(2 years, 6 months ago)
Lords ChamberThe noble Baroness is absolutely right that throughout the crisis we have led the way on data reporting, and have ensured that data is always available to the public. UKHSA will keep the content and frequency of reporting on Covid—including the GOV.UK dashboard—under close review, to ensure that statistics are being produced of the appropriate quality and transparency, and that they remain useful and relevant in accordance with the code of practice for statistics. So we will continue to publish information.
My Lords, I refer to the SAGE advice, from the last meeting, that the Leader mentioned. It was said that some people may take the removal of free and accessible testing as a signal that they should continue to attend workplace social gatherings while showing Covid symptoms. What is the Government’s response to that? Why are they getting rid of free testing?
We have always made it clear that as we move through Covid we would move away from free testing, and that is what we intend to do. As there are now high levels of immunity across the population as a result of vaccination and natural infection, future testing and isolation will play a less important role in preventing serious illness, and, as I have said in response to the noble Baroness and the noble Lord, we will be working with retailers to establish and develop a private market for lateral flow tests.
(2 years, 11 months ago)
Lords ChamberAs I said in my opening remarks, we are committed to spending an additional £5.4 billion across the next three years. This will end the risk of unpredictable care costs and include at least £500 million to support the social care workforce.
My Lords, can I ask the noble Baroness about the people currently paying their way in care homes? Are they to get no credit whatsoever for the fees they pay up to October 2023? Is it not grossly unfair if the clock starts only when we reach that point?
This has been an intractable issue. If all parties had managed to deal with it better, people in the situation the noble Lord mentioned—for whom we have a lot of sympathy—would have been helped. Unfortunately, that is not the case. We have announced a package that will begin with the new cap in October 2023.
(3 years, 3 months ago)
Lords ChamberI thank the right reverend Prelate. As I said, it will be for the inquiry and the chair to determine the scope of requests for evidence and who to call for evidence, but as it will be a comprehensive inquiry I am sure that the views of representatives from across society, including faith groups, will be heard.
My Lords, can I take the noble Baroness back to the point made by my noble friend Lady Smith? Yesterday, the Prime Minister said that the reason for delaying the start of the inquiry was the disruption it would cause to health workers working in the middle of a pandemic. If that is the case, why are the Government insisting on bringing a NHS restructuring Bill to Parliament yet again? It is hugely disruptive and expensive at a time when NHS staff should be focusing on dealing with the backlog of patients who need to be treated. Will the Government delay the Bill?
As I set out in my response to the noble Baroness, there are a number of factors in why we believe that spring 2022 is the right time to start this inquiry. I gave them earlier. Of course the noble Lord is absolutely right that we need to tackle the worrying backlog of people needing care from the NHS, which is why we have committed billions of pounds to doing so, including £1 billion to tackle waiting lists by providing up to 1 million extra checks, scans and additional operations. We will continue to prioritise urgent and cancer care, as well as the recovery of non-urgent diagnostics and treatment so that patients receive the best healthcare as quickly as possible. That is an absolute priority.
(3 years, 6 months ago)
Lords ChamberMy Lords, could I come back to a question asked by my noble friend Lady Smith? At the SAGE meeting on 4 February, it was identified that people who work in occupations which involve a higher degree of physical proximity tend to have a higher Covid-19 mortality rate. We know that many of those people do not have access to work- place sick pay and that 20,000 people per day are not self-isolating because they cannot afford not to work. Will the Government agree that those who do not have access to occupational sick pay should automatically receive the £500 test and trace support payment?
I think that I have said everything I can say on the support payment by explaining where we have extended eligibility. On the noble Lord’s question about occupational risk, as I said in response to the noble Baroness, it is not the only factor driving increased infection and mortality in certain groups. The evidence shows that a range of socioeconomic and geographical factors, such as occupational exposure, population density, household composition and pre-existing health conditions, contribute to the higher infection and mortality rates for some groups. In making decisions on phase 2 of the rollout, we will balance these factors alongside occupational risk.
(3 years, 7 months ago)
Lords ChamberWe will be, and we are, looking at additional measures for international travel. Pre-departure testing is an option that we are considering for an extra layer of protection, which would be in addition to our mandatory 10-day self-isolation period for countries not on the travel corridor or the test and release scheme. Work is going on in the DfT and an announcement on decisions around that will be made in the coming days.
My Lords, could the noble Baroness come back to the issue of community pharmacists? They have huge experience of flu vaccination, are used to opening all hours and are very accessible, yet the Government and NHS seem very reluctant to use them in the vaccination programme. Is that being reviewed?
As I said, as supply becomes more available, community pharmacies will be involved in the programme as we roll things out, so conversations are certainly ongoing.
(3 years, 9 months ago)
Lords ChamberWell, I assure my noble friend that the legal consistency of the new tiers—as I said, they are now standardised—will be complemented by targeted communications and public health campaigns to inform and influence behaviours to strengthen the sense of personal responsibility in behaviours that will be important to combat the spread of the virus over the winter, together with using local mass testing programmes, with local knowledge about how to encourage people to use them. All that will lead to the kinds of conversations and messaging that my noble friend talks about.
My Lords, does the noble Baroness agree that the public health campaigns she just referred to need also to be targeted at people over uptake of vaccines? Is she concerned about the rise in anti-vaccine sentiment? A UCL survey recently showed that, while 78% of people were willing to get the vaccine, only half considered themselves “very likely to”, with 10% saying that they were “very unlikely to”. There is pernicious anti-vaccine sentiment around. What action will the Government take to deal with it?
We have a central government unit that will be working on this, but also DCMS is working very closely with social media platforms to help identify false claims, exactly as the noble Lord said, about both the virus and the vaccine and, where necessary, promoting authoritative sources of information in their place. I assure the noble Lord that we are very cognisant of these issues and are working hard to make sure that the rollout of the national vaccination plan is accompanied by a public health strategy and message to make sure that people understand that we will always put the safety of the public first, and that any vaccine that is approved will have gone through an incredibly rigorous process to pass that hurdle, as the noble Lord will well know.
(3 years, 10 months ago)
Lords ChamberThe noble Baroness, Lady Gardner of Parkes, has withdrawn so I call the noble Lord, Lord Hunt of Kings Heath.
My Lords, this was the most telling comment from the SAGE meeting on 21 September:
“The more rapidly interventions are put in place, and the more stringent they are, the faster the reduction in incidence and prevalence, and the greater the reduction in COVID-related deaths”.
Do the Government not owe it to the public to spell out for them the consequences for health and deaths of the decision to reject the advice from SAGE?
As I have already said, we took a robust and proportionate approach in September, introducing the rule of six and the curfew. We have done the same again. As I said, our new tiered approach came into effect only today. We believe that it will be effective and we look forward to working with leaders across local government and the devolved Administrations to make sure that we get a grip on the virus and bring it down and ensure that we all follow the rules so that we go into winter in the best possible situation.
(5 years, 4 months ago)
Lords ChamberI can assure the noble Lord that the UK and EU agreed at the last Council to consider a joint work stream to develop alternative arrangements, and President Juncker has agreed that the EU will give priority to this work. We will be setting up domestic structures in the UK to support this work so that we can take advice from external experts involved in customs processes around the world as well as colleagues across Parliament. All this work will be supported by Civil Service resource, as well as funding, to promote and pilot proposals which can then form part of these alternative arrangements —there is an ongoing work stream looking at this area.
My Lords, the gridlock in the Commons to which the Minister referred should not be surprising, because it reflects a division that is patently clear in the country as a whole. Yet in no Statement since her right honourable friend the Prime Minister took office has she sent any message at all to the more than 16 million people who voted to remain. I read this word “compromise” in a spirit of compromise; does she not have to talk to the nation and draw it together? This Statement is once again spoken only to her own MPs and to those who voted to leave.
The Prime Minister is certainly aware of the need to bring the country together; the noble Lord may recall that that has been said repeatedly from the Dispatch Box and in Statements. That is why we are working so hard to achieve a deal that delivers for those who want to remain in a close relationship with the EU and those who voted to leave. That is why we are working so hard to leave the EU with an orderly Brexit and to ensure that our future relationship is strong. That is why we have made an offer to EU citizens—we have made it clear we want them to stay. We are trying to work in the interests of everyone in this country. That is what we are focused on and want to deliver. It is why we believe a deal is exactly the right way to leave the EU.
(8 years, 1 month ago)
Lords ChamberOf course we want to ensure that there is cross-country collaboration, so that pupils in our schools get the opportunity to go abroad and that pupils from abroad can come over. That will remain important and the arts, music, PE and sport are obviously great ways in which young people from all different backgrounds can meet one another and come together.
My Lords, I rather think it was Macbeth that the noble Lord, Lord Cormack, had in mind. The noble Baroness has made some stirring remarks about the importance of the creative arts and linked them to the economy. But she has not answered the question: if they are so important, why are the number of people taking GCSE subjects going down? She used selective figures—I think that they were for arts and design—to say that there had been an increase between 2011 and 2013-14. However, that increase comes from a lower base. Throughout the creative arts and design subjects the numbers are going down and, given the crucial nature of creativity to the economy, surely we need to reverse that.
I am sure the noble Lord will agree that what is absolutely key for all young people is to have a solid grounding in the basic academic subjects of English and maths. That is something that this Government have been focusing on, and we make no apology for that. But as I said, we believe that children should have a high-quality creative education. We have put a lot of funding into encouraging programmes and, as I have said, we believe the new Progress 8 measure will help to raise the status of creative arts subjects.
(8 years, 1 month ago)
Grand CommitteeMy Lords, I have a question about these clauses, which are generally welcome. The more information we have about child death comprehensively, the easier it will be to take any necessary action. As I read the clauses, however, although I may have missed something, I cannot see what the review partners will be required to publish. Subsection (4) in new Clause 16M of the Children Act 2004 in Amendment 121 says they must,
“prepare and publish a report on … what”,
the partners,
“have done as a result of the arrangements … and how effective the arrangements”—
which I take to be partnership—“have been”. However, I can see nothing in here about the kind of analysis that the Minister was just referring to—the kinds of deaths that have occurred, for what purposes, the demographic and other characteristics of the children and so on. Could she enlighten us about what will be required in terms of general access to the information that has been collected here?
My Lords, I would like to add another point. Here we are talking about child death review partners, and in the previous debate we were talking about safeguarding partners. I wonder if this is a concept that might be used with regard to the earlier part of the Bill relating to corporate parenting. The Minister will know that we had amendments to Clauses 1 and 2 around corporate parenting, the argument being that in order to discharge corporate parenting roles properly the local authority needs the support of core partners in the local area, including the health service and other agencies. I think we have all agreed that nothing should be done to dissipate the role of the corporate parent by, if you like, detracting from the local authority’s responsibility. However, I wonder if the concept of safeguarding partners and death review partners is an approach that we might consider. I realise that this is not the point to discuss corporate parenting, but it is an interesting concept that we might think about when we return to the subject.
I thank noble Lords for their interventions. Perhaps I can take away the comments from the noble Lord, Lord Hunt. In answer to the noble Baroness, Lady Hughes, the child death review partners will be required to publish information on what more local authorities and CCGs can do to prevent deaths, including analysis and data. I am happy to come back to her with some further information following this discussion.
(8 years, 1 month ago)
Grand CommitteeAmendment 91A seeks to amend the Civil Legal Aid Regulations 2013 to provide parents with free legal advice when their children are voluntarily accommodated under Section 20 of the Children Act 1989 and the local authority wishes to put them in a foster for adoption placement. I understand the concern that parents need to have access to information and advice before they agree to their child being accommodated. The law is clear that a local authority cannot accommodate a child under Section 20 without the consent of a parent. The local authority must provide advice and information to parents to ensure that they fully understand the arrangements and give their informed consent. In addition, any parent can remove the child from the care of the local authority at any time. If individuals satisfy a means and merits test, they may be eligible for some funding for civil legal services, including initial advice about the nature of voluntary agreements. If the local authority later decides that a child should not return home and the best option would be to pursue adoption, the usual court process must be followed. It remains the case that a child cannot be placed for adoption unless the birth parents give their consent, or the court has made a placement order. That means that the court must consider the birth parent’s view before deciding that the adoption placement order is necessary. When a local authority informs a parent of the intention to initiate an application for an adoption placement order, they will become eligible for civil legal services, free of any means test, in the usual way.
I hope this explanation means that the noble Lord will agree to withdraw the amendment tabled by the noble Baroness, Lady Armstrong.
My Lords, I am grateful to the Minister for her response and to the noble Baroness, Lady Walmsley, for her support. I thought the Minister was pretty encouraging, but clearly this depends on the local authority doing the right thing in ensuring that informed consent truly means informed consent, that the parents in the situations that she described have access to independent advice, and that that advice actually is independent. Clearly, there seems to be a gap between the legal guidance given to local authorities and the reality. I am sure that my noble friend Lady Armstrong will wish to consider that issue in due course, but I thank the Minister for her response. I beg leave to withdraw the amendment.
(8 years, 2 months ago)
Grand CommitteeMy Lords, this has been a persuasive debate. We have already had the evidence that my noble friend Lady Armstrong described from the social justice commission, which is all too depressingly clear on the plight of care leavers who become young carers. My noble friend Lady Massey referred to the Family Rights Group, which produced an excellent briefing detailing some of the challenges that young parents covered by these amendments have to face. I was particularly struck by the evidence that young parents often feel judged by their youth and background rather than their parenting abilities, and particularly that, where support has been provided to them, it has often been done in their capacity as young people leaving care and has rather ignored their roles as parents. This will be a very telling point when we come to the Minister’s arguments.
The amendments seem comprehensive. Amendment 61A would insert into the assessment of the needs of a former relevant child a reference to young parents, while Amendment 71A expands helpfully on the definition of young parents. Amendment 98AA would insert into the Bill a requirement for pathway plans to be provided for,
“looked after children and care leavers who are young parents”,
and Amendment 98AB would amend the Care Leavers (England) Regulations 2010 to incorporate support for young parents, so my noble friend has tabled a comprehensive package of amendments.
Rather like the right reverend prelate, the Minister may say that young parents are implicitly covered in the Bill. However, to come back to the point raised in the evidence we received from the Family Rights Group, is not one of the problems here that in these legislative terms care leavers are thought of as care leavers rather than as young parents? It seems that although the Minister may say that the provisions can be seen to apply to young parents, the fact is that sometimes there is a need to be explicit. There is sometimes an advantage in putting a specific requirement into the Bill. The point I put to the Ministers is that the case has been made today for such an explicit provision, and I am sure that we will need to return to this.
I am grateful to all noble Lords for their contributions to this debate. Although I see the intention behind these amendments and the important issues that noble Lords have raised, we are not persuaded that they require prescription in primary legislation. I am reminded of the comments of the noble Baroness, Lady Howarth, earlier today and in our previous session that we should not overburden the Bill with matters best addressed by other means, particularly guidance.
As we have discussed at length, local authorities will appoint a personal adviser to those care leavers who want one, up to their 25th birthday. This brings with it the responsibility for the corporate parent to assess a young person’s needs and to prepare a pathway plan. This means that a wider group of care leavers will have their needs identified and responded to for a longer period, including those needs linked to parenthood.
(8 years, 9 months ago)
Grand CommitteeClearly, the noble Baroness has given considerable reassurance to the Committee, but how does this all fit with procurement policy? The reason I ask that is because we know that the Cabinet Office has been leading very hard-driven, centralised procurement and there have been complaints that, despite the Cabinet Office also having a policy to encourage SMEs, those have been squeezed out by the prime contractors. I think that the Cabinet Office is reviewing that at the moment.
It struck me from what the noble Baroness was saying that although Ministers clearly recognise the role of the smaller voluntary agencies, particularly the specialist ones, one of the problems is that once you create regional entities, inevitably they adopt a bureaucratic process. I worry that the smaller agencies may find this very overbearing. I do not think this is a matter for statute but rather one of reassurance that the regional agencies understand that they cannot develop processes that make it almost impossible for these very small agencies, often with very limited infrastructure, to get agreement to be part of the new agencies in the future.
We think that the VAAs should be involved in early conversations about regional adoption agency design. We will issue procurement guidance for projects shortly, so it is in our minds.
Finally, the noble Lords raise important points about the proportionate use of this power. It is important to emphasise that we are committed to supporting local authorities and voluntary adoption agencies to move to regional adoption agencies voluntarily in the first instance. These powers are only backstop powers to be used for the reluctant few.
As I have already said, we are delighted that the sector has already seized the opportunity to be involved. We have announced 14 regional adoption agency projects that we are working with this year, which, as I said, will involve more than two-thirds of all voluntary adoption agencies and local authorities. In the rare cases where the power is needed, decisions will be made following extensive discussions with all those involved or affected, including voluntary agencies. Prior to making a final decision, we will write to any relevant local authority formally requesting its views on the matter. I therefore reassure noble Lords that all those involved will have the chance to comment on the proposal before a final decision is taken.
I take this opportunity to mention the role of the national Adoption Leadership Board, which meets quarterly and has a remit to drive significant improvements in the performance of the adoption system in England, and which will also have an important role to play in shaping decisions and overseeing service development. This board has already been paramount in driving forward our reform programme, and that role will continue. The board is made up of the most senior officials from key organisations in the system, including representatives both from local authorities and voluntary organisations. The Consortium of Voluntary Adoption Agencies, which represents all voluntary adoption agencies, is a key member. Board members have been appointed to represent their sector and to take responsibility for galvanising performance improvements within their respective areas. Involving the board in any decisions about regionalisation will therefore be vital. This is another indication of how we are trying to bring all parties together.
This is a practical and proportionate approach to ensuring that the powers are used appropriately and that all interested parties are involved in decision-making. In view of this, I hope that noble Lords will feel reassured enough not to press their amendments.
(8 years, 9 months ago)
Grand CommitteeThat is because a number of state-maintained schools have now converted to become academies; so they have shifted into being academies.
Is the noble Baroness seriously saying that the only failing academies are ones that have just transferred?
(8 years, 10 months ago)
Grand CommitteeMy Lords, the noble Lord was right when he noticed that I would be responding to this amendment. I shall allow him and the Minister to continue their debate next week, when no doubt we will cover these issues in more detail, and I will focus on the amendment.
Amendment 4 proposes that a governing body must inform parents that a school has been notified that it is coasting. We firmly believe that, once a school has been notified that it is coasting, we should trust the governing body to engage parents as they see fit, exactly as the noble Baroness said. That is what we would expect of a school. In practice, we envisage that where a school meets the coasting definition, the governing body will voluntarily inform parents. Issuing a communication to parents is already the normal approach taken by schools following the publication of exam results or Ofsted inspections. In fact, schools are not required to notify parents of Ofsted judgments but they do, and we would expect schools to adopt a similar approach in this situation. We would certainly expect governing bodies to be as open as possible with parents.
In the modern day and age, with social media and the availability of lots of websites, we would also—
I note what the noble Baroness said about schools and Ofsted inspections but I have certainly come across cases where schools and governing bodies have been very reluctant to release this information because they do not like what it says. I agree with the noble Baroness about parents and children, but there ought to be a guarantee or requirement that parents will receive information, whether it relates to Ofsted or is about coasting. I am afraid the fact is that some schools do not do the right thing when they get an adverse Ofsted judgment.
I hope that the noble Lord will be pleased to know that I was going to go on to say that, in view of the concerns that have been expressed, we will consider how we can ensure, through the Schools Causing Concern guidance, that parents are sufficiently aware that their child’s school has been identified as coasting. We absolutely agree that that is important. Of course parents need to know. Our feeling is that governing bodies will provide such information but, in the light of the concerns raised, we are happy to consider being a bit more explicit. I hope on that basis that the noble Lord will withdraw the amendment.