Covid-19: Masks

Baroness McIntosh of Pickering Excerpts

Thursday 11th June 2020 Lords Chamber

[Baroness McIntosh of Pickering (Con) [V]]

My Lords, the advice of the World Health Organization is very clear: wearing a face mask or face cloth protects the wearer against any infected person and prevents an infected person infecting another person. Does my noble friend therefore agree that wearing a mask can help and that the guidance from the Government could and should be clearer, particularly on the use of masks in restaurants and hospitality in addition to on public transport? Will my noble friend agree to extending the guidance to the wearing of gloves by all of us, further to protect the wearer and others from being infected or from infecting surfaces, where we know the infection can remain for a long time?

Health Protection (Coronavirus, Restrictions) (England) Regulations 2020

Baroness McIntosh of Pickering Excerpts

Tuesday 12th May 2020 Lords Chamber

[Baroness McIntosh of Pickering (Con)]

My Lords, I declare my interest with the Dispensing Doctors’ Association. These emergency measures were brought in at comparatively short notice, so I welcome the chance to review them, and congratulate the Government on what they have achieved in a very short time.

As my noble friend the Minister pointed out at the outset, the success of the regulations will depend on the clarity of the message and the collaboration and co-operation of the public. My concern is that the level of trust shown by the public may fall as time goes on and they become less patient. We should also note that the latest guidance, which is being issued and emerging this week, is perhaps more clouded and less clear.

There are inconsistencies in the guidance; for example, people are urged to go to work but may not have access to public transport, or have been advised not to use public transport but alternatives are simply not feasible. Those with children may have no childcare available, making it difficult for them to leave home and return to work.

Will my noble friend consider the difficulties of policing? Will the Government consider talking about physical distance rather than social distance, so that people really pay attention to the two-metre rule?

I understand that the sunset provision is not due to come in until 10 February 2022. Will my noble friend confirm that? As others have done, I urge him to really focus on the clarification required to differentiate between the regulations before us today, which are legally binding instruments, and the guidance, which is not, to ensure that the police have the very best understanding of the scope and that the regulations do not become a charter for neighbours to grass on their neighbours.

My noble friend is familiar with my interest in Regulation 61 of the National Health Service (Pharmaceutical and Local Pharmaceutical Services) Regulations 2013. This is particularly appropriate in rural areas. It allows NHS England to commission a dispensing doctor’s surgery to provide services to all—that is, not just its own registered dispensing patients—where a pharmacy is temporarily closed. This decision can be national or regional, but so far it has not been used in either circumstance. Why not? Having urged us all to avoid all but essential travel, will the Government consider keeping this under constant review and ask NHS England, both nationally and regionally, why this regulation, which permits dispensing doctors to dispense these medicines, is not being used to facilitate the lives of patients and allow dispensing doctors to do their work?

Covid-19: Vulnerable Populations

Baroness McIntosh of Pickering Excerpts

Tuesday 12th May 2020 Lords Chamber

[Lord Bethell]

I reassure the noble Lord that the Government are not obliging healthy over-70s to self-isolate. However, the guidance is clear: they are a vulnerable group and the disease targets those who are older. They are therefore advised to avoid all social contact, if necessary. That advice is based on the science of the disease, and we will seek ways of trying to ameliorate that once the disease has fallen back.

[Baroness McIntosh of Pickering (Con)]

My Lords, does my noble friend agree that the most vulnerable are clearly the residents of care homes and their care workers? Will he confirm the very sad figures of, as I understand it, 10,000 deaths suffered in care homes? Will he also confirm that these figures have now been added to the total? Will the Government now prioritise care home workers for the full kit of PPE, to give them the utmost safety as they look after our most vulnerable people?

Covid-19

Baroness McIntosh of Pickering Excerpts

Thursday 23rd April 2020 Lords Chamber

[Lord Bethell]

The noble Lord, Lord Scriven, is not correct to say that the Government decided to stop track and trace; there are still PHE track and traces, but when the disease reaches a certain level of prevalence, it simply is not arithmetically possible to track down every new incidence of the disease. Nor is it true that anyone in the Government said that we would have only 1,000 tracers in our call centres. Plans which I have seen are being drafted at the moment which are wildly more ambitious than that. It is our plan to put together a system that is proportionate to the challenge.

[Baroness McIntosh of Pickering (Con)]

My Lords, I declare an interest: I work with the Dispensing Doctors’ Association. It is emerging that all gowns are made to one size, which is posing a problem particularly for larger men and all women. I realise that this matter is being addressed. Can the Minister update us on it today?

I warmly congratulate my noble friend and the Government on introducing the new measures on testing and tracing. It strikes me that, if we could do this as locally as possible and perhaps look to training environmental health officers to be able to do some of the tracking and tracing, it would be a good use of their time.

When it comes to ending the lockdown, I urge the Government to follow the Swedish example of maintaining self-isolation but allowing hospitals, bars, pubs and cafés to open in a regulated and controlled manner.

[Lord Bethell]

My noble friend Lady McIntosh is quite right that we should look at several different workstreams for our track and trace model. As the noble Lord, Lord Scriven, implied, one of the most important things to consider is having surge capacity. Track and trace is very important when you have an outbreak or second epidemic. We need to have in place that additional capacity to track down and isolate those who bring in new infection.

Covid-19: Personal Protective Equipment

Baroness McIntosh of Pickering Excerpts

Thursday 23rd April 2020 Lords Chamber

Asked by

[Baroness McIntosh of Pickering]

To ask Her Majesty’s Government how many United Kingdom manufacturers are in place to ensure that an adequate supply of personal protective equipment is made available to (1) the National Health Service, and (2) carers, to all regions of the United Kingdom; and what direct contact they have had with such manufacturers based in the North of England.

The Question was considered in a Virtual Proceeding via video call.

--- Later in debate ---

[Baroness McIntosh of Pickering (Con)]

My Lords, will my noble friend congratulate the company Industrial Textiles & Plastics, which makes the much-needed impermeable material for gowns, and Barbour and Burberry, which are manufacturing these gowns—all, in this case, free of charge and distributed through a Thirsk-based volunteer organisation organised by local NHS trusts? Will the Government agree to use this model for the manufacture and distribution of gowns through local manufacturers and local distributors to disperse to NHS trusts?

[Lord Bethell]

My Lords, I share the noble Baroness’s endorsement of the tremendous response from British manufacturing. Some 176 firms have applied to the scheme and we are processing their suggestions. My noble friend Lord Deighton is a powerful advocate for the Make programme. I thank in particular Don & Low, Ineos and Survitec, which have already made a considerable contribution to production.

Covid-19: Helplines

Baroness McIntosh of Pickering Excerpts

Thursday 19th March 2020 Lords Chamber

[Lord Bethell]

The noble Baroness, Lady Watkins, reflects the feeling of all the House in her comments on the Lord Speaker, and I entirely endorse her comment that we must all respect the guidance and advice given to us by the Government. I pay tribute to the Lord Speaker for his comments on that subject.

In terms of 111, she is entirely right that the NHS is under acute pressure, which is particularly felt on the front line in the interaction with concerned people who are understandably phoning 111. The 111 system is recruiting a large number of new handlers. In addition, we have put a letter through the GMC, NMC and other professional bodies and there will be a registration page on the front page of those bodies’ websites—it will be going up very shortly, either tomorrow or very soon afterwards, I believe—for recently retired professionals to register their interest in rejoining their local NHS health authorities in some way. Those applications will then be passed on to the local authorities and triaged, and the applicants will be allocated suitable responsibilities. I pay tribute to all those who are thinking of returning or have returned to active service, often putting themselves in danger and taking risks in the service of the NHS to look after patients. The skills of the recently retired may range from those who are younger and active and can be on the wards through to older people who may have desk-based tasks, but it is up to the local authorities to decide where best they can conduct their services.

[Baroness McIntosh of Pickering (Con)]

My Lords, will my noble friend join me in congratulating the Lord Speaker on the leadership he has given? I declare my interest, as in the register: I work with the Dispensing Doctors’ Association. Can my noble friend address the question of professional indemnity for those wishing to return to practise as recently retired nurses, doctors or other medical professionals? Can he also address the question that I have written to him about regarding the severe shortage on the front line of PPE, which is apparently in warehouses? It really needs to get to the front line.

Health: Tick-borne Encephalitis

Baroness McIntosh of Pickering Excerpts

Tuesday 5th November 2019 Lords Chamber

[Baroness Blackwood of North Oxford]

I thank the noble Lord for that question, although I generally identify as a noble Baroness. We are continuing surveillance studies for TBEV in ticks and wildlife, and we plan to monitor its prevalence, distribution, maintenance and spread in the UK to ensure oversight of the situation. We have based our understanding of the risk assessment on recent experience in the Netherlands, where TBEV was recently identified. The estimated risk there of Lyme disease from a tick bite is 1:50, while the estimated risk of TBEV from a tick bite is 1:500,000. As regards us doing enough work, we have a national contingency plan written to deal with vector-borne diseases and understanding the effect of climate change, which gives us a sense of the challenges that we face.

[Baroness McIntosh of Pickering (Con)]

My Lords, will my noble friend recognise the work of the national Encephalitis Society, which is based in Malton in North Yorkshire, of which I have the honour to be a vice-president? Will she update the House on what work has been undertaken to help doctors identify the difference between meningitis and encephalitis so that the swiftest possible treatment can be given? My husband was one of those who suffered encephalitis in his 20s; many are less fortunate and do not make the recovery that he made.

[Baroness Blackwood of North Oxford]

The noble Baroness is absolutely right, and I am happy to recognise the organisation that she mentioned. In the first place, the tick toolkit and the work of PHE is in place to raise awareness, and work goes into providing advice to professionals so that early diagnosis is possible.

GP Services in Rural Areas

Baroness McIntosh of Pickering Excerpts

Tuesday 2nd July 2019 Lords Chamber

Asked by

[Baroness McIntosh of Pickering]

To ask Her Majesty’s Government what measures they propose to take to ensure that there is adequate provision of GP services in rural areas.

[Baroness McIntosh of Pickering (Con)]

I beg leave to ask the Question standing in my name on the Order Paper and in doing so refer to my interests declared in the register.

[The Parliamentary Under-Secretary of State, Department of Health and Social Care (Baroness Blackwood of North Oxford) (Con)]

My Lords, primary and community care will receive at least £4.5 billion more a year by 2023-24. Incentives have been in place since 2016 to attract GP training to hard-to-recruit areas, including rural areas. NHS England is consulting on allowing digital-first practices to be set up in under-doctored areas and everyone will have the right to digital-first primary care by April 2021, which will provide another way for patients in rural areas to access services.

[Baroness McIntosh of Pickering]

I thank my noble friend for that Answer. She might be aware of last week’s Telegraph report, which shows that almost 2,000 villages are at least three miles from their nearest GP practice. That figure would be higher were it not for the fact that rural practices can dispense medicine where community pharmacies are inviable. Will my noble friend take this opportunity to commit today to specific support for rural general practices over and above what is already in the NHS long-term plan, which has a particularly urban-centric focus? I remind my noble friend that we in rural areas are struggling to get 4G, let alone access to digital medicine.

Breast Scans

Baroness McIntosh of Pickering Excerpts

Monday 19th November 2018 Lords Chamber

[Lord O'Shaughnessy]

I am more than happy to do so. If the review is not the correct forum for consideration of such an issue, I will refer it to the advisory committee instead.

[Baroness McIntosh of Pickering (Con)]

My Lords, does my noble friend agree that, with mammography and all other forms of screening, the quality and availability of radiographers are important? Will he report to the House on the current status of radiographers in the country?

[Lord O'Shaughnessy]

I am happy to tell my noble friend that we are in the process of recruiting many more radiographers for the NHS, with a plan to recruit nearly 1,900 by 2021.

General Practitioners

Baroness McIntosh of Pickering Excerpts

Wednesday 17th October 2018 Lords Chamber

[Lord O'Shaughnessy]

The noble Baroness raises what is unfortunately a sad fact. One of the areas I highlight is the increasing use of social prescribing, which uses means such as joining clubs and taking part in activities that often have a social dimension to alleviate the problems associated with loneliness. Our new Secretary of State has made social prescribing a priority, because clearly it enables us to change people’s lives for the better without resorting to appointments and medicines.

[Baroness McIntosh of Pickering (Con)]

My Lords, I declare an interest as an adviser to the board of the Dispensing Doctors’ Association. Will my noble friend address the very real issue of recruiting and retaining GPs in rural areas? I declare an interest in that both my father and brother have been dispensing doctors. It is not just an issue of 55 year-old doctors’ pension contributions; increasingly there is a problem of attracting young doctors in their 30s and 40s and retaining them, because of the poorer pension provisions we have now.

[Lord O'Shaughnessy]

My noble friend makes an important point, and obviously she has first-hand experience of that. I am pleased to tell her that there is a targeted recruitment scheme that offers a £20,000 salary supplement for those who serve in hard-to-reach areas. In 2016, 122 places were offered on that scheme, and that number has now more than doubled in 2018, so we are putting more and more emphasis on that.