Covid-19
Baroness Evans of Bowes Park Excerpts(2 years, 3 months ago)
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Lord Newby (LD)
My Lords, we obviously share the relief being felt across the whole country that the peak of the omicron wave seems now to have passed. However, Covid is not over. Yesterday, the ONS reported that one in 20 people in England caught Covid last week and government-reported cases still number over 100,000. The NHS remains pressured, with around 2,000 admissions per day, and last week there were 1,900 deaths.
We clearly need to learn to live with Covid, but that is not necessarily the same as going back to life exactly as it was before Covid. We need to remember that continuing levels of Covid, even at reduced numbers, will continue to fill some hospital beds. This delays treatment of everybody else, which is particularly significant given the 6 million people on the NHS waiting list.
This is the backdrop against which we have to judge yesterday’s announcement. The exact timing clearly has more to do with Conservative Party management and saving the Prime Minister’s premiership than concerns about public health or boosting the economy. While ending some of the restrictions, such as Covid passports, is to be welcomed, we have some reservations elsewhere, particularly on masks.
As everybody knows, masks are a cost-effective precaution that help reduce transmission of the virus and consequently reduce the pressure on the NHS and its staff. People have been asked to make tough sacrifices throughout the pandemic but, in our view, requiring people to wear a mask on public transport and in the shops a little longer to protect others is a small price worth paying. There are many, especially the clinically extremely vulnerable, who are concerned about travelling on crowded public transport or using the shops. Keeping masks in those crowded places will allow them to get on with their day-to-day lives with confidence in a way that they have not been able to do for virtually two years.
The Prime Minister said that
“we will trust the judgment of the British people”
on whether to wear masks. Given his own complete lack of judgment and moral authority, I suspect the consequence will be that mask wearing on the Tube and on trains will collapse. Before the latest restrictions, mask wearing on the Tube was under 50%. Today it is about 90%. Next week, I bet it will be back to 50% or less. In our view, to have permitted this at this point is a mistake.
As for masks in schools, we all want to keep schools open but with huge numbers of pupils still out of school, it remains hard to do so in some cases. As long as the evidence shows that masks are helping reduce these absences, we support heads who want to retain masks in their schools. If individual heads decide to do this beyond the end of this week, will the Government support them?
The real issue in schools is, of course, the Government’s failure to provide air purifiers in classrooms. I echo the noble Baroness’s question: how far have the Government got in their admittedly inadequate plans to improve the number of classrooms that have such air purifiers?
On ending the requirement to work from home, while going back to the office will be good and right for many, we would encourage employers to consider the wishes of their employees—as many of them are already doing. Can the noble Baroness say what policy the Government are adopting towards their own employees? Will they require all civil servants to return to their former work patterns or will they, like many private sector employers, show more flexibility?
More generally, this Statement—which unfortunately we did not have the benefit of hearing—is suffused with the kind of hyperbole and exceptionalism that we have come to expect from this Prime Minister. Given his abject failure to stick to the rules himself or to ensure that his own staff behave responsibly, to many ears this tone sounds more than usually ill-judged. It is too much to expect sincere humility from this Prime Minister. He should go.
The Lord Privy Seal (Baroness Evans of Bowes Park) (Con)
I thank the noble Lord and the noble Baroness for their comments on the positive news in this Statement that we have been able to move forward. I will attempt to address some of their questions.
I will ensure that the scientific evidence is placed in the Library. I am afraid I am not sure whether it has been published yet; it was said that this would happen this week, but I will check and make sure that it is available for noble Lords. I can say that we considered a range of data in making this decision, including data on infections, the effectiveness of vaccination, Covid pressures on the NHS, workforce absences, public behaviours and international comparisons, alongside the views from the scientific community. As the noble Baroness rightly said, the data is showing that Covid cases are falling and that the high levels of vaccination and booster uptake have helped reduce the risk of severe disease and hospitalisation, which, in turn, has helped reduce the pressure.
However, I completely accept what the noble Baroness and the noble Lord said and we continue to urge caution, because there are still around 1,600 Covid patients in England. They are both absolutely right: while we are very pleased to have been able to take this step forward, we all have to be cautious. I think we can all accept that the British people have shown that they can make judgments about what they are doing and how they can feel safe, and will continue to do so. It is thanks to their willingness to get vaccinated and the way they have thought of others as much as themselves that we have been able to get to this position. I would also say that hospital admissions have stabilised and the number of patients in ICU is falling, so the data is showing that we are moving in the right direction.
The noble Baroness asked about advice for people who have previously been shielding. There is now no specific advice and, as the noble Lord said, people will need to make their own judgments about how they feel and what they want to do.
The noble Lord asked about public transport. Operators of public transport can still require passengers to wear face coverings as a condition of carriage. I might be wrong, but I thought the Mayor of London, for instance, said that about the Tube yesterday, notwithstanding some of his comments. That option is still available; I believe the mayor has introduced it and obviously he did previously.
Masks will no longer be required, but the guidance suggests that individuals continue to wear a face covering in crowded and enclosed spaces where they may come into contact with people they do not usually meet. Again, it will be up to individual businesses and organisations whether they wish to ask their customers to wear face coverings. We think that, as we move towards an endemic scenario—we hope that this is becoming endemic, rather than a pandemic—we need to move towards guidance rather than mandated rules.
The noble Baroness rightly asked about our international efforts. She will know that we have been a world leader in ensuring that developing countries can access vaccines. Last month, we pledged £105 million of emergency aid to help support vulnerable countries and we met our goal of sharing 30 million doses by the end of last year. That benefited over 30 countries as part of our G7 pledge to donate 100 million doses by June.
In relation to support for individuals, we have committed over £344 million to ensure there are no financial barriers to isolating in England. The noble Baroness asked about statutory sick pay. We have made Covid-related statutory sick pay payable from day 1, meaning that it can be up to 75% more generous for full-time employees who need to self-isolate. We have also reintroduced the statutory sick pay rebate scheme which reimburses eligible businesses for the cost of statutory sick pay for Covid-related absences. Sick pay is one part of the support available, but people may also be eligible for the £500 support payment as well.
Both the noble Lord and the noble Baroness asked about schools. We have removed the requirement for face masks in the classroom, but directors of public health will be able to propose temporary recommendations for face coverings in communal areas across their area, or parts of it, in the event of a Covid outbreak and if the public health situation justifies it. On ventilation in schools, I can say that over 350,000 CO2 monitors have been rolled out across the school estate and the country to help in identifying poorly ventilated areas, backed by a £25 million investment. I am happy to say—I hope this provides some reassurance—that feedback following this shows that, in most settings, existing ventilation measures were sufficient. For the cases where maintaining good ventilation is not possible, 8,000 air-cleaning units are being rolled out across schools. That figure has gone up quite significantly and I am sure it will continue to do so if needed.
The noble Lord also asked about working from home. It will be up to departments to decide their own arrangements with their staff, but we are encouraging people to return to the office as a cross-government message, not least because I think quite a lot of people would like to come back and see friends and colleagues who they perhaps have not seen for a very long time.
Baroness Brinton (LD) [V]
My Lords, the Leader of the House just said that there is no advice for people who were formerly shielding, the clinically extremely vulnerable, but there is; the noble Lord, Lord Kamall, confirmed this to me last night. It says that this group should still consider meeting people only 14 days after they have been fully vaccinated, social distancing, asking friends and family to have rapid lateral flow antigen tests, asking any visitors to their homes to wear face coverings and not going into enclosed crowded spaces. Putting this guidance on a website is not the same as telling this group of people, or the wider public, especially their employers, directly that this group still need to take care. Will the Leader take this back and ensure that communications go to this vulnerable group of just under 4 million people?
Baroness Evans of Bowes Park (Con)
I apologise to the noble Baroness and will certainly take that back to government colleagues. I recognise what she says.
Lord Cormack (Con)
My Lords, there does not seem to be anything about future plans for boosters. We all acknowledge that the vaccination campaign has been a triumph, but we still do not know for how long the vaccine is efficacious. Are there plans for booster doses to be given annually or at other intervals?
Baroness Evans of Bowes Park (Con)
My noble friend puts his finger on it when he says that at this stage we do not know. However, I can reassure him that this will continue to be monitored. If it becomes necessary to deliver further boosters, we will of course do so. We will also need to be alive to the potential for different variants, which may involve other actions. I can assure him that we now have a wealth of evidence and experience and know, as in this very announcement today, how important vaccines and boosters are. That will certainly be at the forefront of our mind as we continue moving forward.
The Lord Bishop of London
My Lords, I thank the noble Baroness for her update. I believe that NHS staff who have not received two doses of the vaccine face dismissal from 1 April onwards. It is estimated that this will result in London losing something like 12.5% of its midwives, putting at risk the lives of pregnant women and their babies. Such a loss of staff may be thought to be justified were it not for the case that two doses of the vaccine are not understood to protect against the omicron variant of Covid-19. We shall lose precious midwives to implement a policy that has been superseded by the evolution of the virus. Will Her Majesty’s Government put the implementation of existing legislation on hold, given that it may now lead only to harm and not the good that it was designed to promote?
Baroness Evans of Bowes Park (Con)
I am sure the right reverend Prelate would also accept that unvaccinated healthcare workers increase the risk to themselves, their colleagues and the very vulnerable people in their care. It is our responsibility to help give everyone the best possible protection. I can say that the vast majority of NHS staff have been vaccinated: nine in 10 have already had their second jabs. The NHS will continue to support and encourage staff who have not yet been vaccinated to take up the offer. Since we first consulted on this proposal, the proportion of NHS trust healthcare workers who have been vaccinated with a first dose has increased from 92% to 94%, an increase of 75,000.
Baroness McIntosh of Hudnall (Lab)
My Lords, in the period since the pandemic began, we have learned that the protections we have all been routinely using, such as the wearing of masks, handwashing and so forth, protect not only against Covid but against a number of other common infections which themselves have an impact on workforces and absentee rates, and therefore economic outcomes. I want to take the Minister back to my noble friend Lady Smith’s point about public messaging. Rather than encourage people to see this as a moment of freedom from restrictions, is it the Government’s intention to remind them that, in certain respects—which as the noble Lord, Lord Newby, said, are not particularly onerous—if they continue to observe certain precautions, they will be protecting not only against Covid but against other diseases and infections that cause pressure on the NHS?
Baroness Evans of Bowes Park (Con)
I entirely agree with the noble Baroness. We will of course continue to do that and make sure we are getting the message out. As she rightly says, people can wash their hands and have better ventilation. We will absolutely continue to pass those messages on, nationally and, I am sure, within schools and other settings and in individual businesses. We are all used to the signs now, as we go around various places, and I am sure that will continue.
Lord Walney (CB)
My Lords, the Health Secretary claimed in the media this morning that the Government are actively considering removing the mandatory isolation period at some point in the near future. Presumably, if that goes ahead, it will place greater responsibility on lateral flow testing to show that you are negative, and so that would be an even more difficult moment to introduce charges for those tests, as the Government are also apparently considering.
Baroness Evans of Bowes Park (Con)
The noble Lord is right. As he says, the self-isolation regulations expire on 24 March. In the other place, the Prime Minister said yesterday that he expects them not to be renewed. Obviously, a final decision will be made nearer the time, but that is the intention. We will continue to provide free lateral flow tests for as long as is necessary. As the noble Lord rightly said, testing has been one of our most important lines of defence, and we continue to issue record numbers. At a later stage in our response, free tests will end, but there will have to be a balance; it is not something that will be happening imminently. We completely understand the value of lateral flow tests—all of us have seen it—but, as I said, as we start to move towards treating this as an endemic, things will need to change. That is something we will have to consider further down the line.
Baroness Blower (Lab)
My Lords, ventilation remains a distinct problem in very many schools up and down the country. So concerned have some teacher friends of mine been that they have bought their own air purifiers, given that the Government have not filled the gap. The Minister said that 8,000 cleaning units will be rolled out—that seems to me to be an extremely small number—but can she also say over what period these will be rolled out?
Baroness Evans of Bowes Park (Con)
They are being rolled out currently and will continue to be so. As I said in response to a previous question, 350,000 CO2 monitors have been rolled out. Notwithstanding the comments the noble Baroness made, feedback has shown that, in most settings, existing ventilation measures are sufficient.
Lord Scriven (LD)
My Lords, if we accept that we are going to be living with this virus for many years to come, we have to start being proactive rather than reactive. Ventilation affects more than schools; it affects public buildings and business buildings, where many people congregate. What is the Government’s view on changing building regulations, so that new builds start to deal with the endemic, rather than cause problems by not keeping people safe, and so help the economy to keep going?
Baroness Evans of Bowes Park (Con)
I am afraid I do not have an answer to that question, so I will go back to the department to try to find out, and will provide that information to the noble Lord.
Lord Patel (CB)
My Lords, I thank the noble Baroness the Leader of the House for repeating the Statement. Could she confirm that we will still continue with the vaccination of 12 to 15 year-olds? The JCVI recommends that the over-5s are also vaccinated. Now that the MHRA has approved the drug Paxlovid, which has been found to be highly effective in trials at reducing serious illness by 89%, do the Government have plans to purchase such drugs for those who might catch Covid in future?
Baroness Evans of Bowes Park (Con)
As the noble Lord will be aware, we have already purchased more antivirals than anywhere else in Europe, so we are on the front foot on this and will continue to be so. As new drugs become available, I am sure we will continue to do that. The noble Lord is absolutely right: we will be continuing to vaccinate those aged between 12 and 15. In England alone, we have already delivered over 1.7 million doses to that age group, and we are continuing to work on increasing take-up—for example, through repeat offers, ensuring information is translated into appropriate languages, and collaborating with leading social media platforms to direct young people and their parents to trusted sources of information.
Viscount Stansgate (Lab)
My Lords, one of the interesting things about the Statement is the complete absence of any reference to advice from the Government’s Chief Scientific Adviser, Chief Medical Officer or the Scientific Advisory Group for Emergencies, which is the Government’s chief advisory committee in the pandemic. Although the Minister says that the advice will be put in the Library of the House, can she assure us now that the advice received from the scientists accords with and supports the decision that the Government have taken?
Baroness Evans of Bowes Park (Con)
As I said in response to the first question from the noble Baroness, we considered a range of data in the decision-making and, of course, the views of the scientific community.
Baroness Altmann (Con)
My Lords, I congratulate the Government on their brave decision to relax the restrictions. I think many people who have been suffering severe mental health impacts from the pandemic will be relieved that perhaps we can start on a road to recovery and, as the noble Lord said, living with this virus. I go back to the question of the right reverend Prelate regarding mandatory vaccinations for NHS health staff. We are perhaps in danger of shooting ourselves in the foot if we get rid of loyal staff, and indeed many staff who are not even patient-facing, at a time when we face such a crisis in the NHS. There has already been a significant impact, as I understand it, in care homes and the social care sector.
Baroness Evans of Bowes Park (Con)
As I said in response to the right reverend Prelate, we are continuing to support and encourage staff who have not yet been vaccinated, and we are seeing more and more staff coming forward to get their jabs.
Business of the House
Baroness Evans of Bowes Park Excerpts(2 years, 3 months ago)
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Baroness Evans of Bowes Park
That Standing Order 38(1) (Arrangement of the Order Paper) be dispensed with on Tuesday 18 January to enable the Committee stage of the Health and Care Bill to continue before oral questions that day.
Business of the House
Baroness Evans of Bowes Park Excerpts(2 years, 3 months ago)
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Baroness Evans of Bowes Park
That (1) Standing Order 38(4) (so far as it relates to Thursdays) and (5) (Arrangement of the Order Paper) be suspended until the end of the session so far as is necessary to enable notices and orders relating to Public Bills, Measures, Affirmative Instruments and reports from Select Committees of the House to have precedence over other notices and orders on Thursdays; and (2) the ballot for topical questions for short debate on Thursday 20 January and Thursday 27 January be suspended to enable lunch break business to be scheduled, notwithstanding paragraphs 6.48 and 6.53 of the Companion to the Standing Orders.
Covid-19
Baroness Evans of Bowes Park Excerpts(2 years, 3 months ago)
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Lord Newby (LD)
My Lords, I begin by expressing my support for the extraordinary work being done by NHS staff and all those—including pharmacies and volunteers—who are helping to make the booster programme such a success.
The decision to scrap the requirement for a PCR test following a positive lateral flow test clearly makes sense, given the delays which are regularly occurring both in sending out the PCR test and then in receiving the results of it. I know of cases where these waits have been of a week or longer, which has meant that they have not arrived until far too late to be of any use to the individuals concerned.
The new relaxed rules for travellers entering or re-entering the UK apply to those who are fully vaccinated, but this definition does not require people to have had the booster jab. Have the Government any plans to require a booster jab, not least to incentivise travellers to get the booster before they travel?
Despite the scale of the testing programme, there have been and remain serious delays in getting test kits to local pharmacies, schools and individuals. I repeat the question from the noble Baroness, Lady Smith, about the Government’s current assessment of the ability of the supply chain to deliver the number of tests to fulfil the Government’s own targets.
Despite the Government’s support for Operation Moonshot—do people remember that?—to create a domestic production capacity, only one British manufacturer is making kits which meet UK standards. Others, as the noble Baroness said, are making kits which pass EU standards but not our own, and as a result they are exporting all their kits. What plans do the Government have to expedite approval of further UK manufacturers and reduce our dependency on kits made almost exclusively in China?
Can the Leader assure us that the Prime Minister, in his efforts to remove as many restrictions as possible, is not considering following the strategy of the United States by reducing isolation to five days without two negative lateral flow tests? There is considerable evidence that many people shed significant amounts of virus on days six and seven and later, making them still contagious and a threat to public health, so making any reduction would be dangerous.
It is clear that hospitals and ambulance services are struggling at the moment, with 24 critical incidents already declared and people with a possible heart attack being advised to get a taxi or a lift to hospital. The NHS was clearly underresourced to cope with a pandemic such as this, not least due to its having lost thousands of beds over the past decade. Can the Leader say what assessment is being made of the resilience and ability of our health services to deal with future pandemics?
It is clear that there will be further disruption for many school pupils who have yet to catch up on their studies following the closures over the last 18 months. Will the Government therefore expedite the catch-up programme and start by providing every parent with a £30 catch-up voucher for every day their child misses school?
The Prime Minister repeated the government injunction yesterday for people to
“carry on working from home whenever they can”.
I fear that the Government are not supporting their own policy when it comes to your Lordships’ House. I accept that we can legislate really effectively only when we are here in person, but we know that we can vote effectively from home. Next week, we are asking people to take journeys on public transport of up to five hours and more to sit in an office, often not even in the Palace itself, simply to vote. This poses a potential threat to them and their families. It has been argued that reverting to virtual voting would pose a reputational risk to the House. I believe the opposite, and anecdotal evidence supports that view. I hope that the commission will look at this again as a matter of urgency and that the noble Baroness the Leader will now support this sensible change.
The Lord Privy Seal (Baroness Evans of Bowes Park) (Con)
I thank the noble Lord and the noble Baroness for their comments. First, touching on the questions of the noble Baroness, Lady Smith, about our international efforts, she may well be aware that last week, we pledged a further £105 million of UK emergency aid to help vulnerable countries tackle the omicron variant by scaling up testing capacity, improving access to oxygen supplies and providing communities with hygiene advice and products. That builds on the £1.3 billion of UK aid already committed to the international health response, supporting vaccines, health systems and economic recovery in developing countries. I am delighted to say that we met our 2020-21 target of delivering more than 30 million vaccines to more than 30 countries as part of our pledge to donate 100 million doses to the world. This year, we will be donating millions more vaccines, including 20 million AstraZeneca doses and 20 million Janssen doses.
The noble Lord and noble Baroness both rightly asked about education, and of course there will be more detail in the further Statement later today, but we have delivered almost 3 million doses to children aged between 12 and 17 in England. We continue to work on increasing uptake, including through repeat offers, ensuring parental consent forms are translated into appropriate languages and collaborating with leading social media platforms to direct people to trusted sources of information. Obviously, we must make sure that where people can get vaccinated is clearly evidenced, and we are working with the education sector on that.
In relation to catch-up, the noble Lord is absolutely right. It is a priority, and always has been, to try to keep schools open, which is why we have been putting so much effort into that, and we are incredibly grateful to all the teachers and other staff in schools who have been helping to make that happen. We already announced £5 billion for education recovery, including £1.5 billion for tutoring, to provide up to 100 million tutoring hours for five to 19 year-olds by 2024, more than £800 million to fund 40 additional hours per student in 16 to 19 education and more than £950 million in flexible funding for schools to use how they see best. We are very cognisant of the need to ensure that young people do not suffer yet more during the pandemic, and we have a lot of work in place to do that.
The noble Baroness asked about antivirals, and I am pleased to say that we are leading in the number of antivirals bought per head of population in Europe. We are currently rolling out neutralising monoclonal antibodies and antiviral treatments for patients at highest risk of severe disease and hospitalisation, and up to 1.3 million patients could benefit if they are clinically eligible. We have a plan to personally communicate with those patients and make sure that they receive prioritised PCR test kits to ensure early access to treatment if they become ill. Antivirals are and will be playing an increasing role for us in coming to live with this virus, so I can certainly assure the noble Baroness that we are in the forefront of making sure we have access to the drugs, which are developing constantly, to help tackle Covid.
The noble Baroness asked about lateral flow tests for the 100,000 critical care workers. These kits will be sent directly to organisations, including those who work in critical national infrastructure, national security, transport and food distribution and processing. These are separate and in addition to the tests already allocated to our public services, and we will be working with those sectors on distribution; but, as I said, tests will be sent directly to those sectors.
Both the noble Lord and the noble Baroness asked about testing capacity. We are now delivering record numbers of lateral flow tests to pharmacies across England, with almost 8 million tests being made available this week alone. I can reassure the noble Lord and noble Baroness that we are tripling our supply of lateral flow tests in January and February from our pre-omicron plan of 100 million to 300 million a month. Of course, we will continue to review and work with the sector on where we can source tests to ensure we can meet the demand, which they rightly say is unprecedented. But this shows how conscientious the public are being in protecting themselves and their loved ones by testing regularly, and we are very grateful to everyone for everything they are doing to keep each other safe.
The noble Baroness asked about statutory sick pay. We have extended it to those who are self-isolating and made Covid-related SSP payable from day one, meaning that it could be up to 75% more generous for full-time employees who need to self-isolate. Statutory sick pay is £96.35 a week, and that remains the statutory minimum, but more than half of employees receive contractual sick pay from their employer. It should not be looked at in isolation. We have taken other measures through universal credit and employment support allowance, so we have been focused on and cognisant of the need to provide support for people. We have also provided the £500 test and trace support payment, which we have extended until the end of March. We have already committed more than £340 million to ensure that there are no financial barriers for those isolating in England, and we have made nearly 400,000 of those payments.
On the NHS’s preparedness, the noble Lord and noble Baroness will be well aware that we have provided record investment to tackle the backlog, with £2 billion this year and £8 billion over the next three years to deliver an extra 9 million checks, scans and operations. We have provided an extra £5.4 billion for the NHS to respond to Covid up to April, including £2.8 billion for costs including infection control measures, £600 million for day-to-day costs, £478 million for enhanced hospital discharge and £1.5 billion for elective recovery, together with capital funding. I hope that they will agree that we are supporting our NHS with further investment to help it get through this incredibly difficult time.
Both the noble Lord and the noble Baroness asked about critical incidents, which, as they will know, are determined and activated locally. Of course it is serious when that happens, but noble Lords will be aware that the NHS also takes this approach during non-Covid winters, because it is a way of ensuring that the local NHS can continue to best serve patients and protect staff, as it is an operational escalation mechanism. Ministers are working very closely with NHS England to get the assurance that proper support is being delivered.
The noble Baroness rightly asked about mental health. Noble Lords will know that at the heart of the NHS long-term plan is an expansion of mental health services. Mental health will receive at least a further £2.3 billion a year of extra investment to support 380,000 more adults and 345,000 more children.
I was grateful to hear the noble Lord mention the changes to the travel rules. The one thing I would say is that there have been no changes for unvaccinated adults: the changes that have been made are for those who have been vaccinated, and we are keeping the definition of fully vaccinated under review. If it changes to include boosters, plenty of time and notice will of course be given to make sure that people understand and are aware of that.
The noble Lord asked about reducing isolation times. Our current assessment is that shortening the period would be counterproductive. In some settings, such as hospitals, it could actually worsen staff shortages if it led to more people being infected.
In relation to your Lordships’ House, as the noble Lord said, legislating, of which I believe voting is a key part, is the central element of what we do. I disagree with him: I believe it should be done in person. We are working to make sure that it is as safe for everyone as possible. I am afraid that I disagree with him on that point.
The Deputy Speaker (Baroness Pitkeathley) (Lab)
The noble Baroness, Lady Harris, is contributing virtually, so I call her as the first Back-Bench speaker.
Baroness Harris of Richmond (LD) [V]
My Lords, the noble Baroness the Leader of the House just said that she disagrees with my noble friend—my leader—but clearly, the House of Lords must be described as a high-risk area; otherwise, why must Peers take a lateral flow test every day before attending? Why, then, are we not at least implementing remote voting? Surely, we have a duty of care to Members and staff.
Baroness Evans of Bowes Park (Con)
I completely agree that we have a duty of care, which is why we have implemented a whole range of measures to which noble Lords were alerted earlier this week. It would be a great disservice to the whole commission to suggest that that is not at the front and centre of what we are doing, but we are trying to balance that with being able to work in an effective manner—noble Lords made it clear that they did not believe that hybrid working was as effective as being here—and we are meeting regularly to assess the situation as things happen. We are asking millions of people to go to work in such circumstances. I think we should show by example, but I also genuinely believe that we are providing a safe working environment here for both Peers and staff.
Lord Reid of Cardowan (Lab)
My Lords, given the chronic shortage of lateral flow tests, can the noble Baroness confirm press reports over the Christmas and new year period that no sooner had one of the major distributors received 2.5 million lateral flow tests then it went on holiday for a week? Has there been any follow-up on that to discover whether that was an isolated incident, or has it been a recurrent pattern?
Baroness Evans of Bowes Park (Con)
The noble Lord is right: there was a reduction in capacity over Christmas. I am sure that conversations are being had, but I go back to the point that I made earlier: in the next couple of months, we are tripling the supply of lateral flow tests from 100 million under our pre-omicron plan to 300 million a month to ensure that we have the testing capacity that we need.
The Lord Bishop of Leeds
I am intrigued by the statement about Nightingale hospitals. What is meant by a virtual bed and how does that increase actual capacity, especially in the light of the staffing pressures in the NHS already? If these Nightingale hospitals are to be populated and used, how will they be staffed?
Baroness Evans of Bowes Park (Con)
The virtual wards are different from the Nightingale surge hubs. The hubs will create up to 4,000 beds if needed, and will be facilities that take patients who, although not fit for discharge, need minimal support and monitoring while they recover. The virtual wards involve people who are able to return home to have treatment through virtual interaction with medical professionals. They are different things done in different ways for different patients in different situations so that they can be properly treated in an appropriate manner.
Baroness Finlay of Llandaff (CB)
Can the noble Baroness explain to the House how the messaging is being reviewed, given that we have some areas of great resistance to vaccination? There is extensive anti-vax propaganda going out through the internet, which picks up the transmission of one internet message such that once one logs into that one gets bombarded with messages? Is there a way of intercepting those and countering them through the same route? There are patients in their 40s whom I have heard of almost at first hand who have been desperately sick and said that they were too frightened to be vaccinated because of that type of messaging.
There is also false reassurance now that omicron is mild. It is a mild disease most of the time in those who have been vaccinated and boosted, but in the unvaccinated what appears to be a simple cold might be a killer disease. That message does not seem to be getting out to the public. Nor is the message about the symptomatology presenting differently, so that if people have not lost taste they think that they do not have Covid.
Baroness Evans of Bowes Park (Con)
The noble Baroness of course makes incredibly important points. We already know that about 60% of those in intensive care have not been vaccinated. We know that unvaccinated people are up to eight times more likely to be hospitalised. The noble Baroness is absolutely right about the importance of this, which is why we are pushing the constant message about getting boosted. She will, I hope, be pleased to know—I am not saying that this solves the problem by any stretch—that we have seen more people coming forward to have their first jabs. There was an increase of 44% in the seven days to 22 December, compared to the previous seven days, which is a move in the right direction. However, the noble Baroness is absolutely right: we need to work with social media companies and are continuing to do so to identify and remove dangerous disinformation about vaccines, and make sure that we are getting our positive messages out.
We have allocated £22.5 million to help areas with low vaccine take-up. We recruited vaccine ambassadors, who speak 33 languages between them, to promote take-up across the country. We have a community vaccine scheme to target the 60 local authorities with the lowest uptake and use local networks to promote accurate health information. So we are trying to use a range of sources in order to try and either address the disinformation or the nervousness that is preventing people from coming forward.
Lord Forsyth of Drumlean (Con)
My Lords, should we not congratulate the Prime Minister on having made the right judgment call about the arrangements between Christmas and new year and on deciding to prevent us from having to have a PCR test on returning from abroad? I declare an interest, having been to the United States over Christmas and new year to see my grandchildren and paying an exorbitant amount in costs for testing. Is it not obvious that profiteering is going on, both in the supply of tests and in the costs that people are being asked to pay in order to be able to go abroad or continue to work? Will the Government ask the Competition and Markets Authority or some other body to look at this and end this absolute rip-off?
Baroness Evans of Bowes Park (Con)
My noble friend is right. It is something that I know noble Lords and our colleagues in the other place have raised. Work is going on to try to take action in this area. When the omicron variant was first identified we introduced the travel restrictions to try to slow its arrival, but now that it is so prevalent these measures are having a limited impact but are obviously having a significant impact on the travel industry. I think these are welcome measures that will, I hope, be welcomed by the public. However, there are no changes for unvaccinated adults.
Baroness Blackstone (Ind Lab)
My Lords, in the period before Christmas, the Government gave a high priority to keeping schools open, which was welcome. However, does the Minister agree that it is not just a matter of keeping schools open but a matter of encouraging all parents to send their children to school? With that in mind, will the Government consider making exclusion zones around schools to prevent anti-vaxxers providing parents, pupils and teachers with a lot of misinformation about vaccination? Does she also agree that it is extremely important that parents do not think that their children are going to have to sit in classrooms in the kind of weather that we are having now with windows open because adequate funds have not been provided for proper ventilation schemes for schools?
Baroness Evans of Bowes Park (Con)
I certainly agree with the noble Baroness about the appalling behaviour of some people around schools, and we have provided guidance to all schools on how to manage vaccination-related protests in liaison with the police, the NHS and the local authorities. Should a protest contravene the law, the police have comprehensive powers to deal with activities that spread hate or deliberately raise tensions. But she is right: it is an unsatisfactory situation and we are working with schools to try to help and support them in any way we can.
On the noble Baroness’s second point, more than 350,000 CO2 monitors have been rolled out to schools across the country and 8,000 air purifiers are being distributed to schools with particular ventilation difficulties. However, in the areas where CO2 monitors have been rolled out to schools to identify poorly ventilated areas, feedback shows that in most of those settings existing ventilation measures are sufficient. So a lot of work is being done, but we have added 7,000 to the 1,000 purifiers that we were planning for SEN and alternative provision settings to add to the broader school estate.
Lord Bilimoria (CB)
My Lords, I returned from South Africa where I spoke to Dr Abdool Karim, one of the leading epidemiologists there. He said on Monday —after I landed on Tuesday I saw the message—that they are coming to the end of their fourth wave. Are we learning the lessons from South Africa, where there are three-day hospital stays for omicron versus stays of between seven and eight days for beta and delta? There is far less use of ventilators and ICUs. Are the Government aware of the report of Professor Ravi Gupta of Cambridge, as well as a report from Hong Kong, showing that omicron is not as severe because it does not affect the lungs as much? If that is the case, can we try to reduce the isolation period as much as possible using testing? Can testing be made free, right up to spring? Finally, given the good news about the MHRA approving the Pfizer antiviral, which in trials has shown an 89% reduction in hospitalisation and deaths, how soon can we get 2.5 million treatments? That will be a game-changer. Will it be before March?
Baroness Evans of Bowes Park (Con)
As I mentioned in response to an earlier question from the noble Lord, Lord Newby, our current assessment is that we are not planning to shorten the isolation period, for the reasons I gave. We are certainly working with international partners to learn the lessons of omicron and we obviously have increasing data on what is happening here across the country. We are monitoring data daily. We have tried to have a proportionate approach to ensuring that people’s health, safety and well-being are at the top of our priorities while understanding that lockdowns have a severe cost in many other ways. Balancing that has been incredibly difficult, but we are looking at data daily to try to make sure that we get that balance right in order to keep the economy open and keep people safe.
Lord Grocott (Lab)
My Lords, 60% of the people in intensive care have received no vaccination whatever. Can the Minister tell us more about the people who have not been vaccinated? In particular, what proportion of them are unvaccinated because of medical reasons? What proportion of them are unvaccinated because they have not received the information that they need to know where to go and the importance of this? What proportion of them are simply, for whatever reason, ideologically opposed and refuseniks as far as vaccination is concerned, which of course brings great problems to the rest of us who are vaccinated?
Baroness Evans of Bowes Park (Con)
I am afraid that we do not have that kind of granularity of data but, as I explained in my response to the noble Baroness, Lady Finlay, we are trying to use a whole array of different means to target people who, for instance, are unvaccinated because they are nervous and need more information. Obviously there are issues around different communities in the country. Then, I am afraid, there are people who believe the disinformation that they read on the internet or elsewhere; we are trying to tackle that. We are trying to have a holistic approach where we tackle the differing reasons why people do not want to be vaccinated. Most importantly, we need to keep highlighting some of the numbers that the noble Lord rightly mentioned, as well as highlighting to people the absolute importance of getting their booster.
Lord Scriven (LD)
My Lords, when it comes to lateral flow tests, test and trace has become more like “trace a test”. The Statement says clearly:
“From next Tuesday in England, if someone tests positive on a lateral flow device, they should just record that result on GOV.UK and begin self-isolating.”
As supply is not keeping up with demand, rather than giving generic numbers, can the Minister say on what date in January the supply of lateral flow tests will meet demand so that people who are worried can take a test and carry out the Statement’s instruction?
Baroness Evans of Bowes Park (Con)
As I have already said in answer to previous questions, almost 8 million tests are being made available to pharmacies in this week alone, and we are increasing our supply of lateral flow tests from 100 million to 300 million over January and February.
Baroness Fox of Buckley (Non-Afl)
My Lords, there is a slight panic in the House about the non-affiliated. I am glad to hear a new emphasis that lockdown is not cost-free, but that devastating toll is present with these restrictions too. Can the Minister comment on whether there is an impact assessment on, for example, working from home guidance and effectively closing down city and town centres and the impact that this has on jobs and livelihoods for the people who work there? On the pressures on the NHS, is there more detailed evidence of how many people are actively being hospitalised by this new variant of Covid rather than being in hospital already and testing positive for it? That is not at all clear in the Statement but it makes a difference as to how frightened people might be of it.
Baroness Evans of Bowes Park (Con)
Of course we understand that the rise of omicron has been very challenging, particularly for certain sectors and businesses, which is why we have announced a £1 billion support package to help those affected. We have provided £683 million for targeted grants of up to £6,000 per premises for hospitality and leisure businesses, and provided an additional £30 million for the Culture Recovery Fund. We have also given a £100-million boost to the additional restrictions fund for local authorities in England. We are well aware of the issues, and obviously that is within the context of the huge economic support that we have provided throughout the pandemic. The pressures on the NHS are indeed considerable but we need to remember that we are in a much better position this year, not least because of the 133 million vaccine doses, including 34 million boosters, that have been administered. We need to keep that going forward in the right direction so that we can try to relieve the pressure on the NHS as much as we can.
Lord West of Spithead (Lab)
My Lords, has any work been done on the necessity or value of a second booster after a three-month period, bearing in mind that a whole raft of people who have had their first booster and are in vulnerable categories are coming to the end of it just as we are hitting the peak of omicron?
Baroness Evans of Bowes Park (Con)
My understanding is that discussions are taking place in the JCVI and among scientific advisers but, in terms of things that have come politically, the answer is: not as far as I am aware. It is being looked at. The one thing that is happening is that those people who have specific immunity issues are being offered a further, fourth, jab after 12 weeks but, to be honest, that generally does not have a clear-cut science to it at the moment, if the noble Lord sees what I mean. It is being looked at but I am afraid that I cannot set out a position for him today.
Lord Walney (CB)
My Lords, do the Government recognise that the scale of the NHS backlog means that what is required is not only a great deal of extra investment but a focus on NHS reform beyond the ambition of the current Health and Care Bill—indeed, on a scale last seen under the leadership and Government of the newly knighted Sir Tony Blair?
Baroness Evans of Bowes Park (Con)
The noble Lord is absolutely right, which is why a huge amount of work around NHS reform is going on in government. The integrated care White Paper and other things will be coming down the line.
Baroness Bennett of Manor Castle (GP)
My Lords, the Minister addressed ventilation and air filtration in schools but the noble Baroness, Lady Smith of Basildon, asked about stepping the issue up more broadly. In her response, the Minister said that antiviral drugs were the key to the next stage of dealing with the pandemic, but surely we need to get beyond treating infected people. As a ballpark figure, air sanitation provides a 70% reduction in the transmission of disease. This is a long-term, systematic solution that should be implemented not just in schools but everywhere, particularly in public buildings. Should we not be getting ahead of the viruses rather than continually chasing after them?
Baroness Evans of Bowes Park (Con)
I agree with the noble Baroness’s last point but I think that she miscategorised me slightly. I did not say that antivirals were the only answer; I said that they are one part of a suite of things that we need to be doing, from ventilation through to hygiene and cleanliness. There is a whole range of things that we will need to do, but she is absolutely right: we need to understand how we can live with Covid and not continually chase our tails, because we can see the damage that it causes.
Lord Purvis of Tweed (LD)
My Lords, I received my two vaccines in Scotland but my booster jab in England. I have been informed by NHS England and NHS Scotland that there is still no way of having that booster jab recognised under the Scottish system. Likewise, after so many months of this pandemic, why have both Governments not worked this out together? When will this be resolved?
Baroness Evans of Bowes Park (Con)
I completely understand the noble Lord’s frustration. My niece is at university in Cardiff and is in exactly the same position; she has had to go back to Wales over the holiday to get her jabs. I will certainly take his request to bang heads together back to the department.
Baroness Donaghy (Lab)
My Lords, I am appalled by the level of complacency about the availability of lateral flow tests—
Business of the House
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That Standing Order 73 (Affirmative Instruments) be dispensed with on Wednesday 15 December to enable motions to approve affirmative instruments laid before the House under the Public Health (Control of Disease) Act 1984 to be moved, notwithstanding that no report from the Joint Committee on Statutory Instruments on the instruments will have been laid before the House.
The Lord Privy Seal (Baroness Evans of Bowes Park) (Con)
My Lords, I beg to move the second Motion standing in my name on the Order Paper.
Lord Robathan (Con)
My Lords, before we go any further, could my noble friend the Leader tell us when the third SI will be laid? I asked the clerks and the Printed Paper Office, but they said it is not there.
Baroness Evans of Bowes Park (Con)
I am afraid I do not know, but I will find out. We will message noble Lords as soon as this is over.
Business of the House
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Baroness Evans of Bowes Park
That Standing Order 38(1) (Arrangement of the Order Paper) be dispensed with on Wednesday 15 December to enable motions to approve affirmative instruments laid before the House under the Public Health (Control of Disease) Act 1984 to be moved before oral questions that day.
The Lord Privy Seal (Baroness Evans of Bowes Park) (Con)
My Lords, I beg to move the first Motion standing in my name on the Order Paper. The House will sit at 11 am on Wednesday 15 December to debate regulations about new Covid-19 restrictions. These two Motions simply make the necessary procedural arrangements for the House to sit early.
Parliamentary Partnership Assembly
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Lord Ashton of Hyde
To resolve that this House:
(1) takes note of the provision in Article 11 of the UK–EU Trade and Cooperation Agreement for the establishment of a Parliamentary Partnership Assembly (PPA) consisting of Members of the European Parliament and of Members of the Parliament of the United Kingdom, which:
(a) may request relevant information regarding the implementation of that agreement and any supplementing agreement from the EU–UK Partnership Council established by Article 7 of that agreement, which shall then supply the EU–UK PPA with the requested information;
(b) shall be informed of the decisions and recommendations of the EU–UK Partnership Council; and
(c) may make recommendations to the EU–UK Partnership Council;
(2) agrees that a delegation from the UK Parliament consisting of 35 members drawn from both Houses should participate in such an Assembly; and
(3) takes note of the first report from the House of Lords Commission, EU–UK Parliamentary Partnership Assembly (1st Report, HL Paper 114) and confirms that the procedures currently applying to the nomination, support and funding of delegations to the Parliamentary Assembly of the Council of Europe, the NATO Parliamentary Assembly and the OSCE Parliamentary Assembly should apply to the delegation to the EU–UK PPA.
Lord Ashton of Hyde (Con)
My Lords, before I speak to the Motion, I extend my condolences to the family and friends of my late noble friend Lord Denham who, as the Lord Speaker announced earlier, died at the weekend. Lord Denham served this House with great distinction for more than 70 years, including as Government Chief Whip for 12 years.
The Motion standing in the Leader’s name invites the House to agree in principle to its participation in the EU-UK Parliamentary Partnership Assembly, or PPA. The House of Commons agreed a Motion in the same terms on Monday this week, and the European Parliament decided its intention to participate on 5 October. The House of Lords Commission discussed the participation of this House at its meeting on 16 November and in its first report of this Session set out some background to help inform the House’s decision today. That report was published on 25 November.
The Motion is the culmination of many months of careful and patient dialogue between the two Houses and with the European Parliament, much of which has been carried out on behalf of this House by the noble Earl, Lord Kinnoull. I would like to put on record my thanks for the work that he and his team have done to help get the PPA off the ground. I beg to move.
House of Lords: Governance
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Lord Sterling of Plaistow (Con)
My Lords, it is a great pleasure to follow our former Chief Whip, who has become much more benign—even cuddly—than he was in the old days. I thank my noble friend the Senior Deputy Speaker for organising this debate so rapidly. However, as others have commented, I am extremely surprised that, although our present Chief Whip was here at the beginning and has been throughout, the Lord Speaker and the Leader of the House are not here—I beg your pardon. I do apologise; I did not see the Leader of the House there earlier.
The Lord Privy Seal (Baroness Evans of Bowes Park) (Con)
I was in a Cabinet meeting, so I am afraid that I had to miss the start of the debate.
Lord Sterling of Plaistow (Con)
I completely apologise; I probably missed her because of her mask.
I think that this is one of the most important debates I have attended since I joined the House some 31 years ago. Taking into account our rapid recovery from Covid-19, the fast-changing and dangerous world in which we live and the extraordinary advance of science and technology, I feel that the consideration of today’s debate is most timely. This House is considered to be the finest revising Chamber in the world, and all those serving on these committees do this House great credit. However, we have sadly lost public trust, and that goes for the other place as well. The City of London is in a similar position. As one of the greatest democracies in the world, it is vital that both institutions use every endeavour to regain that trust.
I publicly thank Michael Torrance, the clerk in Simon Burton’s office, for producing so rapidly this rather splendid Library briefing. It is an extraordinary piece of work. I have to say, personally, I learned much of which I was totally unaware. The sheer complexity of all the committees on which a great number of people serve is heavily intertwined with the other place.
We are very fortunate to have Simon Burton as our Clerk of the Parliaments, who provides us with wise procedural and constitutional advice. His knowledge has been acquired over many years, as he has served in many parliamentary roles. Many Peers here will remember that there was an extraordinary move to find someone from outside this House for this role; I was involved with others to stop such an unsuitable appointment taking place. This causes me to follow through what my noble friend Lord Haselhurst and others have commented on: the appointment of the new COO. This came up over a year and a half ago, by the way. I wanted information about what was being sought and what was being said publicly and put out, but initially I was totally refused it. It just so happened that I knew the senior partner of the headhunters; he kindly put me in the picture.
It caused me a huge problem at that stage when the point was built up that somebody with that background or a lack of knowledge about this place could be considered for the deputy. That is very concerning indeed. I will go even further. We were told a few weeks ago that he would also have political involvement. Nobody has as yet explained to me what “political” actually means.
To return to this document, like many organisations of such standing, an array of committees nearly always seems to create silos, major bureaucracy, cost and, worst of all, major delays, causing great frustration. Some months ago, it was publicly stated in our House that its governance should change. All employed on our estate and the service committees should report to, work for and service the peerage. During the pandemic, one was in touch, in many cases on Zoom, with many who served us during those difficult times. They were and are outstanding. They are splendid people. Nothing was too much bother, and I must say that the security and the police have been excellent.
When we all had the honour of being asked to become a Member of this House, we swore the oath of allegiance to serve Her Majesty the Queen and serve her in Parliament. Governance change would help us to use our best endeavours to serve the people of this country.
Many Peers have come from the other place with great experience. Many have served in senior ministerial roles. Many of us have not had a specific political background but have served and still serve in the most senior roles in the worldwide private sector, and of course in other key areas such as defence, medicine and the law. Might I say that we bring a touch of wisdom? As was stated in the House the other day, our role, when appropriate, is to hold the Government in power to account. We must use this combined experience and expertise in what I believe is our other key role of quiet influence to help the highly talented people in the other, elected Chamber to carry out their responsibilities.
Finally, early yesterday morning, I spoke to two of the key seniors in the other place, who are in absolute agreement that such a change in governance is of vital importance to them. They asked me to mention this to noble Lords today. I hope that my noble friend the Senior Deputy Speaker feels that such a change in governance, while retaining tradition, will be beneficial to both Houses, thereby enhancing the reputation and influence of the mother of Parliaments worldwide in the years to come.
Arrangement of Business
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The Lord Speaker (Lord McFall of Alcluith)
My Lords, as agreed by the House last week, from today Oral Questions will no longer have speakers’ lists. As it is over 18 months since we conducted Questions without a list, the arrangements may be unfamiliar to newer Members of your Lordships’ House. There are also new arrangements for the calling of those Members who are eligible to participate remotely in the work of the House. The Leader of the House will now outline briefly how Question Time will operate.
The Lord Privy Seal (Baroness Evans of Bowes Park) (Con)
I thank the Lord Speaker. As he rightly said, from today Oral Questions will no longer have a speakers’ list. I will briefly set out on behalf of the usual channels how Question Time will work.
With no lists there will be no agreed speaking order, so supplementary questions will rotate around the parties and groups in the Chamber. Those noble Lords who are permitted to take part virtually may do so in Questions provided that they give notice. Like Members in the Chamber, they are not guaranteed a chance to speak; whether they are invited to do so will be agreed in advance with their parties and groups. During Questions, at an appropriate point I will indicate that the House will hear virtually from a Peer belonging to the party or group whose turn it is.
As noble Lords observed in last week’s debate, the spontaneity of Question Time plays an important part in the House holding Ministers to account. However, some Peers have said that they did not feel as comfortable joining in with Questions. Therefore, as the Senior Deputy Speaker observed, it will be incumbent on all Members to respect the House’s tradition of self-regulation, mutual respect and courtesy. As part of that tradition, it is important that during Question Time the House hears a range of views and from as many Members as possible in the time allowed. Rather than return to the previous seven minutes for each Question, we are now allowing 10 minutes. That should mean that at least 10 supplementary questions can be asked and answered, which I hope will ensure that the House can hear from Members on all sides of any issue.
As noble Lords are aware, the Companion sets out that Ministers’ initial replies should be brief and no more than 75 words and that subsequent replies should also be concise. The Companion also states:
“Supplementary questions should be short and confined to not more than two points.”
It goes on to say that supplementaries should be
“confined to the subject of the original question, and ministers should not answer irrelevant questions. The essential purpose of supplementaries is to elicit information, and they should not incorporate statements of opinion. They should not be read.”
In brief, that means that all supplementaries should take about 30 seconds and ministerial replies should be correspondingly short. I hope that noble Lords will observe these courtesies to ensure that Question Time works for the whole House.
Lord Foulkes of Cumnock (Lab Co-op)
I wonder whether we can ask a question. Why can we not ask a question?
Early Years Interventions
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Baroness Warwick of Undercliffe (Lab)
My Lords, children in deprived areas benefit most from early years education and childcare. Problems can be identified and appropriate interventions arranged. They are better prepared for school and learn valuable social and cultural skills. Big nursery chains are expanding when they can charge fees. Poorer children’s needs are often met by smaller, stand-alone nurseries that cannot survive without adequate local authority funding. The projected increase next April will not be enough to cover the increases in costs of the minimum wage, national insurance, energy, pensions, resumption of business rates and so on.
The Lord Privy Seal (Baroness Evans of Bowes Park) (Con)
My Lords, may I please remind noble Lords that this is Question Time, not speech time? Can we please have pithy questions so that everybody can ask what they want?
Baroness Warwick of Undercliffe (Lab)
How do the Government hope to sustain those nurseries’ vital contribution to social mobility if their funding remains inadequate?