Covid-19: Response

Baroness Walmsley Excerpts

Monday 27th July 2020 Lords Chamber

[Lord Bethell [V]]

The noble Baroness invites speculation; I wish that I knew the precise answer to that key question. We are extremely vigilant in a large number of areas, including the measures to release a degree of social distancing and on foreign travel, as she knows. We know that if the country remains committed to the basic principles—hand washing and hygiene; social distance; and isolation when necessary—those three principal pillars will be the ones that defend us from the spread of the disease. We are doing everything we can to shore up those pillars, and that is particularly true in social care, where we have massively boosted testing for both staff and patients and brought in hygiene control, particularly around PPE. We will continue to support the sector financially to ensure that agency workers can be used as little as possible.

[Baroness Walmsley (LD) [V]]

My Lords, there are still issues about the length of time it takes for test results to be returned and contacts traced. Is the Minister aware that a four-week pilot scheme for the OptiGene saliva test in Southampton was completed a week ago? This test takes only 20 minutes to process. Since it does not rely on throat and nose swabs, there are less likely to be false negatives because of faulty swabbing. Can the Minister give the House the results of the pilot, which was referred to by a witness to the Science and Technology Committee as a potential game-changer? Are there plans to make the new test more widely available? In light of the latest news about travellers from Spain, will the test be given at the airport to all passengers returning from non-exempt countries so that they can be followed up quickly at the address they have given on the passenger locator form, and should they not have another test a few days later?

[Lord Bethell [V]]

My Lords, I pay tribute to colleagues at Southampton, who have been managing this exciting trial of saliva-based LAMP testing. The LAMP process is extremely exciting, as it removes the time-consuming RNA extraction process from the testing; turnaround times are therefore dramatically reduced. Saliva is a much more accessible vector for the virus than swabbing and therefore has potential for mass appeal. We are extremely interested in the pilot of the OptiGene technology. It is, though, at an early stage. I would not want to raise expectations too quickly on this, but it remains one of a great many similar exciting technologies that our innovations and partnership team is looking at. I am extremely optimistic about the speed and scale of innovation in our test and trace programme, and I believe that we can move more quickly, at bigger scale and with more accuracy than we ever have before in the very near term.

Health Protection (Coronavirus, Restrictions) (No. 2) (England) Regulations 2020

Baroness Walmsley Excerpts

Friday 24th July 2020 Lords Chamber

[Baroness Walmsley (LD) [V]]

My Lords, plenty of virus is still in circulation. At the Science and Technology Select Committee this week, witnesses emphasised that we have two months to prepare for winter, when we are likely to have a second wave alongside flu and other seasonal respiratory ailments. They recommended that, in preparation for winter pressure on the NHS and the Test and Trace programme, we must suppress the amount of virus circulating by September. The committee has written to the Prime Minister about this. How will the easing of restrictions in these regulations achieve that? Will government ensure that the planned walk-in test centres will be located in the vicinity of all these newly opened venues and every airport?

I am also concerned about the criminalisation of peaceful protest. I would like to see peaceful protest exempted and protesters given access to a pop-up test centre.

Smoking

Baroness Walmsley Excerpts

Monday 20th July 2020 Lords Chamber

[Baroness Walmsley (LD) [V]]

My Lords, the Government propose that pubs should aim at two metres between smokers and non-smokers when outside. However, the Minister should know that social distancing is already being flouted when alcohol is involved. Is he concerned that this so-called compromise is supported by FOREST, which is funded by the tobacco industry, and will he answer the question of the noble Lord, Lord Faulkner, and ensure that the guidance will be issued by the Department of Health and Social Care rather than by MHCLG?

[Lord Bethell [V]]

I take a different view from the noble Baroness on the success of pubs’ efforts to introduce social distancing. I spent the weekend in a number of pubs and I was extremely impressed by the measures that publicans have put in place. That is why we support the role of local authorities in judging the right measures for the right pubs and why we will support the government amendment.

Medicinal Cannabis

Baroness Walmsley Excerpts

Monday 6th July 2020 Lords Chamber

[Lord Bethell]

My Lords, I cannot comment in detail on the specific situation the noble Lord refers to. I recognise the high costs of medicinal cannabis, and we have done an enormous amount to bring those costs down and to regularise the transport and regulation of those drugs, but this is the way our medical arrangements are made in this country. Private prescriptions are an option for those who can seek them, and we are working hard to get more of these medical cannabis treatments on the NICE schedule, but they require clinical trials.

[Baroness Walmsley (LD) [V]]

My Lords, will the Minister accept that the existing protocols and regulatory mechanisms suitable for most pharmaceutical medicines are not capable of handling medical cannabis, which has multiple active ingredients and is therefore not suitable for the usual randomised control trials? Does he therefore agree that a new regulatory system is required for medical cannabis, as there is in many other countries?

[Lord Bethell]

I do not think the noble Baroness is right. There are always groups advocating that their medicines are different from every other type of medicine, but the processes of clinical trials have served medical science extremely well. I share her frustration that the process of medical trials around cannabis has not moved quickly enough. That is why NIHR is looking again at the way these trials are funded; I have spoken to it about how this can be accelerated.

Ultra-processed Foods

Baroness Walmsley Excerpts

Thursday 2nd July 2020 Lords Chamber

[Lord Bethell [V]]

The noble Baroness is entirely right to say that Covid has focused our minds on obesity and the role of diet. However, voluntary approaches are necessary. We have to take people, industry and government with us. That is the core of our approach and it will remain our approach.

[Baroness Walmsley (LD) [V]]

My Lords, will the Prime Minister’s proposed obesity strategy include the full range of obesity services up to tier 4 in all areas, plus ensuring prevention measures such as calorie labelling, portion size, reformulation and the restriction of price promotions of HFSS foods? Will there be independent evaluation of the measures to be proposed?

[Lord Bethell [V]]

My Lords, it is not my role to pre-empt the Prime Minister’s strategy formulation, but the noble Baroness has articulated a very reasonable list of the potential measures. We are closely focused on this area. We are measuring ourselves keenly and our objectives are clearly laid out. The focus is on getting movement on this important area.

Covid-19: Track and Trace System

Baroness Walmsley Excerpts

Thursday 18th June 2020 Lords Chamber

[Lord Bethell [V]]

My Lords, we are in regular contact with many of the countries that are working with apps. Two things are crystal clear. The opportunity of using automated technologies to create extra tracing contacts is enormous, and we are working extremely hard to chase down that opportunity, but the technical challenges are also enormous. We are working very closely with our tech partners and with other countries to develop the best possible app, particularly for a moment when the prevalence in society might increase, for that is when the mass automation delivers its unique advantage.

[Baroness Walmsley (LD) [V]]

My Lords, can I press the Minister on his answer to the noble Baroness, Lady Young? In the first week of “test and trace”, over 8,000 cases were referred, but the ONS said that there were 33,000 cases. If only a quarter of cases are being referred, how does the Minister think that we will ever stamp out this virus? When will we get more widespread asymptomatic testing and tracing?

[Lord Bethell [V]]

My Lords, the epidemiological maths is as the noble Baroness describes, but our focus on symptomatic cases does not mean that the system does not work. Taking out more than a quarter of infected cases is a massively important and impactful event. Asymptomatic testing has started in healthcare and social care workers. It is making a big difference in both those forums, where prevalence is higher than the community prevalence, and we will be learning lessons from those schemes.

Covid-19

Baroness Walmsley Excerpts

Thursday 23rd April 2020 Lords Chamber

[Lord Bethell]

My noble friend Lord Lucas is quite right about IP, although I bear testimony to the private companies and major corporations which have reacted incredibly generously and enthusiastically by supporting the Government during this crisis. Our supply chains absolutely need to be reviewed. Resilience is clearly more important now than it has ever been. When we look at the way in which our medical, pharmaceutical and device supply chains are put together, they will look quite different in years to come.

[Baroness Walmsley (LD)]

My Lords, the Secretary of State said that he would mention treatments, but he focused only on vaccinations, which are of course important. However, I would like to ask about progress on developing antiviral drugs and the use of serum treatments, about which I have heard encouraging reports. Can the Minister say whether there are any plans to ask recovered Covid-19 patients to donate blood after a suitable recovery period so that the serum could be used to treat very sick patients and help them recover?

[Lord Bethell]

The noble Baroness is entirely right. Serum offers an encouraging opportunity, not least because it is a proven technology. The national blood transfusion service has been asked to start investigating how to collect serum, and a grant for the purchase of new machines to help that has already been made.

Major Trauma Centre: Westminster

Baroness Walmsley Excerpts

Thursday 30th January 2020 Lords Chamber

[Baroness Blackwood of North Oxford]

The NHS develops its plans in each hospital according to the Government’s national risk register and its planning assumptions underpin this. The security services then evaluate and publish the current threat level to the UK from terrorism and the NHS is made aware of any change to this, so that it can react accordingly. In addition, we provide training for paramedics for terrorist attacks, as I have mentioned. We have the hazardous area response team, comprising specially trained personnel to provide ambulance response to particularly hazardous or challenging environments, including following a terrorist attack. London also has the tactical response unit, which is designed to work as part of a multiagency team with police and fire services to respond to firearms incidents. In the most recent attacks, the response time for paramedics was within seven minutes. We have recently agreed to increase the number of marauding terrorist attack and chemical, biological, radiological and nuclear trainee paramedic responders, and we will have a minimum of 240 responders in each ambulance trust.

[Baroness Walmsley (LD)]

My Lords, I welcome the Minister’s reassurances. Is she aware that in London last year 265 fewer members of the public attempted CPR on people nearby whose hearts had stopped? Does that not suggest that it would be more help to the people who work in and visit this building if we invited St John Ambulance to come to us again to deliver training on CPR and wider first aid interventions?

[Baroness Blackwood of North Oxford]

As ever, the noble Baroness makes a very sensible suggestion about wider CPR training. I will take up that point.

Health: Sepsis

Baroness Walmsley Excerpts

Wednesday 22nd January 2020 Lords Chamber

[Baroness Blackwood of North Oxford]

I am not quite sure which data the noble Baroness was referring to. The study stated that the number of UK deaths was at 48,000. This was a modelled estimate; it was inaccurate. Our data, published by the Office for National Statistics, states that the figure is 22,341 and puts the UK’s performance at a better rate. We are not complacent in any way. This is why there has been concerted action through a number of routes not only to improve the performance in sepsis diagnosis and screening but to make sure that we raise public awareness and provide training for NHS staff. The early warning system has been introduced as the revised national early warning score. As the noble Baroness said, it is intended to improve and standardise the process of recording, identifying and responding to patients at risk. It was introduced as a CQUIN incentive and included in the 2020-21 scheme which was published yesterday. This means that it will be in every hospital across the country.

[Baroness Walmsley (LD)]

My Lords, it can be difficult to diagnose sepsis in people with learning disabilities and difficult for them to realise that they may have it. The NHS has a very good little video prepared by and for people with learning disabilities and their carers. Is there anything the Minister can do to make sure that that helpful video is disseminated more widely?

[Baroness Blackwood of North Oxford]

That is an extremely helpful and constructive proposal. If the noble Baroness would like to raise it with me outside the Chamber, I will take it up as a matter of priority.

NHS and Social Care: Staffing

Baroness Walmsley Excerpts

Wednesday 15th January 2020 Lords Chamber

[Baroness Blackwood of North Oxford]

I thank the noble Baroness for her question and pay credit to the work she has done in this area. She is absolutely right that we have to make urgent progress in delivering a sustainable social care solution. In the first instance, we have given councils up to £3.9 billion of additional funding in 2019-20, and the Prime Minister has been clear that he wants to see cross-party consensus on a sustainable way forward this year. I look forward to seeing progress made as swiftly as possible and hope that we will see work across this House on it, as I know this place takes the issue very seriously. In addition, we have run a national adult social care recruitment campaign to raise the profile of adult social care and encourage applicants. This has been successful; we have seen a 23% increase in the number of vacancies advertised on the DWP’s “Findajob” platform, which is improving the situation in the short term.

[Baroness Walmsley (LD)]

My Lords, there are particular shortages of nurses in certain specialties such as children’s palliative care, children’s mental health and learning difficulties. What will the Government do to improve the situation in those very important and sensitive areas?

[Baroness Blackwood of North Oxford]

The noble Baroness is quite right that we want to target recruitment towards the areas with the greatest shortages. That is one of the reasons why, when we announced the new non-repayable funding, we also announced a top-up for targeted specialties struggling to recruit. It is also why we have announced the availability of placements which can enable nurses to develop experience in specific specialties, which make it easier to recruit and retain those nurses in very rewarding and sometimes hard to recruit specialties.