Covid-19 Update

Baroness Thornton Excerpts

Tuesday 8th June 2021 Lords Chamber

[Baroness Thornton (Lab)]

My Lords, first, I thank the Minister for this update today and congratulate him on yet another long stint at the Dispatch Box.

We face some uncertainty, as we often have throughout the past 15 months, but we know the delta variant is now the dominant variant in the UK; we know that 73% of delta cases are in unvaccinated people; we know that one dose offers less protection against this variant; and we know that, although hospitalisations are low, an increase in hospitalisations will put significant pressures on the NHS as it tries to deal with the care backlog. We also know, of course, that long Covid is significant and debilitating for so many people. As the Statement makes clear, this is a race between the vaccine and the new variant. I therefore invite the Minister to narrow the timeframe between the first and second dose, given that we know that one dose is not as protective as we would like. We have seen that Wales will be vaccinating everyone who is over 18 from next week. Could the Minister tell us when England will follow?

We all know about the outbreaks among schoolchildren and young people. We know that children can transmit the virus and that children can be at risk of long Covid. In that context, why is mask wearing no longer mandatory in secondary schools? It is good that the JCVI will be looking at vaccination for children. Could we please know the timeframe for when the JCVI will report?

I turn to Nepal. UK Ministers justified the decision to move Portugal from green to amber in the travel list owing to the threat of the new Nepal Covid variant—a mutation of the delta variant—which experts believe may have the potential to make vaccines less effective. Some 23 cases of the Nepal variant have been detected in the UK, up to 3 June. Can the Minister confirm whether these cases are all associated with travel, particularly from Portugal?

In this, Carers Week, from these Benches we join the Minister in paying tribute and are grateful to the 6.5 million people who are carers. Making caring visible and valued is the aim, and this year of all years we need to support them in doing so. Our carers across the country have faced huge challenges during the pandemic; three-quarters of them confess to being exhausted, and a third confess to feeling unable to manage their caring responsibilities.

I am sure the Minister has already read the report produced by the Commons Health and Social Care Committee which addresses the issue of NHS and care staff in England being so burned out that it has become an emergency that risks the future of the health service. This is a highly critical report which said that workers are exhausted and overstretched because of staff shortages. It said that the problems existed before the pandemic, although coronavirus has made the pressures worse. It reports that one of the main problems is that there was no accurate forecast of how many staff the NHS needed for the next five to 10 years—something that we know as “workforce planning.” NHS workers, traumatised and exhausted, need to know there is a solution on its way to fix staff shortages. When will there be an NHS and social care workforce plan? How will the Government respond to the urgent situation that this report reveals? How will the NHS stop the haemorrhaging of its staff, which is already happening?

Combined with all this is the fact that we know that the NHS estate is in urgent need of attention and investment, and so Labour is today calling for a new rescue plan. Data also reveals the scale of the pressure on hospitals before the pandemic and how much worse it is now. Freedom of information requests show that the pressure on A&E was already very serious, with waits in ambulances jumping by 44% in the year preceding the pandemic. We know that the underfunding of the NHS, and the unpreparedness of the UK for a pandemic, has been paid for by people’s lives and by the exhaustion of our NHS. Surely these things call for a long-term NHS rescue plan, with the staff, equipment and modern hospital facilities that we deserve.

I turn briefly to the issue of data again. I record that I welcome the delay in proceeding with this proposal from the Government, but I think the Minister and the Government need to address the transparency that is vital around two things. The first is that somebody should be able to retrieve their data if they want to and pull it back; and the second is that, if their data is being used by a third party, they need to know who that party is, what the data might be used for and who benefits from that. My contention has been, for many years from this side of the House, that NHS data is a gigantic asset that we have that can be used to benefit the world, but we need to make sure that it is the NHS that benefits from the sale of our data—not private sector companies or individuals but our NHS.

Finally, I recently visited the Covid memorial wall myself. I would like to ask the Minister whether he has visited the wall of red hearts that we have opposite Parliament. The Covid memorial wall is immensely moving and a poignant reminder of the scale of loss that we as a country have experienced. Does the Minister believe that the wall should become a permanent memorial? If not, what should be a permanent memorial of the loss that we have sustained?

[Baroness Brinton (LD) [V]]

My Lords, I declare my interest as a vice-president of the Local Government Association. I also want to thank the Minister for his long stint at the Dispatch Box, yet again.

I want to start with the issue about consultation on NHS Digital patient data, which the noble Baroness, Lady Thornton, just alluded to. In 2013, the Government wrote to every household to explain the care.data project. This new scheme has had no such communication with the public. As people hear about it, they are increasingly concerned about the breadth of data that will be captured. Will the Minister agree to use the delay to ensure that every adult in England is written to as a matter of urgency, including an opt-out form they can use if they so choose?

I also want to pay tribute to our health workers and carers—paid carers and especially the unpaid carers—who have gone not just the extra mile over the last 14 months but a whole marathon. Can the Minister say what steps the Government are taking to help the exhausted staff and carers who know that there are many miles still to go before we are through this? Help is needed right now for them in an emergency plan that does not just focus on getting back to work as normal.

The Minister is right to say in the Statement that there is no room yet for complacency. The delta variant will not be the last variant trying to wriggle between those who are protected and those who are not. We are concerned that there is not a focus on communicating to the public about how we need to find a way to live with Covid circulating, as my noble friend Lord Scriven said yesterday. We have moved into Covid being endemic, and the public will want and need to know what they should do over the next few months.

Communication about the vaccine figures is cheering to hear, but still too many Ministers talk about the one-dose level, not the two. The Minister in the Lords, to his credit, usually make that point, but the Prime Minister and many other Cabinet Ministers do not make it clear that we need 90%-plus of adults to have had two doses before we are anywhere near safe, and that social distancing, mask wearing and hand washing will still need to happen.

I thank the Minister for giving more information yesterday on the isolation support pilots. He said:

“In Blackburn and Bolton, this will include trialling broadening eligibility during surge testing, so that all those who are required to self-isolate, who cannot work from home and earn under £26,000, receive a £500 payment.”—[Official Report, 7/6/21; col. GC 202.]


That is still only £50 a day if you are expected to self-isolate. If you are told to isolate on a Monday, and usually work nine to five, this works out at £7.81 per working hour—less than the minimum wage. If the minimum wage is the very minimum that the Government believe an individual can live on, why are they paying less than this to people for doing the great public good of self-isolating? What about people who work in risky occupations and have been told to isolate multiple times over the last year? For them, it is not just one period of 10 days.

From these Benches, we believe that the Government need to pay people’s wages. Now that fewer people should be required to self-isolate, as community cases are lower, we should be diverting resources to really get right what the Government have been getting wrong all along. We must stop Covid in its tracks. Examples from other countries show that paying wages has a strong and demonstrable effect.

On international travel, the red terminal at Heathrow is an improvement, but there are still issues with those arriving from amber countries, who are asked to jump on public transport to get home and need to travel in various ways before they are tested, once in this country.

Given the increase in cases of the delta variant among primary-age pupils, would the Minister outline what measures are being taken to prevent transmission in schools? When will the JCVI report on vaccines for 12 to 17 year-olds? Are any plans beginning to consider whether vaccination should happen for the under 12s? We strongly echo the comments of the noble Baroness, Lady Thornton, about mask wearing in schools. Is this really the right time to stop that happening?

Finally, I note that the consultation on vaccine and testing certificates has closed. Will the Minister say when the Government will publish their plans following that consultation? What type of legislation will be brought in on this, and will Parliament be able to see and comment on any regulation prior to it being enacted?

Health Protection (Coronavirus, Restrictions) (Steps and Other Provisions) (England) (Amendment) Regulations 2021

Baroness Thornton Excerpts

Monday 7th June 2021 Grand Committee

[Baroness Thornton (Lab)]

My Lords, by now the Minister must realise that we are very fed up at being asked yet again to retrospectively approve significant legislation that impacts on individual liberty, well-being and livelihoods, three whole weeks after they came into effect. Are we fed up? The answer is yes. However understanding and apologetic the Minister might have been in his pre-emptive words about this, it is time that this came to an end and the usual practice of accountability was reinstated.

My first question, which I suspect the Minister will say is above his pay grade, is: can he give the Grand Committee a date from which we can expect to discuss these important matters in advance of them being enacted? The noble Lord, Lord Scriven, and other noble Lords are quite right that it is time to stop using emergency legislation for these issues and to use it instead when there is an emergency. The regulations were made on 14 May and came into effect on 17 May. While admittedly that is progress, it still falls woefully short of the threshold for using emergency-made procedures.

Of course, like the Minister and other noble Lords, I welcome the vaccine rollout and its increasing effectiveness. The regulations allow six people or two households to gather indoors, and up to 30 people outdoors. Weddings and funerals are now permitted, and all remaining outdoor entertainments and indoor hospitality can now reopen. All those things are of course enormously welcome.

The statutory instrument amends the Health Protection (Coronavirus, Wearing of Face Coverings in a Relevant Place) (England) Regulations to provide an exemption for gatherings for specified education and training purposes in community premises. This mirrors the policy for schools and further education providers. But given that cases in many hotspot areas are concentrated on school-age children and young adults who have not yet had the opportunity to be vaccinated, does the Minister think it might be premature to announce that face coverings will no longer be required in secondary school classrooms and communal areas from 17 May?

I am asking this because we can see that a number of local public health authorities in the north-west have issued recommendations to secondary schools about using face masks again due to the rising Covid-19 transmission rates across the community, largely due to the delta variant. That underscores the need for greater powers for local authorities to introduce measures as and when needed. In a way, that echoes the remarks from the noble Lords, Lord Lansley and Lord Scriven, about the transition we need to be in to live with this. That might mean that, in some areas, you might need to wear masks in some schools and not in others, for example.

I turn to the confused mess that is international travel, as mentioned by most speakers. These regulations remove the prohibition on international travel and the requirement for individuals to declare their reasons for travelling abroad. If this is a shift from regulation to guidance, it really has not worked. We on these Benches believe that the traffic light system, where the Government are advising people not to do what is allowed, coupled with very lax quarantine requirements when they come back, is flawed. Indeed, the Prime Minister said:

“It is very, very clear … you should not be going to an amber list country except for some extreme circumstance, such as the serious illness of a family member. You should not be going to an amber list country on holiday.”—[Official Report, Commons, 19/5/21; col. 692.]


Yet, travellers are allowed to travel to amber list destinations without proof of an essential reason and some holiday companies are offering holidays to amber list countries. Indeed, the confusion over the amber list has led to reports of more than 50,000 people travelling to the UK daily from countries with rising Covid numbers and only a tiny percentage going into hotel quarantine. Does the Minister accept that the system is leaving the door wide open to new strains of the virus and risks undermining the lockdown sacrifices of the British public and the success of the NHS vaccine?

I am sorry that the Government seem not to have learned from their previous mishandling of travel restrictions. We needed robust quarantine measures in place for people coming back into the country. Moving Portugal to the amber list is not the answer. Surely the answer is that the amber list should be scrapped—either countries are red or they are green.

We need the Government to be more vigilant about emerging threats. I want to talk about the C363 variant, which is linked to Thailand. It was designated as a variant under investigation on 24 May and 117 cases have been identified in the UK, with over 37% of cases originating from travellers into the UK. Vietnam is also experiencing a significant rise in cases, potentially as a result of this new variant. It seems that the delay in adding India to the red list made us vulnerable. I hope the Minister can assure us that Thailand and Vietnam should urgently be added to the travel red list.

Given that Ministers have promised to provide a week’s notice of changes, and with 14 June being next Monday, when will we hear from the Prime Minister about what happens next? Can the Minister assure the House that we will have the chance to see and debate these regulations before they come into force? We all know by now that lifting restrictions will lead to further spread. What is less clear is whether the increase in Covid hospital admissions will be a wave or a ripple. What is the Minister’s view?

Covid-19

Baroness Thornton Excerpts

Wednesday 26th May 2021 Lords Chamber

[Baroness Thornton (Lab)]

My Lords, we can probably all agree that the Minister has drawn the short straw today—and not for the first time, I think.

The issue I want to raise on this Question is that the Government took powers in the road map legislation to impose local lockdowns, so I ask the Minister: are any discussions taking place about whether those powers will be activated in those areas? Secondly, we know that a single dose of the vaccine is less effective against this particular variant, so I repeat the question asked earlier: what plans are there to increase vaccination in the areas most affected by the spread of the Covid variant B16172? Will the Government produce a plan with the local directors of public health to roll out the vaccines to everybody in those areas, and consider including bringing forward a second dose for a larger cohort of people?

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

My Lords, the noble Baroness asks two very pertinent questions which slightly answer themselves, in a way—but let me try to update the House on our plans in that area. She is right that we have powers on local lockdowns, but that is not the focus of our thinking at the moment. Local lockdowns are an important tool, but not one that we think is a priority right at this moment. We are focused on the vaccines. It is beyond doubt that this Indian 2 variant particularly hits those who are not properly vaccinated—and by “properly” I mean “have had two doses and two weeks”. Those who have forgone either their first or second dose are particularly vulnerable, and you have only to look at the infection data and, particularly, the hospitalisation data to understand that.

That is why we have rolled out surge vaccination in those areas. What that means is a huge amount of communication, a huge amount of engagement with the communities and the presence of various mobile vaccination units sent directly into the heart of the communities to provide different channels and mediums by which people can step up for their vaccine. The response has been extremely strong and I am touched, as I have said, by the videos of people in some of those communities, particularly in Bolton, where people have queued up for their vaccines. I pay tribute to the DPHs and local authorities that have facilitated that programme.

COVID-19 Variant: Travel Guidance for Local Authorities

Baroness Thornton Excerpts

Wednesday 26th May 2021 Lords Chamber

Asked by

[Baroness Thornton]

To ask Her Majesty’s Government what plans they have to ensure local authorities are informed of new travel guidance on areas where the COVID-19 variant B.1.617.2, first identified in India, is spreading.

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

My Lords, we are always looking to see how we can communicate more effectively with local authorities. We will have discussions with local authority colleagues this week to make sure that everyone is clear what the expectations are and how we can improve communications going forward.

[Baroness Thornton (Lab)]

My Lords, to paraphrase Matt Lucas as the Prime Minister: “Don’t go to work—go to work. If you can stay indoors, go outside. Don’t go outside—go on public transport. Don’t go to work and then—something or other will happen.” It would be laughable if it were not so serious. I have two questions for the Minister. The amended guidance asks people to minimise travel into and out of the eight hotspot areas. The previous version asked them to avoid all non-essential travel. What is the difference between those two things or is it like the amber countries—you can go there but you should not? If the Government want people to heed their advice, guidance or instructions, why were the notices posted on a website during the night without consultation or accompanying dissemination to people and organisations such as public health, councils and mayors? That does not seem the most effective way to communicate with people.

[Lord Bethell (Con)]

My Lords, the characterisation presented by the noble Baroness is unfair. We are trusting people to be responsible and to act with caution and common sense, as they have done throughout this pandemic, and to make decisions on how best to protect themselves and their loved ones. We are seeking to avoid bringing these measures into law and instead are using guidance. The communication of that guidance could have been done better but we are working extremely hard with regional partnership teams, Public Health England, local authorities, JBC colleagues and the incident management teams to ensure that these communications are done in the most effective way possible.

Covid-19 Update

Baroness Thornton Excerpts

Tuesday 18th May 2021 Lords Chamber

[Baroness Thornton (Lab)]

My Lords, I thank the Minister for being here to take this Statement. We keep meeting like this; it is over a year now. I wonder whether our relationship needs to move on.

The Covid variant first detected in India looks as though it has now seeded in 86 areas and is set to become the dominant strain in the UK within the next few days or weeks. Indeed, many experts think that it was a mistake for the Government to go ahead with the easing of lockdown restrictions implemented yesterday. I suppose that there must be increasing doubt about whether the further lifting of lockdown measures will be able to go ahead as planned next month. I will not ask the Minister to give any definitive answers on that because I absolutely accept that uncertainty is the name of the game. However, I quote one of the four tests that the Government set out for proceeding with the road map out of lockdown, which is if

“our assessment of the risks is not fundamentally changed by new Variants of Concern”—

in other words, if there are new variants of concern, that may be the issue. Is this still the case?

The Royal Statistical Society, which promotes the proper use of data, is concerned that the Government have failed to publish the information justifying their decision that stage 3 of lockdown easing should go ahead because the new variant threat has been met. Will the Government publish the framework for that decision and the data that fed into it so that people can be assured that the facts justify the policy? Can the Minister confirm reports in the Times that officials have drawn up plans for local lockdowns modelled on the tier 4 restrictions introduced last year, and that, under these measures, people will be advised to stay at home and non-essential shops and hospitality will be closed, if the new strain is not brought under control?

On Bolton and Bedford, I regret to say this, but it seemed that the Secretary of State reverted to a blame game yesterday, perhaps to deflect from the fact that the Government did not do enough to protect us from this new variant. He said that people infected by the new variant in hospitals in Bolton had refused or not taken up the vaccine and had chosen not to take the jab. I felt that was very unfair.

My honourable friend the MP for Bolton, Yasmin Qureshi, says that the vaccine is not easily accessible to some of the poorer and BAME communities in Bolton: for example, some people have to take three buses to get to the vaccine centre in the centre of the town. If you are not mobile and do not have flexibility in your working hours, or are a key worker and have caring responsibilities in a multigenerational household, you are not refusing the vaccine if you cannot get to it.

Turning to Bedford, the Secretary of State, Matt Hancock, has said that Bedford is now to be among the areas given surge testing, as the borough recorded the second highest rates of Covid-19 infection in the country, and that cases were doubling every five days. This comes after the MP, the mayor and the health chiefs all called on the Government to act quickly to prevent further spread of the variant in Bedford. For days they have felt ignored. They have felt that the Government wanted to recognise the new variant as a northern problem, which clearly is not the case because it is in Bedford. My honourable friend Mohammad Yasin MP said that, after a fair bit of dither and delay, he welcomes surge testing in Bedford.

Can the Minister tell us whether it is true that Bedford has no access to the Pfizer vaccine at the moment? This must limit a comprehensive vaccine campaign in that town; you cannot do a comprehensive vaccine campaign, especially if you are dealing with the under-40s, if you do not have two or three of the vaccines that are available. I am aware also that reports of many people choosing to delay their jab were about concerns over side effects and whether they would be available for work or might struggle to manage their responsibilities. So the Government must give resourcing and support on these issues and improve the flexibility, information and understanding at a local level.

The Minister is also aware that achieving the truly remarkable vaccine take-up among adults will still leave 20% of the wider population—our children—unvaccinated, meaning of course that the virus can still spread. So can he update the House on any plans to vaccinate the under-18s? It also remains unclear for how long vaccines prevent Covid-19. Initial studies suggest that it may be six months, or possibly longer. Well, those who were vaccinated in December are rapidly approaching that. So we need to know whether there will be declining protection from Covid and what assessment the Minister has made of this risk. Can he update the House on plans to roll out booster shots this autumn?

Finally, at this critical time when we need to work internationally, why are we the only G7 nation cutting our aid budget? How can the Government defend cutting our contribution to vital science and research projects? Given the Government’s total silence on President Biden’s support for the temporary lifting of patent protections to increase vaccine production, should we assume that the British Government do not agree with the President?

[Lord Scriven (LD)]

My Lords, I too thank the Minister for coming before the House to deal with this Statement, and also for his work ethic in dealing with Covid-19 over the last 14 months.

From these Benches, we have always said that we will support whatever is proportionate and follows evidence to keep people safe. The more that you delve into the Government’s reason for not including India on the red list at the same time as Pakistan and Bangladesh, the more it feels like a big ball of candyfloss that initially seems tempting but disintegrates on touch. Yesterday, both the Minister and the Secretary of State said that India was not put on the red list at the same time as Pakistan and Bangladesh because of the positivity rate.

Looking at the figures for the two weeks before Bangladesh and Pakistan were put on the red list, the positivity rate for India was 5.1%. For Pakistan, it was slightly higher at 6.2%, yet for Bangladesh it was lower, at 3.7%. The same data—the Government’s test and trace data—shows that in the same two-week period, 50% of all new variants entering the UK, including those of concern, were from India: the largest country by far. Therefore, variants of concern and positivity rates show India to be on a par with, or ahead of, Bangladesh and Pakistan. So what data were the Government actually using, if it was not their own test and trace data? Can the Minister place on the record that data and the raw data which made him, and the Secretary of State, say that India’s positivity rate was three times higher?

Another area of concern is people entering the UK being huddled together at the border with people entering from red-list countries. One needs only to look at the significant Twitter feeds from yesterday of people arriving from green or amber countries, who were spending up to four hours in queues to get over the UK border and having to stand next to and mingle with people entering from red-list countries. Heathrow and Manchester Airports were responding that, despite asking the Government for more border staff to deal with the issue, none had been forthcoming.

This was planned. We knew that international travel was allowed and the Government knew that the traffic-light system was being introduced, so why have the Government not carried out the wishes of the airport operators to ensure that more border staff and more guidance are available to segregate those entering from red-list countries? This is a clear public health crisis at our border, and the Government have not, to date, solved it. So, as a matter of urgency, when will this public health breach right at our borders be solved?

Finally, as variants of concern continue to enter the country and replicate at speed, “isolate, isolate, isolate” becomes vital. Yesterday, the Secretary of State in another place indicated to Munira Wilson MP that the Government were worried that isolation might not be as robust as required, and that some pilots were taking place. Can the Minister outline where they are, what the parameters of the pilots are and when the results will be made public? Also, overwhelming evidence now shows that people on lower salaries must be paid their full wages and given support to ensure that they can comply with full isolation requirements. Will the Government now look at this as a matter of urgency?

Osimertinib Cancer Treatment

Baroness Thornton Excerpts

Tuesday 18th May 2021 Lords Chamber

[Lord Bethell (Con)]

My Lords, we estimate that there are currently just eight patients in Northern Ireland who would benefit from the expanded use of Tagrisso for early-stage disease. Perhaps I may reassure my noble friend that they will all have the same access as in the rest of the United Kingdom without any delay or restraint on that access.

[Baroness Thornton (Lab)]

My Lords, we should all wholeheartedly welcome the news of the agreement to enable early access to Osimertinib for early-stage lung cancer patients in England and I absolutely recognise that it is also available to patients in Northern Ireland. However, early diagnosis is as important as access to treatment. It is therefore deeply concerning that the number of people in England and, presumably, across the UK being seen by a specialist for suspected cancer, following urgent referral from their GP, has dropped dramatically. What steps are the Government taking to bring those waiting lists down? We certainly cannot wait for a reorganisation of the NHS, as proposed this year. Does the noble Lord acknowledge that reorganisations tend to have a chilling effect on the recovery of our NHS?

[Lord Bethell (Con)]

The noble Baroness is entirely right to be concerned about the backlog of oncological diagnostics. It is of grave concern to all of us. That is why the NHS has massively prioritised the tests she described. We are working extremely hard to get through the backlog. GPs are extremely focused on identifying those most at risk and those who are late for their tests are being followed up with great energy and endeavour. I pay tribute particularly to the role of NHS D, which is using the kind of data gains that we made during the pandemic to mobilise all the technology we can to get the right people into tests at the right time.

Health Protection (Coronavirus, Restrictions) (Steps and Local Authority Enforcement Powers) (England) (Amendment) Regulations 2021

Baroness Thornton Excerpts

Monday 17th May 2021 Grand Committee

[Baroness Thornton (Lab)]

It is regrettable, as my noble friend Lord Rooker said with a certain amount of robustness, that yet again the House is being asked to retrospectively approve significant legislation that impacts on individual liberty, well-being and livelihoods, five whole weeks after it came into effect and after it was further amended, on the day when a new lifting of restrictions is taking place—I suppose we will get to discuss that some time in the next month.

The regulations state that

“the Secretary of State is of the opinion that, by reason of urgency, it is necessary to make this instrument without a draft having been laid before, and approved by a resolution of, each House”.

Nothing in the regulations or in what has been said by the Minister today justifies using the emergency procedure to introduce previously announced policy changes at the 11th hour. We are now well over a year into the pandemic and, while we encourage the Government to be proactive and driven by data, that does not prevent or exempt them from following parliamentary procedures. The Minister will be familiar with this repeated complaint.

The countrywide road map for lockdown lifting announced on 22 February advised that England would enter stage 2 on or after 12 April. This date was confirmed at a government press conference on 5 April, yet these regulations were not laid before Parliament until 9 April, coming into force three days later. While that is definitely an improvement on the three hours’ notice that we have had for some regulations in the past, there is simply no excuse for the Government’s continuing indifference to the importance of parliamentary scrutiny.

We have so many errors in the regulations given to us; that is another reason why they need to be subject to proper scrutiny before they become law. According to the Explanatory Memorandum, alongside the stage 2 easements the instrument also makes

“minor drafting changes to remove superfluous wording and to amend references”

in the original steps regulation. I am not sure that these are minor. The Minister will be aware that the JCSI report raised a number of serious concerns about these regulations: first, because of their unusual or unexpected use of enabling powers; secondly, because of defective drafting; thirdly, because they required elucidation; and, fourthly, because they failed to comply with proper legislative practice. Frankly, you would have thought that after a year the Government would have got used to all this, that they would be experts and certainly that they would not be making mistakes in the drafting of legislation.

That is quite a sad list of failures for one statutory instrument whose purpose is to see us safely opening society following lockdown. In one instance, the regulations are so unclear that the Joint Committee said that the law being laid down was unsatisfactory in terms of the rule of law. If a committee of legislative experts is unsure what is or is not meant by certain regulations and does not believe that they give sufficient certainty and clarity, how will the rest of us fare, and how can an average person expect to understand them? This is deeply unfair on those required to enforce the rules and on the businesses grappling to comply so that they can safely resume trading. I fully expect the Government’s use—or misuse—of the emergency procedure and the impact of defective drafting to be covered by the inquiry, but I sincerely hope that the Government will get a grip on this now, especially given the continued threat posed by new variants and the risk of a third wave, which many noble Lords mentioned.

Noble Lords will be well aware that the steps regulations have been further amended, with provisions to move England into stage 3 coming into force today. It is therefore important that the Minister addresses those changes, especially given the growing concern about the B16172 Indian variant in the UK and calls from leading experts to postpone the planned easements. I will not repeat the information given by other noble Lords, because that has been very well covered. However, can the Minister confirm how many people to date have been hospitalised with the Indian variant of concern and how many of those had been partially or fully vaccinated? Over the weekend, the Health Secretary suggested that many coronavirus in-patients in Bolton had not been vaccinated, despite being eligible. I would like the Minister to address how that is being tackled. He has already mentioned that, and I know that my honourable friend Yasmin Qureshi, the MP in Bolton, has been very active on this. Surge vaccinations have been introduced in many hot-spot areas, with some bringing forward second doses and others extending eligibility to younger age groups. Can the Minister confirm whether that is happening and what is the JCVI’s position on this?

It is clear that it was a mistake to delay adding India to the travel list and not to implement a comprehensive hotel quarantine policy. This morning, the Health Secretary, Mr Hancock, said that people should not travel to amber countries except for essential reasons and “certainly not” for a holiday, because of the risk of coronavirus. This is not what the regulations state. The Minister needs to confirm whether the regulations will be updated to reflect the Health Secretary’s comments or whether this is yet another case of the Government’s mixed messaging.

Eating Disorder Services: Referrals

Baroness Thornton Excerpts

Monday 17th May 2021 Lords Chamber

[Lord Bethell (Con)]

My Lords, undoubtedly, the increase in referrals is something of concern. It is something we are monitoring closely, with the round table and the ministerial group dedicated to looking at this. That shows the seriousness with which we regard it. The reduction in the impact of community services, which is the best way of addressing these kinds of issues, has undoubtedly had an effect on urgent needs. During this period, there has also been a large increase in the number of young people who have started treatment, which is encouraging. If the noble Baroness has evidence that measures such as nutrition information on packaging has an effect on anorexia, I would welcome correspondence from her.

[Baroness Thornton (Lab)]

My Lords, as the noble Baroness has said, we know that eating disorders among children and young people have increased during the pandemic. There is a very welcome increase in the grant of £11 million from the grant in 2018-19. Despite this, total spending by CCGs on children and young people’s community eating disorder services increased by just £1.1 million, from around £54 million in 2018-19 to £55 million in 2019-20. This increase is cancelled out if you adjust for inflation, and this means that total spend flatlined in real terms. What are the Government going to do to ensure that this money is spent on what is growing into an epidemic of eating disorders and the suffering they cause?

[Lord Bethell (Con)]

My Lords, the noble Baroness is entirely right that community eating disorder services are critical. They are the backbone of our measures to address these difficult cases. But money for the treatment of eating disorders comes from many different pots. During 2021, a total of 10,695 children and young people started treatment, which is up from 8,034 children in the year before. So, clearly, resources are getting through to cope with a large number of people, and that is an encouraging sign.

Office for Health Promotion

Baroness Thornton Excerpts

Thursday 29th April 2021 Lords Chamber

[Lord Bethell (Con)]

My Lords, there is already considerable co-ordination between the department, DCMS and DfE on exactly that. I highlight the money that has gone from the tax on soft drinks to contribute to funding outdoor activity in schools, which has had an enormous impact. My noble friend is entirely right that physical activity is linked to better health outcomes; that is why it will form part of the agenda for the Office for Health Promotion.

[Baroness Thornton (Lab)]

My Lords, the policy paper does not reference the measures proposed in the childhood obesity plan and the recent Tackling Obesity strategy released last July. I hope that omission is not significant. Can the Minister confirm—I was slightly concerned by his response to the noble Baroness, Lady Jenkin—that the ban on online adverts for foods high in fat, sugar and salt has been watered down? In awaiting the consultation from the advertising industry, is that a “whether” or a “how”?

[Lord Bethell (Con)]

My Lords, consultations are there to have an honest conversation. It would be wrong for me to try to pre-empt the outcome of that consultation from the Dispatch Box.

Northern Ireland: Flight Passengers and Covid-19

Baroness Thornton Excerpts

Wednesday 28th April 2021 Lords Chamber

[Lord Bethell (Con)]

My Lords, I recognise the challenge to which the noble Lord refers. It is, of course, a fact that coronavirus restrictions in Northern Ireland are determined by the Northern Ireland Executive as part of the devolution settlement, as I am sure he would recognise. The Secretary of State for Northern Ireland has raised the issue with the Irish Foreign Minister on a number of occasions to press for a resolution, and while the UK Government continue to work closely with the Executive to drive this virus down, we respect that healthcare is a devolved matter. This is a complex issue to resolve, but we are extremely grateful to all parties who are working hard to resolve it.

[Baroness Thornton (Lab)]

My Lords, the truth is that the Northern Ireland Health Minister, Robin Swann, found out that there were cases of the Indian variant of the virus in the Republic of Ireland only from media reports. This is deeply concerning, as was raised by the noble Lord, Lord Dodds. Northern Ireland is part of the UK, so we have the same responsibilities to our fellow citizens in Northern Ireland and therefore it is very concerning. Is the Minister confident that, going forward, mutually beneficial data-sharing processes are in place to ensure that new variants are controlled and do not become seeded and spread in any of our communities?

[Lord Bethell (Con)]

My Lords, I am enormously grateful to the Irish Government for the very large amount of informal clinical data-sharing that goes on. CMOs of both countries exchange data on such matters as VOCs the whole time, and that kind of day-to-day clinical exchange of on-the-ground information works extremely well. The specific question of travel information is a lacuna that needs to be closed, I recognise that it needs to be shut, a lot of work is going on to shut it and I am grateful to those involved.