Covid-19 Update

Debate between Baroness Verma and Lord Bethell

Tuesday 18th May 2021 Lords Chamber

[Lord Bethell (Con)]

My Lords, I pay tribute to the bus industry. Many noble Lords will remember those terrible stories at the beginning of the pandemic about bus drivers having an extremely high incidence of severe disease and even death. But the noble Lord should have hope as there is a really good reason why the buses will one day be full, and that is the vaccine. The vaccine gives us all hope that the kind of life we once had can be revisited, although we have to take some time to ensure that the vaccines are working as well as they should. We have to ensure that booster shots, if needed, are delivered. We have to ensure that the vaccine cuts through to all communities and that hygiene—the social distancing, handwashing and other personal hygiene disciplines which are going to be a long-term commitment by the entire nation—is truly imbedded in everyone’s habits.

[Baroness Verma (Con)]

My Lords, I thank my noble friend for the Statement repeat and congratulate him on the work he has been doing over the last many months. Does he agree that the public health messaging, which has been very good in all communities, should continue because we are going to get many other forms of variant? As the noble Baroness, Lady Finlay, says, this is going to be an ongoing issue, probably for a number of years, and continuous messaging will be key. Will he also tell me, given the recent new variant, what conversations he is having with counterparts from the countries concerned to see how that variant is reacting, what is happening there and whether it is reproducing rapidly or slowly, so that better informed decisions can be made in our own country?

[Lord Bethell (Con)]

My Lords, I am extremely grateful to my noble friend for her insight. She is entirely right; this awful pandemic does have a silver lining, which is that it can be an inflection point for a complete transformation in our public health messaging. The work we are doing on communicating the threat of the variants is one example of that. The next front line will be the flu jab rollout in the autumn, where take-up rates have been okay but not great. I hope that, when the flu jab campaign begins this autumn, a completely different generation and spread of people will step up to that opportunity. We are working extremely hard to use the public mood and sentiment behind preventive medicine to full effect to ensure that the flu jab works, that therefore a much smaller proportion of the population will transmit flu, and that deaths and severe disease from flu will be reduced. That can be the legacy of this awful pandemic.

Covid-19: Update

Debate between Baroness Verma and Lord Bethell

Tuesday 20th April 2021 Lords Chamber

[Lord Bethell (Con)]

My noble friend is entirely right: life sciences is a huge national strength. It was a quiet industry that people did not speak of much; now it is centre stage. Post Brexit, the role of the MHRA, as one of the world’s leading regulators, is something of which we can be enormously proud as a country. It is also making a lot of businesses think that the UK should very much be the focus of their investment, going forward. BEIS and the DHSC are working together very closely, through the Office for Life Sciences, to ensure that the message is heard loud and clear, around the world, that Britain is the right place to invest.

[Baroness Verma (Con)]

My Lords, will my noble friend the Minister tell me what plans are in place to monitor the work being done to ensure that cities such as Leicester, which was in the longest lockdown ever, do not go backwards now that people are being vaccinated? How will they monitor that? Could my noble friend also tell me what is being done to encourage people into the social care sector? There is an enormous demand for care workers, and yet we do not seem able to fill those gaps.

[Lord Bethell (Con)]

My noble friend is right: the people of Leicester have done a terrific job at getting the rate down. It was once 571 per 100,000, and on 15 April it was 74 per 100,000. This is a huge achievement, but I am afraid that behind that lie some concerns. Nationally, we are at 26 per 100,000, but 23 local authorities have cases above 50, and Leicester is one of them. In some areas of the country, the virus is proving extremely resilient. That is partly due to the deprivation referred to by the right reverend Prelate and the noble Lord, Lord Scriven, and partly due to the cultural and practical habits of those involved. We are working really hard to try to address those knotty problems, and I welcome the civic engagement of all who live there.

Covid-19 Update

Debate between Baroness Verma and Lord Bethell

Tuesday 15th December 2020 Lords Chamber

[Lord Bethell (Con) [V]]

I am enormously grateful for the work that the noble Baroness, Lady Finlay, and the National Mental Capacity Forum have done during the pandemic. The issue of mental capacity and consent has been addressed in official guidance that the NHS and others have issued to medical professionals who will administer the Covid vaccine in care homes. I understand that officials at the DHSE and the MoJ are supporting the forum with the webinar planned for this Friday, and I am absolutely delighted to reaffirm the Government’s support for the forum’s work on these important areas.

[Baroness Verma (Con)]

Will my noble friend do a communications strategy or campaign to debunk the idea that the vaccines have animal content? There are messages going around on social media that would stop people from minority communities, in particular, from having the vaccine if it did have animal content.

[Lord Bethell (Con) [V]]

I thank my noble friend for providing this opportunity to scotch that unhelpful rumour. I confirm that there are absolutely no animal components in the vaccine. That point has been endorsed by the British Islamic Medical Association, members of which issued a fatwa earlier this year confirming that the vaccine was halal. My noble friend is right that there are stories on social media that are extremely distracting. We engage with sympathy with those who are concerned about the vaccine, but these stories are completely wrong, and I would like to put them to bed.

Covid-19 Update

Debate between Baroness Verma and Lord Bethell

Wednesday 23rd September 2020 Lords Chamber

[Lord Bethell (Con)]

My Lords, I recognise the expertise of the noble Lord on public transport. It is my observation that the public have come a long way on mask wearing. When I was on the Tube this morning, absolutely everyone, including small children, was wearing a mask. That is huge progress. Yes, there is more that could be done, and we have brought in fines and support for isolation, but I pay tribute to the public attitudes that have moved a long way in this matter.

[Baroness Verma (Con)]

My Lords, first, I thank the Minister for all the work that he and the Government have done in Leicester. The many millions that have been spent have been hugely helpful to our communities there. However, given yesterday’s Statement by the Prime Minister about increased restrictions, my concerns relate to the mental and physical well-being of women and girls, in particular, in the densely populated areas of Leicester, as they will not be able to go out and get the right amount of exercise or make good choices when it comes to eating. Will my noble friend assist me in trying to get those messages across to people in communities such as mine in Leicester, where the messaging is so important? If the restrictions are extended, those communities will suffer far worse outcomes, and for much longer

[Lord Bethell (Con)]

My Lords, I recognise that this epidemic has hit women hard—it really has—particularly in high-density areas such as Leicester where women and girls do not have access to the kind of exercise and space that they need in order to lead fulfilled lives. We have given substantial funds to the authorities in all cities, including Leicester. I greatly encourage those authorities, including the ones in Leicester, to think about how they can help women and girls to access the space and exercise that they need to fulfil their lives during this difficult period.

Covid-19 Update

Debate between Baroness Verma and Lord Bethell

Monday 14th September 2020 Lords Chamber

[Baroness Verma (Con) [V]]

Thank you, Deputy Lord Speaker. My noble friend has talked about Covid, but I think it is important in the same debate to talk about the flu injections that are available to help people reduce their ability to catch Covid. Will my noble friend ask the pharmacies that are distributing flu injections to step up their communications, in particular to people with south Asian backgrounds, who are slightly resistant to going into pharmacies to get flu jabs? I know from my experience of having to persuade my mother that this is an issue, and it would be helpful to get the communications about getting flu injections out as quickly as possible, so that people build up their immunity as quickly as possible.

[Lord Bethell (Con)]

My Lords, we are hopeful that this season the number of flu injections will be a massive increase on previous seasons. We will, therefore, be putting huge responsibility on the shoulders of pharmacies and pharmacists to deliver them. I take on board completely the very good advice from my noble friend about the reputation of pharmacists compared to GPs, particularly in certain communities. I trust that the pharmacy profession will be doing an enormous amount to promote the flu injection itself, and to reassure its customers about the efficacy of its service. It is, however, an idea that I will take back to the department.

Anti-obesity Strategies

Debate between Baroness Verma and Lord Bethell

Monday 14th September 2020 Lords Chamber

[Baroness Verma (Con)]

My Lords, will my noble friend take into account that in the south Asian community there are larger numbers of people with diabetes, heart disease and a lack of vitamin D? Through his campaigning and communications—he has been really mindful of this—will he try to ensure that we are also reaching communities in which exercise and sport do not always come as a first priority? Is he willing to meet with me and a team of people working on this?

[Lord Bethell (Con)]

My noble friend is right, and Covid has really spelt out the challenge in this area to the NHS and the Government. The incidence of serious Covid effects on BAME communities has been more intense because of the prevalence of diabetes and overweightness in many of those communities. We have relooked at our marketing and communications to those communities and need to redouble our efforts. That is why, as part of the obesity strategy, we are putting in serious, concentrated efforts in reaching the communities, as my noble friend advised. I would be glad to talk to her about how we can do that better.

Covid-19: Rise of Positive Tests

Debate between Baroness Verma and Lord Bethell

Wednesday 9th September 2020 Lords Chamber

[Lord Bethell (Con)]

My Lords, I am aware of the Abbott test. I spoke to Chris Scoggins from Abbott yesterday, and I pay tribute to innovators in this country, in America, and around the world for the dramatic increase in the speed, accuracy and scale of these tests. We hope that they will make a big difference.

[Baroness Verma (Con) [V]]

My Lords, given that the virus is spreading and we are fast approaching autumn and winter pressures, can my noble friend ensure that the NHS and local authorities are communicating in different languages to communities to encourage them to go and get their flu injections as quickly as possible?

[Lord Bethell (Con)]

The use of different languages for promoting all aspects of our Covid response is critical. We have massively increased the number, accuracy and stylistic resonance of our marketing materials in order to reach all audiences. I very much welcome the noble Baroness’s remarks.

Covid-19

Debate between Baroness Verma and Lord Bethell

Thursday 3rd September 2020 Lords Chamber

[Lord Bethell (Con)]

My Lords, on behalf of the House I pass on our sympathy to the noble Baroness, Lady Benjamin, for her experience with the friend who committed suicide. It is a touching story and we feel sorry them.

Suicide is important for this Government and we have a number of programmes that address it. One of the peculiar aspects of the epidemic is that the mental health tsunami that we were all braced for and deeply concerned about has not manifested itself in the way we thought it might. There is currently no evidence that the suicide rate has increased in any way. We keep a careful eye on this. When a major epidemic such as this happens, we worry that it will have a huge impact, particularly on the young—particularly young girls—and those groups, such as BAME, who may feel that the prevalence is higher in their community. To date, however, the statistics suggest that we are blessed by having avoided harsh effects so far.

[Baroness Verma (Con) [V]]

Will my noble friend tell the House what communication plans are in place to ensure that, as winter approaches, all communities are well informed on what measures need to be followed to prevent or reduce the impact of a second wave, and that where spikes are found in local communities, wider immediate testing is available to everyone in that locality? I also thank my noble friend for the funds that the Government gave us in Leicester to ensure that communications were sent out in languages other than English.

[Lord Bethell (Con)]

I thank the noble Baroness, Lady Verma, for her comments. What happened in Leicester has informed our response to the epidemic in many ways, including a much greater emphasis on languages. Many of the publications and technologies that we are rolling out in preparation for the second wave will use a hugely increased number of languages, so that we reach those communities which might otherwise have been overlooked.

In answer to the overall question put by the noble Baroness, I would place massive emphasis on our preparations for the flu vaccine. If we can spare the NHS the pressure of the annual flood of flu infections, we will do the country a huge favour. If we can spare patients the impact of flu that runs down their immunity and leaves them vulnerable to Covid, we will do them a huge favour. If we can get flu vaccine take-up higher, that will be a huge benefit for the system and the country.

Covid-19 Update

Debate between Baroness Verma and Lord Bethell

Wednesday 1st July 2020 Lords Chamber

[Lord Bethell]

The noble Lord is right to raise the question of marketing and communications to BAME audiences. We are looking at it very closely, because there is a natural concern about the regular epidemiological phenomenon that those who do not feel in the mainstream of society are sometimes the hardest to reach. We are focused in both our communications and our marketing on working with the groups that most fairly represent BAME communities to ensure that the message gets through. I would welcome any recommendations or suggestions from him on how we can do that better.

[Baroness Verma (Con) [V]]

My Lords, I declare my interest, as listed in the register, as a social care provider in Leicester. I am currently in Leicester and I have listened to noble Lords very carefully. Perhaps I may quickly pick up on a number of points. We in Leicester consistently pointed out to our local authorities and to the mayor and his councillors that they should look at areas where we believed there would be peaks in outbreaks of the virus, particularly in factories. We were totally ignored. We have raised the communications issue over and again, and we have been totally ignored. Now that the data is coming in and is being shared properly, will my noble friend confirm that there will be strong and swift enforcement in areas where we know that breaches have gone on, are going on and continue to go on, so that other parts of the community stay well protected?

[Lord Bethell]

My noble friend points to the crux of the matter, which is that the correct response to such a local outbreak requires careful collaboration between PHE, with its expertise, insight and data, and local leaders, who have local insight, regulatory muscle and influence. Her account of talking to the mayor and raising these issues is very important and interesting. All I can say is that we are now focused on making sure that PHE and the local authorities in Leicester work together very closely. We have learned lessons in this area. Certainly, outbreaks in some other towns and cities have been handled with a higher degree of collaboration at an early stage.

Nurses: Recruitment

Debate between Baroness Verma and Lord Bethell

Thursday 18th June 2020 Lords Chamber

[Lord Bethell [V]]

I reassure the noble Lord, Lord Clark, that from September 2020 eligible pre-registration students in English universities studying nursing, midwifery or one of the many allied health professional courses will benefit from additional funding of £5,000 per academic year. The correct number of places will be made available to hit our objective of 50,000 more nurses by 2025.

[Baroness Verma (Con)]

Can my noble friend say what the take-up is of nursing apprenticeships, and will his department consider a combined apprenticeship that includes social care workers to ensure a route to career progression?

[Lord Bethell [V]]

My noble friend makes an incredibly interesting suggestion on a combined course. I am prepared to look into that and write to her about whether work has been done on such a measure.

Covid-19: Response

Debate between Baroness Verma and Lord Bethell

Wednesday 3rd June 2020 Lords Chamber

[Lord Bethell]

If I was not clear, I hope the noble Baroness will forgive me. The test is open to anyone in the population. It is not restricted to key workers or those who are over five, as it once was. However, the clinical advice is that you should seek a test only if you show symptoms, partly because the test will not necessarily work if you do not have symptoms. That remains the case.

With regard to expanding the list of symptoms, we changed the symptoms about two weeks ago. We have done a huge amount of work to understand the best way of recommending symptoms. This is an amazingly complicated area. A lay person like me would think it was not too difficult to define symptoms for an important disease, but actually it is an extremely contested area. We have broadened it, we keep it under review, and if what we have done is not working well enough, we will update it again.

[Baroness Verma (Con)]

Does my noble friend not agree that where there are densely populated communities and a greater risk of spreading the coronavirus, testing should take place through booked appointments with their regular GP surgeries? Many of those communities do not know how to access online appointments and come from larger families. They could then also be asked about how they were following the guidelines set down by the Government. My worry is that many communities are not being communicated to and are falling through the gaps. I urge the Minister to take that on board.

[Lord Bethell]

I agree with my noble friend. It is a grave concern that key communities, particularly those to which she alludes, are not hearing the message and do not have the available resources for booking tests. We are working hard on that. In particular, we are working with GPs to ensure that they have the ability to book tests. They can of course do so on the portal like anyone else, but we are working to create a special prioritised facility for GPs to be able to book tests for their patients. I completely agree with my noble friend’s assessment that in many communities GPs play a trusted role. A practical issue is that many GP surgeries are currently closed, but I welcome the fact that many are now reopening.

Mental Health Services

Debate between Baroness Verma and Lord Bethell

Tuesday 19th May 2020 Lords Chamber

[Baroness Verma (Con)]

Will my noble friend assure me that all communities will be able to access appropriate mental health services? What work is being done to speak to local women’s and girls’ groups in the ethnic-minority communities, where language and access to online services may often be a barrier?

[Lord Bethell]

One thing that Covid has thrown a light on is that digital communications have been greatly improved; the use of video conferencing in mental health services is one of the things that have helped. Groups that do not have access to video conferencing need to be reached in other ways. We are working on using telephones and community outreach to do that. My noble friend is entirely right that this needs to be a focus of our work.

Covid-19: Vulnerable Populations

Debate between Baroness Verma and Lord Bethell

Tuesday 12th May 2020 Lords Chamber

[Lord Bethell]

The advice given to local authorities is spelled out in guidelines. Those who are vulnerable are advised to avoid social contact. Where necessary, those whom they live with, including any children they have with learning disabilities, should also avoid the same social contact.

[Baroness Verma (Con)]

My Lords, I refer the House to my interests in the register. Will my noble friend tell me what work has been done to ensure that public health messaging and advice on access to support for mental health and anxiety issues among the BAME community is easily available to those communities, particularly where they live in densely populated home environments?

[Lord Bethell]

My Lords, mental health advice is very clearly available, most of all from GOV.UK/coronavirus, where there is a huge amount of practical and pastoral advice, and access to resources.