Health and Social Care Act 2008 (Regulated Activities) (Amendment) (Coronavirus) Regulations 2021

Baroness Fox of Buckley Excerpts

Tuesday 20th July 2021 Lords Chamber

[Baroness Fox of Buckley (Non-Afl)]

My Lords, there have been some excellent speeches in this debate. I speak the day after the rather misnamed “freedom day” was used by the Prime Minister to herald a “show your papers” society. No doubt the threat of domestic passports—a policy that the Minister for Vaccines has regularly described as discriminatory—is just a ploy to nudge or blackmail young people to get vaccinated or be denied access to nightclubs and public life.

Today I am here to speak against another illiberal measure: mandated vaccines for care workers. That message is, “Get vaccinated or you will be denied access to your job”. Have the Government abandoned using the usual democratic means of persuasion—convincing citizens of the merits of policies—and resorted instead to a lazier, coercive approach, bypassing Parliament while they are at it?

The Government claim that they have tried extensive communications programmes to try to persuade care workers to get jabbed, but how hard have they tried? I think the UNISON suggestions were very helpful. We have heard from the noble Baronesses, Lady Noakes and Lady Bennett, about some other ways we can have targeted persuasion, peer-to-peer reassurance initiatives and so on. I just do not believe that we have tried hard enough.

We all understand that vaccine hesitancy among care workers is a moral dilemma. Ideally, those who work with vulnerable people should not put them in danger, and it would be better if they were immunised. As my mother lived in a care home and my aunt is still a resident, I am sensitive to the idea that, in certain protective environments, following health and safety rules is key to the job. If care workers who have intimate contact with our loved ones refused to wear PPE, for example, we might think them negligent, so I can see both sides. Can the Minister concede that this is an ethical minefield? This legislation is a blunt instrument that does not take into account any nuance at all.

Ministers say that the policy is based on consultation, and they claim that they have listened to the experiences and concerns of providers and people living and working in care homes, but have they really listened? A majority of the consultation respondents did not support mandated vaccines, and 62% of care home residents themselves are unsupportive of the proposal.

The consultation is credited with the extraordinary decision to broaden the scope to include, with limited exemptions, everyone who enters a care home, regardless of their role. Can the Minister explain whether the driver who regularly delivers food should be sacked too? What about the hairdressers and the arts and crafts teachers who went into my mum’s home and who service homes? Will they be banned? Will there be bouncers at the door? Will homes have fewer services?

Then there are the unintended consequences. A recent study by the London School of Hygiene & Tropical Medicine was very clear that the Covid-19 vaccine should remain voluntary for care workers or it would risk negatively affecting relationships at work, hardening stances against the vaccine and undermining the trust in all vaccines and the process of policy-making.

Let me be clear: I am an enthusiastic supporter of vaccination. The 18th-century Edward Jenner is one of my personal heroes. Specifically, Covid vaccines are proof that humanity can deploy scientific ingenuity in managing and overcoming deadly challenges. I have no time for the anti-big-pharma tropes or the rejection of pharmacological interventions—nature does not know best. But I also believe in freedom, specifically freedom of choice and conscience, and surely it is dangerous and regressive to weaponise medical interventions as the price of freedom. Ever since trade unions and radicals forced the repeal of the Contagious Diseases Acts in 1886, the voluntary principle of opting out has worked well. At the very least, overturning that principle in law should require far more scrutiny than a rushed-through statutory instrument given only 90 minutes of debate. I thank the noble Baroness, Lady Wheeler, for forcing us to at least have this debate, but this is not the way it should be done.

The Government insisted that this was necessary, however, to protect vulnerable residents. That might be more convincing if so many vulnerable people had not died of Covid in care homes due to government policies that were not debated. All right, that was an emergency but more recently the welfare of the many of the same vulnerable residents has been jeopardised by draconian restrictions on visits from families. I commend to all noble Lords Midsummer Milestones, a briefing paper from John’s Campaign and supporters of Rights for Residents, to get a visceral sense of the horrors inflicted on those in care homes by the mandatory 14-day isolation rules. The protective ring around care homes really does ring hollow and now the everyday heroes of care homes, who worked their guts out during the pandemic, feel victimised. I have received droves of emails from front-line staff who say that they feel like third-class citizens.

Finally, and ironically, this policy could make care homes less safe in the future. We have already heard that if only 5% of staff refuse the vaccine and are sacked, that will mean tens of thousands of workers leaving a sector that already has severe staff shortages. Does the Minister think homes should operate with dangerously low staffing levels or close down? Many professionals believe that mandated vaccine policy will see them close altogether, with a loss of 50,000 beds. Does the Minister realise that that would mean residents ending up in hospitals, increasing pressure on the NHS? Oh, the irony.

This SI is not serious policy. I will abstain because regret is not strong enough for how I feel. The issue requires proper, nuanced, moral argument in this House—the vulnerable deserve it.