Covid-19: Public Health Information

Baroness Finlay of Llandaff Excerpts

Tuesday 8th December 2020 Lords Chamber

[Lord True (Con)]

My Lords, there were a wide range of responses; my noble friend is quite right to say that the report was important. Following on, more than 95% of front-line NHS workers from ethnic minority backgrounds have had a risk assessment and agreed mitigating actions. BEIS issued revised guidance to employers in July and September highlighting the findings of the review and explaining how to make workplaces Covid-secure. Some £4.3 million has been provided to fund new research projects relating to Covid and ethnicity.

[Baroness Finlay of Llandaff (CB) [V]]

My Lords, I declare that I chair the National Mental Capacity Forum. Will the Government collate all resources available into an online library? This should include resources produced by them and all relevant charities, such as Books Beyond Words, to link easy-to-read pictorial guides and signing videos covering Covid-19 regulations, testing and vaccination to support those with learning difficulties and cognitive impairments, including people with dementia or literacy difficulties. They might find that a resource produced by a different organisation is particularly helpful to their personal situation and would help them understand the pandemic-control measures that are required nationally.

[Lord True (Con)]

My Lords, I endorse the need to reach all vulnerable groups. I take the noble Baroness’s suggestion seriously and will ask colleagues to reflect on it.

Covid-19: Devolved Administrations

Baroness Finlay of Llandaff Excerpts

Friday 27th November 2020 Lords Chamber

[Lord True (Con)]

My noble friend makes an extraordinarily important point, and indeed it is something that is always emphasised by the Prime Minister and all the others who speak to the nation. A lot rests on us—the way that we behave, our sense of responsibility and our common resolve. We should not let those things flag. I frequently note now as I walk down the road that people make no effort to social distance at all. That is in sharp contrast to the observance of space, which was in practice in the original lockdown. Washing your hands, giving space and observing the rules are very important.

[Baroness Finlay of Llandaff (CB) [V]]

How often are the four leaders scheduled to meet? Does the Minister recognise that in Wales the distance-aware message means that people still consistently create distance in the street? Also, can he tell us what agreed UK-wide permissions are in place to allow very close relatives of people who are dying, whether they are at home or in a hospice, to visit, even across long distances? For these people, the memories of the last days and weeks will live on for the rest of their lives.

[Lord True (Con)]

My Lords, I cannot comment on the timing of specific or planned meetings. I have assured the House that a very long and continuing process of engagement takes place. I understand the very sensitive point that the noble Baroness makes and I have sympathy for it. I do not know the specific position that may or may not have been agreed between the parties involved, but I will get advice and let her know.

Parliamentary Constituencies Bill

Baroness Finlay of Llandaff Excerpts

Report stage & Report stage (Hansard) & Report stage (Hansard): House of Lords
Thursday 8th October 2020 Lords Chamber

Amendment 1 not moved.

[The Deputy Speaker (Baroness Finlay of Llandaff) (CB)]

We now come to the group beginning with Amendment 2. I remind noble Lords that Members other than the mover and the Minister may speak only once, and that short questions of elucidation are discouraged. Anyone wishing to press this or the other amendment in this group to a Division should make that clear in debate.

Amendment 2

Moved by

--- Later in debate ---

To conclude, I hope that, in backing the amendment, the Government helped to bring more certainty and confidence to your Lordships’ House, and to electors, that the recommendations of the Boundary Commissions will be implemented without political interference or unnecessary or undue delay, as soon as practicable. I hope that noble Lords will, therefore, be able to support the amendment. I thank all noble Lords who have spoken, in particular my noble friend Lord Young of Cookham. I urge noble Lords to support the amendment that he has put before the House.

[The Deputy Speaker (Baroness Finlay of Llandaff) (CB)]

I have received a request from the noble Lord, Lord Blencathra, to ask a short question for elucidation.

[Lord Blencathra (Con)]

My Lords, this is not a question as such. I want to commend my noble friend Lord Hayward for mentioning the 1983 Boundary Commission review, which I intended to mention but clean forgot. That was implemented by the late, great Viscount Whitelaw of Penrith. He did it, even though it added large swathes of Lib Dem-held wards to his own constituency. In the by-election which followed his elevation to this place, I almost lost the seat because of that. As usual, Willie did the right thing. The Government are doing the right thing now and I commend them.

[The Deputy Speaker (Baroness Finlay of Llandaff) (CB)]

Does the Minister wish to respond?

[Lord True (Con)]

My Lords, I do not think I need to add anything, except to say that I share my noble friend’s affectionate remembrance of Viscount Whitelaw, whose general election tour I managed in 1979. I had to learn to drink quite a lot of whisky in a short time.

--- Later in debate ---

Amendment 10 not moved.

[The Deputy Speaker (Baroness Finlay of Llandaff) (CB)]

We now come to the group consisting of Amendment 11. I remind noble Lords that Members other than the mover and the Minister may speak only once and that short questions of elucidation are discouraged. Any noble Lord wishing to press this amendment to a Division should make that clear in debate.

Amendment 11

Moved by

Restriction of Public Sector Exit Payments Regulations 2020

Baroness Finlay of Llandaff Excerpts

Wednesday 23rd September 2020 Lords Chamber

[Baroness Finlay of Llandaff (CB) [V]]

My Lords, I declare that I am a former BMA president. The BMA is so concerned that it is seeking a judicial review of the regulations, having sent a letter before action on 17 August 2020, setting out why these regulations would be unlawful, but received no reply. It believes that the regulations will force public bodies to act unlawfully. NHS staff have contracts of employment that, in the event of redundancy, contain clauses defining the level of contractual redundancy payments, which can exceed £95,000.

How can the Government justify extending the scope of the definition of exit payments to include payments made to compensate an exiting employee for an infringement of their legal rights during their employment, before their exit? The BMA believes that doing so is unlawful. What about a person with an equal pay claim that goes back years, who leaves before the back pay is settled? How can Government justify preventing public bodies paying money owed to an exiting employee—payments such as a contractual redundancy payment, to which the employee is entitled under existing lawful contracts of employment negotiated in the proper and recognised way? Again, the BMA believes this is unlawful.

Junior doctors rotate as part of their training, moving from one trust to another, often with varying overtime payments owing them a few hundred pounds. These complex calculations will now fall to the trainee, keeping them away from clinical work. Therefore, how can the Government justify imposing a reporting duty on all exiting employees, regardless of the amount due to them—even for £200—as would be the case for thousands of junior doctors who change employer regularly through their training and will frequently be owed sums by their former employer nowhere near the £95,000 limit? The BMA believes that this is unlawful and it is clearly irrelevant to the statutory scheme.

I gave prior notice of these questions. NHS staff are public sector, have worked above and beyond to tackle Covid-19, and must not be demoralised by these regulations, which appear unlawful.

Parliamentary Constituencies Bill

Baroness Finlay of Llandaff Excerpts

Committee stage & Committee: 3rd sitting (Hansard) & Committee: 3rd sitting (Hansard): House of Lords
Tuesday 15th September 2020 Grand Committee

In conclusion, I pass comment on just one other matter that I wanted to identify. It has been suggested that MPs on the Tory side during the previous reviews did not make clear their opposition to the Devonwall constituencies. There is absolutely no doubt: they made their views known not just to the Whips in private. A number of them made comments opposing the proposal of Devonwall constituencies on the Floor of the House. It has been and remains the subject of contention, but it is not that any one particular party that has made those representations: they have come from representatives of all different parties.

[Baroness Finlay of Llandaff (CB)]

My Lords, thank you for letting me speak. As a signatory to the amendment, I should explain a little why I decided to support it. I have lived in Wales for many decades and provided healthcare to some of these communities. The geography is unique and different to the cultural mix in cities in either England or Scotland—I have done exactly the same as a GP in inner-city Glasgow.

Wales currently has 40 constituencies for its 2.3 million registered electorate. Yes, the size of the constituencies is smaller on average or on median size than other nations in the UK, but Scotland’s smallest constituency has half the number of electors of the smallest in Wales. The current boundaries in Wales allow co-terminosity, which helps co-ordination between the Senedd and Westminster. I will return to that relationship between Wales and Westminster in a moment.

To look at this and try to understand it, I spent some time with an Excel spreadsheet to look at the consequences of a rigid numerical approach. A cull of Welsh MPs to provide only 29 would be a 28% reduction in representation from Wales under the 2018 proposals. While maintaining 650 MPs, a leeway allowing a 5% margin on electoral numbers would still lost Wales nine seats—a 23% reduction in MPs. Are the Government determined to alienate their support for the union and fuel separatist nationalism? It certainly looks like that from all their behaviour at the moment. Funnily enough, as far as I can see, England would see only a rise in numbers under the Bill’s proposals.

A 15% lower margin on electorate numbers—I say lower because it is not about raising the 15%—although again hitting Wales hard, would decrease representation from Wales by 5%, or two MPs. However, it would also allow the complexity of the geography and demography to be accounted for. For an MP in Wales to represent an area with difficulties of travelling across large areas where, as we have heard, the sheep really do outnumber the population, it can take over two hours in some parts and around four hours in those same places in the winter. The South Wales valleys are indeed quite distinct zones, as the noble Lord, Lord Wigley, pointed out, and travelling from one to another requires driving north across the Heads of the Valleys road and down, or south to the M4 and up the valley. While it is reasonable to expect the MPs to do that, the constituents cannot. Many do not have their own car, have care responsibilities and cannot just access a remote MP surgery in an adjacent valley, nor do they identify with that position in an adjacent valley either. Poverty and an elderly population—9.5% is over 75—means that few have IT access to Zoom or Teams, and so on, although I accept that after Covid, that might have improved. However, on all other measures, they will effectively be relatively disenfranchised in relation to UK government.

The noble Baroness, Lady Hayter, has already pointed out the political message that this is giving. The political message a massive cull of Welsh MPs gives is that Westminster is not concerned about Wales. I wonder whether one solution to meet the Minister’s concern about a 30% range of variance overall would be simply to delete the upward tolerance and allow only a downward tolerance. Without that, this amendment will fuel a narrative that Westminster really would like to see Wales cut off, cut out, and effectively ignored.

[Lord Lipsey (Lab)]

My Lords, this is a pretty odd grouping, is it not? You have one amendment on the links between constituencies, one on Devon and Cornwall, and one on Wales. It would have been even worse if I had not insisted on degrouping my amendment on Brecon and Radnor, for which the Committee will pay a price when I introduce it in a few minutes’ time. The grouping is so wide and disparate that I do not have a great deal to add, so I will not.

First, I totally agree with the amendment in the name of my noble friend Lord Foulkes about local ties, which seem wholly to have been ignored by the Government in drafting the Bill, and which I will come back to in the Brecon and Radnor context.

Secondly, I totally agree with my noble friend Lord Hain about the underrepresentation of Wales—the noble Baroness, Lady Finlay, and a few other noble Lords came in behind him. I will say only that even the 15% variant would not deal with the Brecon and Radnor problem; it deals with certain problems but not with that.

Finally, on the epoch-shaking issue of Devon and Cornwall, I am in no doubt about the passions that this stirs in that part of the country, but I know nothing about it or those passions, and therefore I will remain silent.

Covid-19: Infection Rate

Baroness Finlay of Llandaff Excerpts

Monday 6th July 2020 Lords Chamber

[Baroness Finlay of Llandaff (CB) [V]]

Those encouraged to emerge from shielding fear that they are now at increased risk as observation of social distancing by others decreases. Do the Government recognise that the symbol prompting people to respect social distancing everywhere, developed through the Bevan Commission and endorsed by NHS Wales and the First Minister, is very widely welcomed by those currently shielding and those close to them, and now needs to be adopted across the whole of the UK?

[Lord True]

My Lords, respect for others will be absolutely fundamental, as it always is, particularly to the interests of people who are shielding. I join the noble Baroness in urging everybody in this country to observe the continuing social distancing guidance.

Covid-19: Economy

Baroness Finlay of Llandaff Excerpts

Thursday 4th June 2020 Lords Chamber

[Baroness Finlay of Llandaff (CB)]

My Lords, health and the economy are interdependent. Essential to infection control is PPE, which we import at eye-watering cost. Gowns are the second-most-used piece of PPE, after gloves, in healthcare. Of the £6.6 billion in pandemic costs to health and social care, £4 billion has been allocated for PPE to the end of July 2020. Wales alone has spent £136 million on 90 million items of PPE to date. The UK is using 10% of the total global production of PPE, and that will not decrease. In March, the WHO warned that 89 million medical masks, 76 million examination gloves and 1.6 million pairs of goggles would be required worldwide monthly.

Until 2020, the race to the bottom on price made Hubei province in China the manufacturing centre of PPE, yet in January, China imported 20 million surgical masks and respirators in 24 hours. Exports fell and international scrambles for PPE resulted. Here, our 2008 flu preparedness stockpile contained no gowns or visors. Apparently, almost two-thirds—21 million—of vital FFP3-standard masks were missing.

We must become resilient in our core needs. Our university fabric research can develop fibres and design quality gowns with low micro-organism transmission potential that are recyclable and fit women properly. Our universities teach and develop 3D printing, yet we do not have the infrastructure and experience for visor manufacture and distribution at scale. We rely on China’s manufacture of melt-blown and spun-bond polypropylene, and other crucial components of PPE, yet these supply chains are remarkably brittle, and the worldwide market for personal protective equipment is expected to grow at over 6% in the next five years. Will our economic recovery and security involve moves towards self-sufficiency in high-quality reusable medical consumables, their sterilisation and quality control? It must.

Public Services: Update

Baroness Finlay of Llandaff Excerpts

Wednesday 29th April 2020 Lords Chamber

[Lord True]

My Lords, I am grateful for what my noble and learned friend said about the Department for Work and Pensions. It is an important area when it comes to confronting this crisis. Helping the most vulnerable is absolutely key, as well as those whose jobs are suddenly insecure. On the courts, there has been an impact, particularly in the case of the county courts. Virtual proceedings are continuing where it is possible to do so. I believe that court proceedings are continuing in 159 settings—I cannot remember the exact figure off the top of my head but if it is wrong, I will write to my noble and learned friend. That has also obviously had an impact on magistrates’ courts, where the throughput of cases is considerably down from the normal level. This matter receives the constant attention of the Ministry of Justice, which is monitoring the situation closely.

[Baroness Finlay of Llandaff (CB)]

As the Government have recognised clearly and appropriately in the Statement, front-line workers from overseas have been essential to managing the Covid-19 epidemic, and have done so at risk to themselves and their families. Will the Government give credit for this in applications for UK residency and citizenship and urgently revise the criteria, and in the process, are the costs of their visas being waived?

Wellbeing of Future Generations Bill [HL]

Baroness Finlay of Llandaff Excerpts

2nd reading & 2nd reading (Hansard) & 2nd reading (Hansard): House of Lords
Friday 13th March 2020 Lords Chamber

[Baroness Finlay of Llandaff (CB)]

My Lords, it is a great pleasure to congratulate the noble Lord, Lord Bird, on his vision in bringing this to us. I echo all that has already been said by my noble friend Lady Andrews; I must call her my friend.

The term “future generations” often implies generations that are not yet born yet current children are also the future generation, their voice often unheard and their experiences not always at the centre of government policy. Laws send social messages; they frame our values and alter our behaviours. Wales has led on this approach of considering the next generation in every aspect of government policy. As someone who lives and works in Wales—I declare my role as chair of the board of governors of Cardiff Metropolitan University—I say that this legislation acts as an internal checklist for decision-making across all areas and provides a moral compass in our deliberations. For us, it is in line with our strategy of EDGE: ethical, digital, global and entrepreneurial. It runs as a thread through our thinking.

In my short time I want to focus on the huge societal problem of alcohol abuse, and declare my role chairing the Commission on Alcohol Harm. More than 40% of women in the UK continue to drink during pregnancy and four times more children suffer alcohol-related birth defects than the global average. Foetal alcohol spectrum disorders blight their lives before they are born. Children tell us about alcohol harms. Children know alcohol can be physically and emotionally unhealthy; it makes their parents sick, forgetful, unpredictable, unreliable and unavailable emotionally. They see the link between alcohol, the arguments at home, and financial difficulties. The Parliamentary Office of Science and Technology reported recently on the damage from parents’ drinking on children’s overall development. Children themselves recognise that some become dependent on alcohol and at risk of

“losing money, their job and their house”,

but for others responsible drinking by the adult does not impact in a negative way, and children themselves recognise this.

However, even at low-level drinking by a parent, one-third of children report at least one negative outcome. Those who are children of alcoholics suffer in silence, at risk of abuse and neglect; three in five care applications involve alcohol or drug misuse. These children are at higher risk of mental illness and suicide themselves. Alcohol abuse is linked to early or unsafe sexual activity and sexual abuse. If bereaved through alcohol, these children can experience stigma and disenfranchised grief.

The greatest impacts of familial drinking fall on children—on the next generation. In England, there are probably almost 200,000 children living with at least one alcohol-dependent parent. Sadly, many more have both parents who are alcohol dependent. Most of these families are hidden from sight; they do not seek support. As harm is passed from generation to generation, policies seem to ignore the evidence. The economics of ongoing harms must be considered. The lives of children would be improved if there was adequate care for adults with alcohol dependence. The next generation could be spared some of the harms that blight its future.

The Welsh Government have recognised the evidence and have, like Scotland, adopted minimum unit pricing of alcohol. This measure is an example of one step in adopting a national policy to protect the well-being of future generations. We need many more.

National Health Service: Pensions

Baroness Finlay of Llandaff Excerpts

Monday 10th June 2019 Lords Chamber

[Lord Young of Cookham]

It is important that noble Lords understand the background to the changes. One of the most expensive tax reliefs is pension tax relief. It costs £50 billion per year—roughly half the budget of the NHS. Two-thirds of that goes to additional, or higher-rate, taxpayers. The reforms introduced over the last two Parliaments were aimed at targeting the relief more effectively and saving £6 billion that could be redirected towards other priorities. Less than 1% of taxpayers will be affected by the taper of £40,000 that was introduced, and more than 95% of those approaching pension age will not be affected by the lifetime allowance.

[Baroness Finlay of Llandaff (CB)]

My Lords, I declare an interest as a past president of the BMA, and as someone with an NHS pension whose husband does not stand to gain particularly by my death; so be it. Do the Government recognise the seriousness of the situation, given the open letter from the BMA to the Prime Minister published in the Financial Times today? The 50:50 suggestion that came from the Secretary of State is not the solution to the problem. Clinical services are already being severely jeopardised by consultants who drop their additional sessions; waiting lists are therefore already rising and those facing retirement have decided to carry on with leaving the NHS, thereby worsening our workforce problems.

[Lord Young of Cookham]

We join the noble Baroness’s husband in wishing her a very long life. So far as the issue she raises is concerned, the BMA asked us to introduce this flexibility earlier this year. The chair of the BMA council said:

“This is a step in the right direction”.


The Secretary of State is willing to discuss other models for pension flexibility; we very much hope that, if we make these changes, high-earning clinicians will be able to attend to more patients while saving for their retirements without incurring significant tax charges.