Flu Vaccination and Blood Test Cancellations

Debate between Baroness McIntosh of Pickering and Lord Bethell

Tuesday 14th September 2021 Lords Chamber

[Lord Bethell (Con)]

My Lords, it is not my understanding that appointments have been cancelled. If the noble Lord has any anecdotes, reports or evidence of that, I would be very grateful if he could send me that material. Seqirus, the company concerned, brings its vaccines in from overseas.

[Baroness McIntosh of Pickering (Con)]

I remind the House of my interest, in working with the Dispensing Doctors’ Association. If my noble friend reads the BMA website for 4 September, he will see that it reports numerous cancellations of appointments for meticulously planned routine flu vaccinations. Obviously, that has caused great disruption. Will he undertake to treat this matter with the utmost urgency, to ensure that GP practices are not left to face the music, and that the Government will do their utmost to roll out the vaccine programme?

Care Home Occupancy Rate

Debate between Baroness McIntosh of Pickering and Lord Bethell

Wednesday 28th April 2021 Lords Chamber

[Lord Bethell (Con)]

My Lords, we have written to local authorities to make it clear what the funding is there for and to make recommendations on the sort of financial support that may be needed to bridge this moment when occupancy levels have been reduced because of concerned families taking their loved ones out of care homes. That funding is in place, and it is up to local authorities to make their decisions on the matter.

[Baroness McIntosh of Pickering (Con)]

My Lords, what has the impact of the pandemic been on those who choose to receive care in their own homes? With the rise of closures of private care homes and fewer public sector beds being available, have we got the balance in provision right?

[Lord Bethell (Con)]

My Lords, there is an important area of support for those who decide to have care at home. During the pandemic, we did an enormous amount to ensure that there were infection-safe procedures and to reduce the use of itinerant care workers in order to provide safety for those who were at home. Support for those who choose to be cared for at home should be increased. I do not recognise the idea that the number of beds in local authority care has reduced so far, but I am happy to look into the matter.

Health and Social Care Update

Debate between Baroness McIntosh of Pickering and Lord Bethell

Monday 22nd March 2021 Lords Chamber

[Lord Bethell (Con)]

My Lords, I could not agree more heartedly; the vaccination of staff is a massive priority. Those figures give us cause for some reflection on how we can increase them. The adoption rate of vaccines by all healthcare workers has been much more impressive than on previous vaccine rollouts, so we are encouraged overall, but we are determined to hammer out all the last rock pools where people have not been persuaded. As I alluded to my noble friend Lord Cormack, we are looking at all methods to make sure that we get there in the end.

[Baroness McIntosh of Pickering (Con)]

I welcome the Statement, in particular the reference to the future discharge programme for hospitals. Does my noble friend agree that it is essential to rural-proof this policy? Will the Government look favourably on establishing health hubs in rural towns, to provide treatment and test availability and to allow the potential to avoid hospital visits?

[Lord Bethell (Con)]

My noble friend hits the nail on the head; who could think that a return to the previous regime of turning up at a GP’s surgery or a hospital every time you feel ill could possibly be a wise way of going about your healthcare system? Professor Sir Mike Richards has done an extremely good report on community health hubs, which we are looking at very closely; it has some very wise words that we are minded to follow up.

Food-related Crime

Debate between Baroness McIntosh of Pickering and Lord Bethell

Monday 22nd February 2021 Lords Chamber

[Lord Bethell (Con)]

My Lords, the focus of the unit tends to be on either food that is unfit for human consumption, such as in the horsemeat scandal of 2013, which the noble Baroness will remember, or on the passing off of low-quality food with a higher-quality label. It is not involved in addressing the theft of food. However, I agree with the noble Baroness that getting good-quality food to all the population is a priority, and that is one of the Government’s priorities.

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

My Lords, I applaud the work of the National Food Crime Unit. The main function of the Food Standards Agency is food safety and surveillance. We are currently in the midst of a salmonella outbreak through the import of chicken nuggets from Poland. Does my noble friend share my concern that this raises serious issues about the food safety and surveillance system and why this outbreak was perhaps not detected during the import of this meat into the UK?

[Lord Bethell (Con)]

My Lords, I am across the recent outbreak of chicken nugget salmonella poisoning across the UK. However, I point to the work of the European distribution fraud unit, which is very much focused on this kind of cross-border food crime. I will take back to the department the noble Baroness’s recommendation and will write to her if there is any update that I can provide her with.

Covid-19: Vaccinations

Debate between Baroness McIntosh of Pickering and Lord Bethell

Wednesday 13th January 2021 Lords Chamber

[Lord Bethell (Con)]

My Lords, I completely hear my noble friend’s encouragement, and her advocacy on behalf of business and a return to normal is heard loud and clear. The deployment is happening literally as quickly as we can possibly make it. I suggest to her that even NHS workers have to sleep, they have families, and it is not possible to run operations through the night on a mass scale. You cannot force people to turn up for a vaccine. I am not sure that the idea that millions of people will turn up at 4 o’clock in the morning for a vaccine is entirely realistic. However, my noble friend’s point about scale and whether we can move faster and turn around the situation more quickly is extremely well made. I reassure her that we are doing everything we possibly can.

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

Will my noble friend join me in congratulating dispensing GPs in rural areas on hitting the main target group of over 80 year-olds? Can he confirm that the latest spike in care homes may be attributable to the fact that a second dose is not being administered within 21 days? Will he revert to that practice as far as possible and ensure that the same vaccine is given for the second dose?

[Lord Bethell (Con)]

I pay tribute to the role of dispensing GPs, who will play an incredibly important role in the rollout. However, I reject the suggestion that any spike in care homes is in any way related to decisions on the second dose. The new variant has spread throughout society, including care homes, and that is the explanation for the spike.

Coronavirus Vaccine

Debate between Baroness McIntosh of Pickering and Lord Bethell

Thursday 3rd December 2020 Lords Chamber

[Lord Bethell (Con)]

My Lords, difficult decisions have to be made by everyone in this. The JCVI has looked very carefully indeed at the challenge of how to prioritise this vaccine, taking representations from a large number of groups. Ultimately, its priority is to protect life and the NHS, and its clear decision has been to have a prioritisation based on age because this is the greatest driver of mortality.

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

My Lords, I add my congratulations to my noble friend, the MHRA and everyone associated with producing this vaccine in such record time; it is a great tribute to our health service. I will focus on the fact that the flu jabs for the over-50s are still being distributed, and there is a reluctance among some—perhaps as many as two-thirds of the over-50s—to take up the flu vaccine, as they would like to wait for the Covid vaccine, which, of course, defeats the purpose of offering them the flu vaccine. Is this something that my noble friend is aware of, and is it something that he could address? I echo the remarks of the noble Lord, Lord Clark, and ask that specific regard be had to the challenges of administering the vaccine in rural areas. Will my noble friend use, as far as possible, the dispensing doctors in this regard? I pay tribute to them and the work I do with them.

[Lord Bethell (Con)]

My Lords, as few will be surprised to know, the rollout of the flu vaccine has been hugely successful this year; the take-up has been massive. I am not aware, from the stats that I have seen, of any slowdown in the take-up of the flu vaccine, but the point my noble friend Lady McIntosh makes is understandable—I am happy to check it out. I also encourage anyone who is thinking about deferring the flu vaccine until they get the Covid vaccine to think again because it is a massive priority to get vaccinated for both.

The noble Baroness and I have talked before about dispensing doctors, whose role is very important. There is a challenge with the distribution of the Pfizer vaccine because of cold storage and the large number of shots in each vial. I am not sure whether that means that rural dispensing doctors can play the important role that they might do at this stage of the distribution, but I reassure the noble Baroness that they will play a role in the national distribution as it pans out over the next few months.

Covid-19 Update

Debate between Baroness McIntosh of Pickering and Lord Bethell

Thursday 12th November 2020 Lords Chamber

[Lord Bethell (Con)]

The noble Lord is completely reasonable in his concerns but that is not the approach we are taking at the moment. Actually, public support for the lockdown measures—the wearing of masks, social distancing and restrictions on travel—has been amazing. Lockdown has been largely by consent and extremely well supported by the public in their behaviour. We are extremely proud that in Britain we do not need the Army on the street with their guns or the police fining people on the street, as they do in other countries. I pay tribute to the British public for the way in which they have gone along with those measures. The noble Lord makes the point that some people have been in breach of the rules and there have been prosecutions and fines. However, they have been minimal and have had their effect. We will continue to operate at the kind of level at which we have been operating to date.

[Baroness McIntosh of Pickering (Con)]

My Lords, my noble friend will be aware of my interest in the Dispensing Doctors’ Association. Will he update the House on where we are with the vaccination programme for the over-50s? What use will be made of dispensing doctors in rural areas to dispense the Covid-19 vaccine? I hope he will rely on them fully because they have the network to provide it in much the same way as the noble Lord, Clark, explained.

[Lord Bethell (Con)]

My noble friend will be aware of the prioritisation list published by the JVCI. I am afraid that the over-50s, of which I am a member, are not highest on the list, but they are at least halfway down. Prioritisation starts with the over-80s and works down from there. I completely endorse my noble friend’s comments on dispensing doctors. We will be relying on all parts of the healthcare ecology to deliver the vaccine. It will be a massive national project. Getting to hard-to-reach rural communities is incredibly important, particularly people in those communities who are older and perhaps do not travel. Dispensing doctors pay a pivotal role in that, and I pay tribute to their contribution to the vaccine.

Food Hygiene Rating Displays

Debate between Baroness McIntosh of Pickering and Lord Bethell

Wednesday 7th October 2020 Lords Chamber

[Lord Bethell (Con)]

My Lords, I completely endorse the noble Lord’s points. There is robust evidence that the FHRS has driven up hygiene standards in food businesses, thereby reducing the risk to consumers. It was identified by the Royal Society for Public Health as one of the top 20 public health achievements of 21st century. We have received a case for a statutory scheme in England, and Ministers have given a commitment in Parliament to consider the scheme in due course.

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

My Lords, I pay tribute to the local authorities, not just in connection with this scheme but in connection with the testing that they do, particularly environmental health officers. They are at the front line of keeping us all safe from food poisoning and food fraud. But does my noble friend share my concern that, while some individual councils have an excellent track record of testing, others do hardly any at all? Is he concerned at the lack of resources that cash-strapped councils might face at this time to prevent food fraud occurring?

[Lord Bethell (Con)]

My Lords, the pattern of food inspection rates across the country is uneven, as my noble friend points out. However, the costs of implementing this scheme should not and might not be a hurdle for implementation. We believe that it would actually serve as a potential encouragement for those doing food inspections to see the results of their work published in a mandatory fashion.

Covid-19: NHS Application

Debate between Baroness McIntosh of Pickering and Lord Bethell

Thursday 1st October 2020 Lords Chamber

[Lord Bethell (Con)]

The noble Lord has made a very detailed and technical inquiry. We are studying the ENX system very closely. However, as I mentioned earlier, the secret source of the British app is the algorithm that takes the data from Bluetooth and the phone and analyses it to give the risk assessment. Our view is that that algorithm is absolutely critical. Without it, the ENX system fires off alerts to anyone who has been proximate to another Bluetooth phone that has registered a positive test, even if they have only driven past that phone on the motorway. Those are exactly the kinds of circumstances that the British public made it crystal clear to us they simply would not tolerate. Therefore, we have put an enormous investment into that algorithm. We have had an enormous amount of interest from other countries, and we are happy to share that learning with companies as we develop our intelligence on it.

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

I wish my noble friend many happy returns on his birthday. Clearly, the app is a very useful tool. Does he imagine that the Government will use it in conjunction with the testing of international passengers arriving at airports? When might testing be rolled out at airports?

[Lord Bethell (Con)]

My Lords, version 1 does not have an international component to it, but that is something that we would seek to develop. I emphasise that the app in its current form is very much focused on providing a huge amount of personal privacy and is therefore not an appropriate vehicle for putting in place any form of surveillance or quarantine management. That would be in breach of our arrangements with our technical partners, Apple and Google. Therefore, although I cannot give my noble friend Lady McIntosh a complete answer, I would like to hint that perhaps this will not be the vehicle for accelerating airport testing.

Covid-19 Update

Debate between Baroness McIntosh of Pickering and Lord Bethell

Wednesday 23rd September 2020 Lords Chamber

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

My Lords, I am delighted to hear that there are 30 million doses of flu vaccine. I remind the House of my interest with the Dispensing Doctors’ Association. How and when will the flu vaccine reach doctors’ and GPs’ surgeries? My noble friend will be aware that PPE will presumably have to be worn for the dispensing of each dose of flu vaccine, which means that the vaccination will be administered at a loss to dispensing doctors and others. That does not seem sustainable. Is that an issue that my noble friend will be able to address?

[Lord Bethell (Con)]

My Lords, flu vaccines are being distributed right now. I know that because I had mine yesterday. The person who gave me the vaccine was not in PPE and in fact spoke very movingly about the way in which walk-in methods are being used to make administering the vaccine as easy and quick as possible, removing all barriers to the public. When I asked him about the commercial practicalities, he gave me an encouraging update on the financial settlement for the distribution of vaccines by pharmacists. I am led to believe that there will be a huge amount of interest by pharmacists in distributing as many flu vaccines as they can.

Covid-19: Vulnerable Populations

Debate between Baroness McIntosh of Pickering and Lord Bethell

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

Debate between Baroness McIntosh of Pickering and Lord Bethell

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

Debate between Baroness McIntosh of Pickering and Lord Bethell

Thursday 23rd April 2020 Lords Chamber

[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

Debate between Baroness McIntosh of Pickering and Lord Bethell

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.