(3 years, 8 months ago)
Lords ChamberMy Lords, given the significantly higher number of excess deaths among people with learning disabilities last year, will the Minister commit to finding out what proportion of those deaths were associated with DNACPRs? Does he agree that the use of blanket DNACPRs for people with learning disabilities is an indication of the extent of the lack of confidence and competence among healthcare staff to accommodate their needs, and adds to the urgent need to introduce the Oliver McGowan mandatory training currently being piloted? A timetable for the widespread introduction of that training would be very welcome.
My Lords, I am afraid that we are having questions that are far too long. Can people please keep their questions brief?
(3 years, 10 months ago)
Lords ChamberMy noble friend is absolutely right: I am pleased to say that more than 1.3 million people across the UK have already received the first dose of the vaccine—as he said, it is more people than the rest of Europe combined. This is a united endeavour across all four nations. We will move every sinew to ensure that we can roll out the vaccine programme as quickly as we can, but, of course, it must also be done safely.
My Lords, all GPs are required to register their patients with learning disabilities—that is just 200,000 people nationally. All are entitled to a flu jab, along with the over-65s. Given their 20-year shorter life expectancy in ordinary times and a Covid mortality rate for under-35s that is 30 times higher than for their chronological age group, will the Lord Privy Seal ask the Government to offer early vaccination to this whole group of registered patients with learning disability and not just to those with Down’s syndrome or severe learning disabilities?
As the noble Baroness will know, we are following the advice of the independent experts on the JCVI on which groups of people to prioritise for vaccines. The committee has advised that the immediate priority should be to prevent deaths and to protect health and care staff, with old age deemed the single biggest factor determining mortality.
(4 years, 5 months ago)
Lords ChamberI do not accept that it has all just been talk. It is extremely important to bring performers in theatres, choirs and orchestras together with medical experts and advisers to discuss ways in which the sector can open safely. That is how we will get through this difficult situation, and we will develop guidelines that can be implemented to allow these settings to open. As I said, that work is ongoing. The group that has been brought together will focus on piloting innovative ways in which live performances might be permitted in the light of the scientific and medical advice that is being given.
My Lords, care home residents and people detained in secure settings were not mentioned in the Statement, but the mental health of all of them and their families benefits from regular social contact, both virtually and in person. That might be resource intensive but what attention is being given to the needs of these groups of people?
I assure the noble Baroness that they are at the forefront of our mind. Attention is being given to them and further work is ongoing. One thing that I have not mentioned so far is that from 1 August shielding will be paused. Therefore, people who have had the most intense experience during the lockdown will be able to start having social contact again, which we know is incredibly important, and I am sure that they are looking forward to that. From 6 July, those shielding will be able to spend time outdoors in a group of up to six people, including people from outside their household. Of course, support will also continue from the fantastic NHS volunteers, who have done so much to provide some contact for particularly vulnerable people who might not have relatives or family with whom they have been able to have contact.
(4 years, 6 months ago)
Lords ChamberMy Lords, in the new plan, how will the needs and best interests of individuals with protected characteristics, as required under the Equality Act and the Mental Capacity Act, be balanced with public health concerns? For example, just as in society at large, could family contact be resumed for people in care when both parties have recovered from Covid-19, or will blanket rules continue in care settings regardless of the mental well-being and best interests of individuals? I include here the one in four disabled adults of working age who live in care homes.
Of course we are absolutely cognisant of the real issues that many of the socially isolated are having, and we are very concerned about them, but we cannot put them, their carers and their families in danger—in a situation where the virus could start to get out of control once again. Of course we keep this under review, but we are proceeding with cautious steps because we have seen the tragedy in care homes and we want to make sure that it does not happen again. We want to make sure that everyone is safe and that we can move forward as a country. However, I can assure the noble Baroness that we are very aware of all these issues and we look at them in the round when we are making decisions as we start to move away from the lockdown.