Covid-19: Antiviral Pills

Baroness Rawlings Excerpts

Monday 31st January 2022 Lords Chamber

Asked by

[Baroness Rawlings]

To ask Her Majesty’s Government which, if any, antiviral pills for the treatment of COVID-19 they plan on making available for distribution in the United Kingdom.

[The Parliamentary Under-Secretary of State, Department of Health and Social Care (Lord Kamall) (Con)]

Me again. The UK Government have agreed deals to secure a total of nearly 500 million patient courses of the oral antiviral treatments molnupiravir and Paxlovid in our efforts to reduce the impact of Covid-19 across the UK. We were the first country in the world to begin rolling out oral antivirals in the community, which we are doing through a new national study called PANORAMIC and through Covid medicine delivery units for those at the highest risk of Covid-19.

[Baroness Rawlings (Con)]

My Lords, I thank the Minister for his useful Answer, as always. We are grateful to Kate Bingham and the Prime Minister for making the anti-Covid vaccinations available to all of us on the National Health Service. However, the Covid tests to travel abroad were only available privately. In answer to previous Questions and now, the Minister told us that HMG have bought the new antiviral pills, molnupiravir and Paxlovid. I just want to make sure, by asking the Minister, whether these pills will be available only on the National Health Service or privately.

[Lord Kamall (Con)]

At the moment, they are available to anyone in an at-risk group and unable to have a vaccine. In addition, we have started a new trial to get more data—called the PANORMIC trial—including anyone over 50 who has tested positive through a PCR test and anyone in an at-risk group between 18 and 49 who catches Covid. The difference between vaccinations and antivirals is that vaccinations are there to stop someone getting Covid, or to make sure that they do not suffer the worst symptoms, whereas antivirals are given to anyone who has tested positive.

Covid-19: PCR and Lateral Flow Test Providers

Baroness Rawlings Excerpts

Monday 13th December 2021 Lords Chamber

[Lord Kamall (Con)]

It is important to distinguish between PCR tests if you are contacted by NHS Test and Trace and PCR tests for travel purposes. If you are contacted by test and trace, you are sent a PCR test for free. But when it comes to travel, the view is that the traveller should bear that cost rather than the taxpayer. After I saw this Question, I went on to one of these websites and tested it out for myself. As the noble Lord says, the price quoted is often not the first price. I have had a conversation with those that provide it, and they are looking at a number of different solutions.

[Baroness Rawlings (Con)]

My Lords, why can vaccines only be obtained through the National Health Service, while Covid tests valid for travelling can only be obtained privately?

[Lord Kamall (Con)]

I am not sure I completely agree with the premise of my noble friend’s question, but I will double-check. The decision had to be made that if people are contacted by test and trace, it is only right that they are sent a PCR test. But if they are travelling, should the taxpayer bear the burden of the cost of their PCR test, or should they? A number of travel companies are now recommending PCR tests for their passengers.

Covid-19: Proof of Vaccination

Baroness Rawlings Excerpts

Monday 14th June 2021 Lords Chamber

[Lord Bethell (Con)]

My Lords, all the promotions for vaccine certificates through travel agents and GPs make very substantial reference to the availability of paper letters and the channel of being able to call 119 to receive them. I completely sympathise with those who do not want to use their mobile phones for everything, and some will prefer a letter in the pocket to an app on their phone.

[Baroness Rawlings [V] (Con)]

My Lords, I thank the Minister for his clarity, but proof of vaccination is irrelevant if we are prohibited from travelling. The Prime Minister is rumoured to have discussed travel to and from the United States with President Biden at the G7, but what are the predictions regarding UK citizens travelling to Europe, apart from Albania, which seems to be okay?

[Lord Bethell (Con)]

I do not know about Albania specifically, but the freedom to travel in Europe is, of course, in part defined by Europeans themselves. We are in conversation with all European countries at the moment as to how our vaccine certificate scheme can be aligned with theirs. Indications from Europe are that they are interested in having a two-vaccination programme for entry as well, but we are trying to understand that more thoroughly.

Covid-19: Self-Isolation

Baroness Rawlings Excerpts

Wednesday 10th February 2021 Lords Chamber

[Lord Bethell (Con)]

We are hesitant to send teams of healthcare workers to people isolating because of the fear of infection. Obviously, having people attend those who have either tested positive or are the contacts of those who have tested positive does not comply with the latest hygiene protocol, but the noble Baroness is entirely right, and one way in which we could work harder is to use volunteers and community groups to provide pastoral and practical support for those isolating.

[Baroness Rawlings (Con) [V]]

Have HMG any stats on or traced the people who have been in isolation due to positive test results, as well as the regulatory lock-ups, and who have either died or developed serious conditions from other related ailments, such as neurosis?

[Lord Bethell (Con)]

My Lords, we are extremely concerned about the mental health impacts of Covid on all those who are feeling the effects most harshly. A substantial amount of money has been invested by NIHR into the mental health effects of Covid, and it is up to the institute to find out the impacts to which my noble friend refers.

International Year of Health and Care Workers

Baroness Rawlings Excerpts

Monday 1st February 2021 Lords Chamber

[Lord Bethell (Con)]

My Lords, I applaud the WHO’s values of “protect, invest, together”. One of the commendable things during this awful pandemic has been the way in which British society has reconnected with the values of the healthcare community. It has rediscovered the contribution of nurses, doctors, healthcare workers and those in social care. A new relationship has been forged between civic society and healthcare; this is commendable and we should build on it. On the idea for a compact, it is not something that we are working on at the moment as far as I am aware, but I would be glad to take his idea away and find out whether we can develop it any further.

[Baroness Rawlings (Con) [V]]

My Lords, HMG have supposedly funded 85 schemes with EYN UK to develop a vaccine passport, yet they say they have no plans for one. Will they rethink their no plan-policy and collaborate with the World Health Organization in its International Year of Health and Care Workers by producing a worldwide WHO vaccine passport, perhaps even as an app?

[Lord Bethell (Con)]

My Lords, the Minister for Vaccines has been clear on this: the Government are not currently undertaking work on vaccine certification. However, the noble Baroness makes the case well. Certainly, those who have had the vaccine are very anxious to ensure that they have the correct documentation, and we will ensure that that is in place.

Health Protection (Coronavirus, Restrictions) (Self-Isolation) (England) Regulations 2020

Baroness Rawlings Excerpts

Thursday 22nd October 2020 Lords Chamber

[Baroness Rawlings (Con) [V]]

My Lords, I thank the Minister for presenting so clearly this vital regulation. I am sure that your Lordships agree that it would be wrong not to self-isolate as instructed, and wrong not to make disobedience a serious offence. However, what is the government procedure for contacting the general public if a person who is already infected with Covid-19 does not self-isolate but travels on public transport, obviously spreading it? As the noble Baroness, Lady Jolly, asked, how do the Government contact anyone who could have been close to the diseased person, and make it public? Is PHE responsible if it does not contact the relevant public? Is it fined? After all, we all want to save lives.

Covid-19 Update

Baroness Rawlings Excerpts

Tuesday 6th October 2020 Lords Chamber

[Baroness Rawlings (Con) [V]]

My Lords, the Minister said in the Statement that all people testing positive are required by law to self-isolate. Can he tell the House what the fine is if someone breaks the law? Have all the people who travelled on the train and tube with Ms Ferrier MP been traced and tested? If so, how, and if they tested positive, have they been quarantined?

[Lord Bethell (Con)]

My Lords, the case of the SNP MP has shocked the nation. I do not want to comment on it in detail. I do not have the details of what after all is a private matter. That is for the police and the House authorities to examine.

However, the principle to which my noble friend refers is very clear and simple. If you are positive, you isolate. If you are contacted by the contact-tracing system, you discuss your recent contacts with the contact tracers, who will coach you and rehearse with you fully the length and proximity of those contacts and will give a thoughtful clinical judgment on which ones need to be subjected to further contact and isolation procedures.

This is absolutely essential to breaking the chains of transmission. It has a huge amount of support among the public and a tremendous amount of compliance, and we are building on the existing compliance with the enforcement regime that we brought in recently. I call upon all members of the public to support this important approach.

Covid-19: Test and Trace App

Baroness Rawlings Excerpts

Monday 22nd June 2020 Lords Chamber

[Lord Bethell]

The cost to date has been £11.8 million.

[Baroness Rawlings (Con) [V]]

My Lords, I declare my interest as a former chairman of King’s College London. Will the Government endorse KCL’s COVID Symptom Study app, now used by 3.5 million people, as soon as possible? Meanwhile, I repeat the simple interim measure of encouraging everyone to keep a daily diary of people met and places visited, to help tracing should they be infected.

[Lord Bethell]

I pay tribute to the KCL symptom tracker app. I have been a subscriber since the early days of its launch. The data it provides has been extremely useful to the Government and is used regularly. I also pay tribute to my noble friend, who has spoken before about the need for diaries. The work on diary keeping in South Korea and New Zealand has proved important.

Covid-19: Testing

Baroness Rawlings Excerpts

Thursday 14th May 2020 Lords Chamber

[Lord Bethell]

The average times are not at my disposal, but I reassure the noble Baroness that more than half the results are turned around within 24 hours. Our target time is currently 48 hours and the vast majority of tests are done within that time. As the noble Lord, Lord Wood, rightly said, speed is of the essence, and we are working hard to compress those times.

[Baroness Rawlings (Con)]

My Lords, testing and tracking are vital in working towards the lifting of restrictions. Can the Minister therefore consider looking at encouraging people to keep a daily diary on everyone they meet, wherever they go outside their home? Should they fall ill with Covid-19, that would provide a simple, easy way to trace the source of further testing?

[Lord Bethell]

My noble friend Lady Rawlings is entirely right: we all have an important role to play. There is good evidence that personal tracing by individuals of contacts within their networks has a powerful role to play in isolating those who might have been in contact with the virus. Defeating this virus will be the responsibility of everyone in the community; we cannot rely just on digital apps and central databases.

Nurses: Training

Baroness Rawlings Excerpts

Wednesday 7th March 2018 Lords Chamber

[Lord O'Shaughnessy]

I do not pretend that all is well and good; I merely state what has happened. We know that there are challenges from increasing demand in the health service. We need more staff, which is why we are committed to training more staff. Unfortunately, I am not in a position to comment on the challenges of the noble Lord’s trust but I will be delighted to look at them with him. However, as we know, there is more demand and we have an ageing population. We need more staff and we are trying to train those staff.

[Baroness Rawlings (Con)]

My Lords, I declare an interest which is not in the register. One of my first jobs was as a VAD nurse, which some of your Lordships might remember—it was a long time ago. What do the Government think of bringing back VAD nurses, or, as they are called today, auxiliary or volunteer nurses, to help in the nursing crisis?

[Lord O'Shaughnessy]

I thank my noble friend for that question. I think that we need to diversify the routes into nursing and this is probably how we do it. One way in which that is happening is through the creation of nursing associates, which is a level 5 apprenticeship programme. To be clear, these are not nursing positions—they are not registered nurses—but they provide an opportunity for those who have a desire to get into that career and want to learn on the job but who do not yet have the skills to start working towards a full-time registered nursing position.