Covid-19: One Year Report

Baroness Tyler of Enfield Excerpts

Thursday 25th March 2021 Lords Chamber

[Baroness Tyler of Enfield (LD) [V]]

My Lords, I support the Motion in the name of my noble friend Lady Brinton. As we reflect on the past year and think about life as we start to emerge from lockdown, I want to focus on two issues: the loneliness and social isolation caused by the restrictions and the impact of the lockdown on our national mental health. While the road-map regulations offering the prospect of easing the lockdown will bring hope after such a difficult year full of personal sacrifice, we should be mindful of those who have experienced extreme isolation, in particular people who have been shielding, single parents, older people living alone and care home residents who have been deprived of contact with their loved ones. Many people are also grieving the loss of loved ones. There is much to be done by government, local authorities, the voluntary sector and local communities to support mental well-being and help people to reconnect with their community.

The All-Party Parliamentary Group on Loneliness published a report yesterday calling on the Prime Minister to commit to helping people to reconnect socially and to plan for England’s recovery from coronavirus. A raft of individual recommendations highlighted the need for public spaces to be more welcoming, and for more public toilets and better street lighting to make it easier for people to meet informally and safely. It also calls for long-term funding for charities which help those who are isolated. Can the Minister say how and when the Government will respond to these important recommendations?

The past year has left an indelible mark on everyone’s mental health. Not being able to travel abroad to see family members and loved ones, including not being able to see new arrivals to the family or attend family funerals, has been particularly tough. While we all look forward to the day when international travel is possible again without endangering public health, we need clarity and, above all, fairness. The current exemptions that allow trips for the purchase, sale, letting or rental of a residential property are, in my view, unlikely to pass the fairness test in most people’s minds.

I know from personal experience how difficult it has been not being able to visit loved ones in care homes and the impact that has had on the well-being of residents. Can the Minister say what plans the Government have to make the vaccination of care home staff mandatory, both to help speed up the reopening of contact visiting and to give relatives the reassurance that their loved ones are being protected from harm?

With all the anxiety, grief, loss, loneliness and social isolation of the past year, I am disappointed that the Government’s report has little to say on mental health, barring a brief mention of Section 10 of the Mental Health Act changes, which, thankfully, have never been brought into force and have been scrapped. There was no mention of mental health staff in the section on increasing the available health and social care workforce and no reference to a mental health recovery plan for the nation.

In England, recent Centre for Mental Health well-being modelling has predicted that up to 10 million people— 20% of the population—will need either new or additional mental health support, including for depression, anxiety or post-traumatic stress disorders as a direct result of the crisis. Some 1.5 million of them will be children and young people aged under 18. With some hospital A&E departments reporting that they are now seeing daily cases of children self-harming, and with a senior clinician reporting yesterday in the Health Service Journal that there is “no capacity anywhere” to deal with the unprecedented surge in admissions of children with mental health problems, it is clear that the current system, which was already under strain before the pandemic, simply will not cope.

I end by paying tribute to the NHS workforce. People have been working flat out for a year now. Their dedication, professionalism and personal sacrifice have inspired the whole nation, but vacancies stood at over 100,000 before the pandemic. The NHS is now facing a huge backlog of operations with an exhausted workforce, many of whom are suffering from burnout, and increasing levels of sickness absence.

I recently had the privilege of speaking to two senior nurses working in London intensive care units. They told me that what they wanted more than anything was time off for recovery and additional nurses to provide pre-pandemic levels of patient care, as well as tangible recognition of the value of the work they are doing. With the Scottish Government now offering a 4% pay rise to nurses alongside a £500 thank you payment, can the Minister say what plans the Government have to think again about this issue and ensure that nurses south of the border get the pay rise they so richly deserve?