather than a sledgehammer to beat just one illness regardless of serious side-effects. Parliament needs this information and so do the public.
Health Care: Guidance
Baroness Altmann Excerpts(3 years, 7 months ago)
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Lord Bethell (Con)
The noble Baroness is entirely right to focus on the plight of young carers, who play an incredibly important role in society at any time, and who are under profound pressure, particularly when isolating during this epidemic. Substantial financial support has been given to local authorities to provide their social care services with the additional funds necessary to support such cases, and we continue to work through our charity partners to ensure that young carers are supported.
Baroness Altmann (Con)
My Lords, I congratulate the Government on avoiding the temptation to discriminate on the grounds of age in connection with this coronavirus illness. The original guidance suggested that a person was vulnerable just because they were over 70, and I welcome the clarification. Could my noble friend assure the House that the Government do not intend to introduce blanket age restrictions and that the individual medical conditions of each person will be taken into account, rather than just age?
Lord Bethell (Con)
My Lords, I reiterate the point I made earlier in response to my noble friend’s quite reasonable remarks on the importance of fairness when it comes to age: blanket age restrictions play no role in the NHS and are overtly against the constitution.
Health Protection (Coronavirus, Restrictions) (No. 2) (England) (Amendment) (No. 2) Regulations 2020
Baroness Altmann Excerpts(3 years, 7 months ago)
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Baroness Altmann (Con)
My Lords, I regret that these regulations are necessary and urge the Government to consider their approach. In justifying emergency powers a few months ago, Parliament accepted that this was meant to be exceptional and was necessary for public health.
Subsequently, however, enforcement has been strengthened, yet it remains the case that the various iterations of the lockdown have never been in place with full parliamentary approval. Not only has Parliament not been in engaged in scrutinising these new laws, members of the public and the police have been given little chance to see and understand the new laws they are subject to. Every subsequent amendment has entailed parliamentary scrutiny being delayed and devalued. Despite repeated insistence from Ministers that this will not become routine practice, it has become precisely that.
We are supposed to be easing measures as soon as it is safe for public health to do so, but can my noble friend explain this concept of public health, which seems to have been interpreted strangely in the narrow manner of risk of catching one illness? Can he explain why the focus seems to be wholly on this one risk, when the number of deaths from other illnesses may be higher than those from Covid-19? If scientists are asked to assess the risk of this one virus, given how new it is, their risk/reward equation is bound to lead them to advise against opening up, easing restrictions or mingling. Even if they are wrong, they can claim success. It is important, therefore, to bear in mind the other elements of public health involved in these draconian measures.
Covid-19: NHS Long-term Plan
Baroness Altmann Excerpts(3 years, 7 months ago)
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Lord Bethell (Con)
I am grateful to the noble Baroness for raising the importance of community nursing, and all community-based healthcare, including community diagnostic hubs. The interest in nurse recruitment has risen dramatically—by 138% in recent months—partly because of our massive advertising campaign and the renewed focus of NHS trusts in community nursing, which will be matched by opportunities to provide training for those who step forward for jobs.
Baroness Altmann (Con)
My Lords, in light of the experiences of people relying on social care during the current pandemic, might the NHS long-term plan make some adjustments to account for the need for integration between NHS and social care? When can we look forward to the proposals for radical social care reform, to ensure parity of esteem for the NHS?
Lord Bethell (Con)
My noble friend is entirely right to raise the importance of social care. Undoubtably, one of the things that we have learned through Covid is that the NHS and social care sectors must work more closely together. That was always envisaged as one of the pillars of the long-term plan. It is now an increased priority. That has been witnessed through much closer collaboration in recent months between trusts and the social care industry. We continue to invest in social care, providing councils with access to £1.5 billion for adult and social care in 2020-21, as extra support during this difficult time.