(1 week, 3 days ago)
Lords ChamberMy Lords, it is a pleasure to follow the noble Viscount, Lord Bridgeman. Some 27 years ago, a Government were elected with a manifesto promise to end the hereditary principle in the House of Lords, resulting in the 1999 Act. Earlier this year, this Government were elected, promising to finish these reforms, and that was reiterated in the King’s Speech.
When just 2% of our population say they have a lot of confidence in the House of Lords, it is to the benefit of this House that we look at how we can improve that perception and be more representative. The earlier reforms set up HOLAC, the Appointments Commission, to create a more representative House, including people’s Peers. The commission has made 76 recommendations in total, 57 of which were between the years 2000 and 2010. Since I joined the House via that system without prime ministerial patronage—though I am aware that, technically, the noble Lord, Lord Cameron, appointed me—only nine further appointments have been made in that way, but since 2000 at least 58 new hereditary Peers have been appointed through the replacement electoral system. Of those, 42 were elected involving only hereditary Peers from the relevant party or the Cross Benches, and the remaining 15 by the whole House. I thank the Library for supplying those figures for me.
Had the replacement system been amended as recommended in the Bill by the noble Lord, Lord Grocott, some vacancies could have been used by the commission to ensure that the House was representative and drew on the expertise that our country can offer. There are over 60 million citizens in our four countries, so we could without doubt find excellent people to join us in our work.
I recognise that many hereditary Peers hail from areas outside the overrepresented London and south-east region. However, I suggest that new appointments would allow us to increase diversity and geographical representation, give us a wider industrial and professional base and improve gender balance. A strengthened commission with more opportunities for appointments could create a more representative and proportionate Chamber from our population.
Like others, I appreciate the valuable contributions to the House made by many hereditary Peers, some of whom I hope will still consider me a friend after this speech. I would therefore welcome the Government considering supporting a process for currently sitting hereditary Peers to apply for admission as life Peers, with the support of their parties or the Cross Benches, through the Appointments Commission, perhaps with a number to be agreed between the usual channels. Such an approach would ensure that the Cross Benches were not denuded of significant expertise and would enable political parties to support a small proportion of their numbers to remain, with the Appointments Commission’s endorsement.
It is a shame that we cannot debate the full reforms and consider the Burns report again but, even though this has been expressed by many noble Lords today, taking an incrementalist approach cannot be avoided. I welcome the important step taken by the Bill and hope that the House can reach agreement in the kind of way that has been debated throughout the day.
This House recognises the diversity of backgrounds of the other House, particularly the latest intake, and that their real-world experience is essential to good governance. It is only through reform to House of Lords composition and appointments that we can safeguard our role as a second Chamber to scrutinise and improve legislation. At the interview in 2014 for appointment to this House, I was asked what I hoped to contribute. My answer then, as now, was to insist on the reform of the Mental Health Act 1983 in order to increase patients’ rights, and to contribute to House of Lords reform.
I regret that I missed both the valedictory and maiden speeches earlier because I was at a meeting about the Mental Health Bill with the Care Minister. I did not think it would be 10 years before either of these Bills would be before us. On a lighter note, we might ask ourselves: are the two Bills inexplicably linked?
(1 year, 5 months ago)
Lords ChamberJust to clarify, the Clock did not start correctly. I think that it would be reasonable to say the Leader of the House has until the clock says 15 minutes, and then we will open for 20 minutes of Back-Bench questions.
I thought I had more time and was therefore trying to answer the House in some detail.
The defence White Paper sets out our posture; we can discuss that tomorrow.
The capability and effect in numbers of the British Army has been questioned. We are a huge contributor to NATO in its forward presence. We will continue to do that, and £41 billion is being invested in equipment and support projects.
On the Balkans and the eastern flank, we are already one of the biggest contributors to NATO’s forward presence on our eastern flank. We will work closely with Estonia and Poland to ensure that we have the appropriate posture for the current climate. Last year, we said that we would maintain a brigade in the UK at high readiness. We are also watchful of the situation in the Balkans.
I was asked about holding Russia to account for its crimes. We have certainly been supporting efforts to ensure accountability for the crimes committed in Ukraine. We led the state party referral to the ICC and provided £1 million in funding to the court. That sits alongside other efforts to find justice for Ukraine, including the Atrocity Crimes Advisory Group we established alongside international partners in support of the prosecution of domestic war crimes in Ukraine. We are a founding member of the international register of damage caused by the Russian aggression against Ukraine, and we have joined a core group of countries to explore options to ensure criminal accountability for the crime of aggression. We ourselves have now sanctioned over 1,600 individuals and entities, including 130 oligarchs with a net worth estimated at over £145 billion.
Both noble Lords asked about the situation in Ukraine. We fully support Ukraine’s inherent right to self-defence, which is enshrined in Article 51 of the UN charter. Ukraine is a sovereign country and has a right to choose its security arrangements. Any alliance decision on membership is solely for NATO allies and Ukraine to make. NATO has committed to an expanded package of practical and political support for Ukraine; the allies agreed that Ukraine’s future is in NATO. We reaffirm the commitment that allies made in 2008 and recognise that Ukraine’s path to full Euro-Atlantic integration has moved beyond the need for the membership action plan.
We have also, as the noble Lord, Lord Newby, referred to, established the NATO-Ukraine Council, a new joint body inaugurated at the summit, where allies and Ukraine sit as equals to advance political dialogue, co-operation and Ukraine’s aspirations for NATO membership.
The noble Lord asked about munitions: what we have and, with new funding, whether we have the contracts in place to get new weapons. We have enough weapons systems to defend our national security while fulfilling our commitments to NATO and Ukraine. We remain fully engaged with industry, allies and partners to ensure both the continuation of supply to Ukraine and replenishment of UK stock as quickly as possible. We have already placed a number of substantial procurement contracts directly to replenish munitions granted to Ukraine. The Treasury provided an extra £560 million in the Autumn Statement to increase stockpiles to above pre-Ukraine levels. I assure the noble Lord that NATO support will continue. We announced the gifting of 70 combat logistics vehicles, a contract for spare parts, new training for Ukraine Air Force fast jet pilots and so on, with many weapons systems.
As for the EU, of course it is important that we have unfettered collaboration between EU and non-EU partners in NATO: that is vital for protecting long-term European security. The United Kingdom Government agree with Secretary-General Stoltenberg’s very sensible approach. EU defence initiatives should be coherent with NATO requirements and should develop capabilities that are available to NATO and open to the fullest participation of non-EU NATO allies. On that basis, co-ordinating international efforts through collective procurement will be very much part of our strategy.
My Lords, the Clock will now restart for the next 20 minutes.
(2 years, 10 months ago)
Lords ChamberMy Lords, I rise to speak to Amendment 243 in the name of the noble Baroness, Lady Merron, and Amendment 264 in the name of the noble Lord, Lord Hunt of Kings Heath.
Yesterday I was chastised—wrongly, in my view—for speaking at length. Such boldness requires training in speaking up, confidence in being right and using authority. The comments came from a government Whip, who happens to be a registered nurse. As a doctor, I am used to that. When a nurse speaks up, patient safety improves, health equity improves, collegial relationships are stronger—again, as a doctor I can vouch for that—and healthcare systems improve. This is because of their training. Not recognising legally the status that the title of “nurse” brings to those that are highly trained and qualified and on a nursing council register is wrong.
We all know what a nurse is; a nurse is highly trained, highly competent, can do the job well and is on a nursing register. Anybody else is not a nurse. It is right, therefore, that we recognise this and give it a legal status. Furthermore, the NHS and health providers should not employ anyone as a nurse who does not meet the above criteria. I understand that last year there were 195 advertisements for nurses in the NHS which did not say that the qualification of being registered was necessary. In my view, that is wrong. I strongly back this amendment, and I look forward to the contribution of my noble friend Lady Watkins.
Turning to Amendment 264 on the appointment of consultants in surgery, I am a fellow of the Royal College of Surgeons of England, the Royal College of Surgeons of Edinburgh and the Royal College of Physicians and Surgeons of Glasgow, so I speak on behalf of all surgical colleges. Let me give your Lordships an example: there is a surgical post empty in Birmingham. A highly qualified person, who was well-trained in Scotland and holds a fellowship of the Royal College of Surgeons of Edinburgh, is a key candidate for application but cannot be appointed because the Royal College of Surgeons of England cannot provide an assessor. On the other hand, there is a surgical vacancy in Glasgow, and the top candidate is a fellow of the Royal College of Surgeons of England but can be appointed without a Royal College of Surgeons of England assessor being there. That is a total anomaly.
A person can be appointed who is fully trained in Scotland, is a fellow of the Royal College of Surgeons of Edinburgh, works in Cambridge, applies in Cambridge, but you cannot have an assessor from the Royal College of Surgeons of Edinburgh. In all other specialties—the Royal Colleges of Obstetricians and Gynaecologists, of Ophthalmologists, of Radiologists, of Psychiatrists, of Anaesthetists, and in public health—the assessor can come from any part of the United Kingdom. This anomaly can be stopped very easily. I agree with the noble Lord, Lord Hunt of Kings Heath, that it is not a big deal; just change it in legislation. I do not know who opposes it.
My Lords, it is a pleasure to follow the noble Lord, Lord Patel, on the term “nurse”, which is protected in law at the moment only for those who are a “registered nurse”. This means that anyone can describe themselves as a nurse, as the noble Baroness, Lady Wheeler, outlined. They can even describe themselves as a nurse if they have no qualifications or experience—or, perhaps more seriously, have just been struck off the register. As somebody who was a member of the forerunner to the Nursing and Midwifery Council, I can say that we do not strike people off the register lightly, so the risks of such people being at large and describing themselves as nurses are serious. For this reason, a petition was created calling for the title “nurse” to be protected further in UK law.
In the initial response by the Government to the petition, recognition was given that the protection of professional titles
“provides assurance to the public that someone using that title is competent and safe to practise.”
The response references a consultation by the Department of Health and Social Care on professional regulation, Regulating Healthcare Professionals, Protecting the Public. In the Nursing and Midwifery Council response to this consultation, the nursing regulator recognised issues around the limitations of “nurse” not being a protected title and said it did not think that its current powers are sufficient,
“given that they are primarily based around titles that are not widely understood by the public or used by the professions.”
This amendment is designed to ensure that there are sufficient regulatory levers to be able to protect the public in the future.
Nurses on the NMC register find it difficult to understand why the Government are reluctant to protect the title. As part of the statutory regulations of the Health and Social Care Act 2012, it was mandated that registered nurses would be part of the clinical commissioning group governing body. In Regulation 11 of the National Health Service (Clinical Commissioning Groups) Regulations 2012, the CCG governing body is required to include at least one registered nurse within its membership. This created a statutory commissioning role for nursing leaders in England that will be lost should this not be required within integrated care boards’ executive membership. Please can the Minister explain whether guidance will include a recommendation that there should be a registered nurse as part of the executive team on integrated care boards?
My Lords, I support Amendment 264, in the name of the noble Lord, Lord Hunt of Kings Heath, to which I have added my name. In so doing, I remind noble Lords of my own interests, particularly as a fellow of the Royal College of Surgeons of England, a fellow of the Royal College of Physicians of London and an honorary fellow of the Royal College of Surgeons of Edinburgh.
This is a critical amendment, as the noble Lord, Lord Hunt of Kings Heath, indicated, strongly supported by my noble friend Lord Patel. Currently, the National Health Service (Appointment of Consultants) Regulations 1996, with additional guidance provided by the department in 2005, restricts membership of advisory appointments committees for consultants to certain royal colleges, as we have heard with the appointment of surgeons by the Royal College of Surgeons of England alone—and, indeed, for physicians by the Royal College of Physicians of London. This is an anomaly. The medical royal colleges across the United Kingdom are recognised in terms of the postgraduate training that they are able to supervise, the continuing professional development they are able to provide and, indeed, collaborate with regard to postgraduate examination which is required for provision of the certificate for the completion of specialist training. However, when it comes to the question of consultant appointment, there is this restriction.
Noble Lords might ask why it is important that this matter be dealt with. The provision by a medical royal college of a professional member to serve as part of the appointment process for a new consultant is critical. Those representatives provide expertise and insight with regard to the nature of the job description, the requirements for the individual post, and the assessment of individual candidates as part of the selection process on the day.
My Lords, I apologise to the Committee for omitting to say that I am a registered nurse on the NMC database. I think this is important in relation to Amendment 243.
(3 years, 6 months ago)
Lords ChamberIf there are questions that I have not answered, I will.
We now come to the 20 minutes allocated for Back-Bench questions. I ask that questions and answers be brief so that I can call the maximum number of speakers.
The cost of donating the UK’s vaccine surpluses will be classified as ODA and will be in addition to the £10 billion already committed to in aid this year.
The next speaker, the noble Lord, Lord Mackenzie, has withdrawn, so I call the noble Lord, Lord Browne of Ladyton.
My Lords, this has been an extraordinary week of summits. Two questions on the ambitions of the integrated review arise from the concluding statements. First, the US and the EU at their summit committed to co-ordinate policies and actions and to establish a US-EU high-level dialogue on and with Russia. With whom does the UK plan to pursue its interests vis-à-vis Russia? Will it be along with the US-EU framework or bilaterally with Russia? Secondly, Presidents Biden and Putin reaffirmed the principle that a nuclear war cannot be won and must never be fought. Does the UK support that principle, and will it say so?
(3 years, 8 months ago)
Lords ChamberMy Lords, thank you for a very good debate. It has been a fine example of the way in which Report brings together the arguments made in Committee and allows the House to come to a collective view about the issue in question.
In her customary way, the noble Baroness, Lady Penn, gave a full and considered response, and I thank her for that. She focused more on what she called the strength of feeling in the House and did not really engage with the strength of the argument. I hope that when she reflects on that, she may recognise that that is a bit of a weakness. The arguments are not to be ignored simply because they are expressed strongly. They are to be looked at seriously, because they are trying to attack a pernicious problem that is causing huge consumer detriment, as exemplified in the many speeches we have heard today, particularly from those who have worked in the industry for a number of years. The noble Baroness, Lady Altmann, and others gave examples that were redolent of the experience of trying to make the system work.
I think the Minister also accepted in her speech that the Government want regulatory structure to protect consumers and said that the level of harm was perhaps too high. In explaining how the FCA’s three objectives are expected to operate—which must be a logical mess, when you analyse them—she illustrated why my noble friend Lord Eatwell and others wish that we had a better, principle-based and less list-based structure for the way in which the regulators carry out their work. As the noble Lord, Lord Sharkey, put it—he could not have put it more simply—FiSMA does not protect consumers, malfeasance is flourishing and may even be encouraged by the current structure, and redress is patchy, lengthy and not really available to those who need it most.
The issue before the House, therefore, is whether the existing process and procedures, the existing wording which sets them out and the existing objectives, which are constraining what the FCA can and cannot do, are the best we can get to. The arguments that have been made, particularly the devastating figures from the ombudsman’s service, suggest that we are not in a good place on this. This was picked up by many speakers, including the noble Baronesses, Lady Tyler and Lady Kramer.
In the context of the need for better financial well-being as we recover from the pandemic and the chance to do things better, are we really saying that the best we can come up with is to wait for another consultation, which will probably just be another exercise in playing catch-up and result in a longer list of rules and requirements? Why do we not just set a very high tide mark for what we expect our regulators to do and, if the consultation proves the case, reduce the requirements where that is proportionate and appropriate?
I do not understand why the Minister felt unable to take the issue away, talk about it and come back at Third Reading. She challenged us to put our views to the House. I would therefore like to test the opinion of the House in this matter.
I shall now put the Question. We have heard a Member taking part remotely say that they wish to divide the House in support of this amendment, and I will take that into account. The Question is that Amendment 1 be agreed to.
We now move to the group consisting of Amendment 2. Anyone wishing to press this amendment to a Division must make that clear in debate.
Amendment 2
(3 years, 10 months ago)
Lords ChamberMy Lords, I thank the noble Baroness and noble Lord for their comments. Like them, my thoughts and sympathies are with every family that has tragically lost loved ones during this terrible pandemic.
The noble Baroness asked about working with local government. I assure her that we are working extremely closely with local government, and indeed many partners. This is a national endeavour, uniting local and national government, the NHS and many more. Over the past few months, we have recruited and trained a vaccination work force of 80,000, including retired clinicians, the Armed Forces, pharmacists and volunteers. Over 200,000 members of the public and businesses have offered non-clinical support and help with the logistics of the programme.
I can certainly assure both the noble Baroness and the noble Lord that we are doing everything we can to roll this programme out as smoothly as possible. We are sharing data to ensure that priority groups around the country are receiving their vaccines as quickly as possible. We have vaccinated over 80% of the over 80s, and 75% of elderly care home residents. Vaccinations are now being offered to everyone over the age of 70.
The noble Lord, Lord Newby, asked about an investigation or inquiry into the handling of the pandemic. As the Prime Minister has said, we will turn to that, but at the moment I hope he understands that we have other priorities that we are working on.
The noble Baroness once again rightly asked about schools. We have bought 1.3 million devices and delivered over 870,000 to schools in England so far during the pandemic. We bought an additional 300,000 laptops and tablets this year, increasing our investment by another £100 million. We have spent over £400 million supporting disadvantaged children who need help with access to technology. I fully recognise that there are people who will fall, and currently are still falling, through the gaps, but we are working closely with our school partners around the country to try to make sure that all families and all children have access to the technology that they need.
The noble Baroness asked about vaccine prioritisation. It is an issue that many have rightly raised. I reiterate that the JCVI advises that the immediate priority for the vaccination programme should be to prevent deaths and protect healthcare staff, with old age deemed the biggest single factor determining mortality. That is why we are following the advice of the independent body. The top four priority groups account for 88% of Covid deaths.
I say to the noble Baroness that the ONS has looked at rates of death involving Covid in men and women who work as teaching and education professionals. They were not statistically significant when compared to the rates seen in the population among those of the same age and sex. I know that sounds slightly bureaucratic, but we are looking at the data and have taken advice from the JCVI. There is a reason for the prioritisation, although I entirely accept that there are many groups who would like to have the vaccine as soon as possible. That is why we are rolling out the programme as we are.
The noble Lord and the noble Baroness asked about the international travel situation, as announced by the Home Secretary yesterday. The noble Baroness asked a number of questions. There will be further information and details set out next week, so I am afraid that I am not able to provide any additional information than that provided yesterday. But we will introduce a new managed isolation process in hotels for those who cannot be refused entry, including those arriving home from countries where an international travel ban has already been imposed. Further details about this policy will come next week—we are working as quickly as possible across government and industry to bring these measures in.
Both the noble Lord and the noble Baroness asked about test and trace. We have contacted over 7 million people who may otherwise have spread the virus through the system, and we have reached 86.7% of those testing positive, so the system continues to work and improve.
The noble Lord asked about support for those self-isolating. As he will be well aware, there is a one-off £500 test and trace support payment, which helps those on low incomes who are self-isolating, and we have extended that until the end of March. In total, more than 4 million people could be eligible to receive this support payment. In addition to that, accepting that not everyone is covered by it, we have provided £25 million funding to local authorities to make discretionary payments to those facing financial hardship who are not eligible for the £500 scheme. We have also made statutory sick pay available from day one, while making emergency changes to reimburse small and medium-sized businesses with two weeks of sick pay per employee. Of course, we continue to support the lowest paid with a temporary universal credit uplift worth £1,000.
The noble Lord asked about our future plans. The reason why the Prime Minister set out the end of February as when we will return with a plan is that at this point we do not yet have the data on the impact of the vaccine rollout on case rates, hospitalisations and deaths, which will be vital in determining the timeline to releasing the measures. By mid-February, we will know much more about the effect of vaccines in preventing hospitalisation and deaths, using data from both the UK and nations such as Israel. We will know how successful the current restrictions have been in driving down infections and we will know how many people are still in hospital with Covid. We intend to look at all that data and information and will set out the results of that and publish our plan for taking the country out of lockdown when we announce that on the week of 22 February.
Our aim will be to set out a gradual and phased approach towards easing restrictions in a sustainable way, beginning as we have said with the reopening of schools, which is our national priority. We hope to commence the reopening of schools from 8 March with other economic and social restrictions being removed after that.
We now come to the 30 minutes allocated for Back-Bench questions. I ask that questions and answers be brief so that I can call the maximum number of speakers.
I think the engagement between the Prime Minister and the leader of the Opposition is for them. I have been extremely heartened by the unity your Lordships have shown in presenting the importance of the vaccination programme and in raising important issues in the House during this. It is in that spirit that we will continue to work.
I call the noble and learned Lord, Lord Morris of Aberavon. Lord Morris? I will move on. I call the noble Lord, Lord Storey
My Lords, will the noble Baroness agree to publish the written advice from NHS England and the Chief Medical and Scientific Officers that led to the letters issued by the Minister for the Constitution and Devolution to political parties and MPs about campaigning in the local elections? Will she request a statement from the Government’s law officers confirming the precise legal status of this advice? Could the noble Baroness tell the House whether this is her advice, the Government’s view, or part of the legally enforceable Covid regulations?
(4 years ago)
Lords ChamberWell, there will be further guidance on carol singing, I am assured, so the noble Baroness can keep an eye out for that.
On vaccines, obviously the safety of the public comes first. A Covid vaccine will be approved for use only once it has met robust standards. In relation to the Pfizer/BioNTech vaccine, the Health Secretary has asked the MHRA to begin its assessment of this vaccine, and Pfizer/BioNTech has begun supplying data to the MHRA. But it is an entirely independent process, so that will be done in time. As I have said, we anticipate a number of safe and effective vaccines available in 2021.
My Lords, I welcome this approach, particularly to care home testing, but have concerns in relation to SI 1292, which came into force on 17 November to provide an exemption from travel restrictions to allow poultry workers into the UK to assist with turkey slaughter. Many are coming from eastern European countries experiencing high levels of Covid-19 infection. I understand that testing and other requirements are based on individual workers showing coronavirus symptoms. Could the noble Baroness the Leader of the House explain why there are no plans for routine testing of these workers to protect public health, as there is the potential for asymptomatic transmission from these workers? Has the Department for Transport undertaken a thorough review of this situation, together with the Department of Health? Could the noble Baroness inform us on this issue and investigate it if she is unable to answer at this time?
What I can say is that this is one of the areas in which the mass testing programme rollout can be used. For instance, local authority directors of public health may wish to roll out one of their programmes to higher-risk industries, for instance. Those are exactly the kinds of situations where local authorities may wish to use this programme to deal with the very issues that the noble Baroness set out.
(4 years, 2 months ago)
Lords ChamberMy Lords, I declare my interest as outlined in the register. I really appreciate the need to balance the rights of landlords and those of tenants, and realise that the Government have put policies in place with an overarching aim to do so during the Covid-19 crisis. However, the recent increase in the rate of Covid infections has led to further sanctions to prevent transmission, as outlined by the Prime Minister and leaders of the devolved nations yesterday. This is not the time to accelerate the eviction of people in arrears associated with the financial challenges they may have experienced due to job losses or salary reduction over the last six months, or, as so ably put by my noble friend Lady Greengross, because they have mental health problems or caring responsibilities.
Generation Rent estimates that there are 55,000 renters at risk of eviction. I ask the Minister this: do the Government have an estimate of the numbers of these households that contain children of school age? Any such children would be disproportionately affected in their studies through eviction at this time. Can the Government do something further to protect such families from eviction for the next six months?
Some landlords wish to sell properties because of the current high values of homes and the reduction in stamp duty. Could Her Majesty’s Government consider novel approaches to reduce evictions during the ongoing Covid challenge and secure tenancies by, for example, a stamp duty holiday for the purchasers of properties where a landlord delays sale until after March 2021, or by offering interest-free loans to landlords until debts can be resolved?
Crisis is calling for three actions from the Government to protect renters who are facing homelessness: immediately introducing emergency legislation to give judges discretion to prevent evictions where tenants have accrued rent arrears because of Covid-19; providing financial support to help tenants pay back debts in order to remain in their current homes; and amending the benefit cap to add protection for people threatened by homelessness. Can the Minister inform the House whether the Government are actively considering the suggestions from Crisis at this time?
(4 years, 2 months ago)
Lords ChamberI thank my noble friend. As I said to my noble friend Lord Hayward, the Secretary of State is working on this as we speak. He is well aware of the issues faced. As my noble friend said, we have already worked with the rugby league to help but, as he said, with the new situation unfortunately facing sport, we will certainly work to see what we can do because so many clubs in a range of different sports are absolutely central to their local communities and we want to make sure that they continue to thrive once this crisis is over.
My Lords, I thank the Leader of the House for being here to speak to this Statement today. I want to talk about people who need to remain at work, of which nothing was said in the Statement yesterday. What are the Government doing about PPE stocks, based on the highest prediction of need? Does the UK hold sufficient stock for the NHS, voluntary and independent providers of health and social care, and domiciliary care services? If so, for how many days? How rapidly can the stock be replenished and what proportions are now manufactured in the UK? Are the Government’s distribution plans for PPE satisfactory, and have they adequately tested a system for distribution over the summer?
Obviously, PPE was a significant issue earlier this year. Lots of lessons have been learned. The department continues to work to make sure that we have plans in place. The noble Baroness will be aware that, for instance, we provided more than 250 million items of PPE. We are working with both the public and the private sector to ensure that we have robust plans in place so that we can make PPE available as and when it is needed. Obviously, one of the priorities, as I have just identified, is care homes.
(4 years, 8 months ago)
Lords ChamberMy Lords, yesterday I had the privilege of being able to speak, so I will be brief. I support the amendment moved by my noble friend Lady Thornton and the words of the noble Lord, Lord Scriven. Normally, he and I would be knocking bells out of each other but, on this occasion, we happen to be in total agreement.
I want to reinforce the point that in times of trauma, as we are at the moment, civil society is always critical to survival. That is true in war zones and it will be true in the weeks ahead. I have registered interests in a number of voluntary and charitable organisations, including the RNIB and the Alzheimer’s Society. I want to stress the importance of monitoring. That is not in the sense of a suspicion that the Government will somehow abuse these powers deliberately but because the prioritisation that underpins this power of suspension of normal rights understandably presumes that it will not be possible to carry out the norms of support available.
We learned today that a staggering 250,000 people have already indicated that they are prepared to volunteer. I recently stood down as a board member of the National Citizen Service, among other voluntary commitments. Picking up on the point made by my noble friend Lord Hain, it would be useful if we were able to reinforce very quickly the fact that those organisations in civil society—this is true at the local level as well—are picking up this cudgel and are able, not necessarily to fill the vacuum but to reach out, particularly to the 1.5 million people who have been asked to isolate themselves completely for 12 weeks. I hope we will be able to revisit that when things are clearer in three or four weeks’ time.
I very rarely speak about this, but I want to put on record what it must be like for someone without sight in a high-rise flat. They cannot even look out of the window to see the sun and the birds or make any contact. That is prison. Being able to reach out, even with local government’s lack of capacity, through the voluntary sector and volunteers to make contact, provide support and ensure that, where someone has a crisis, their rights are being upheld, will be vital. I believe that the Minister gets all this. From everything I have seen and understood in a metaphorical sense, he and the team around him are tremendously hard-working and appreciate these issues, working as they are in incredibly difficult circumstances. Given that, I hope that there can be a positive response because, frankly, if we cannot mobilise in this way as well as monitor the rights of those who yesterday the noble Baroness, Lady Grey-Thompson, spelled out in a way that I could never manage, we will have let down those who need us most at this critical time.
My Lords, I hope noble Lords have noticed that my noble friend Lord Low has tried to speak twice, so when I finish, I am sure he will be given an opportunity to do so. When we are so short of people to oversee our proceedings, it is difficult.
I want to make two points. The first is that I am very supportive of the first amendment for two reasons. When I originally read the Bill, I assumed that the issue of local authorities having to decide who needs care in terms of the available resources was about the staff resources available, but it is clear that some among the population with severe disabilities are worried that it is about the allocation of financial resources. That is a very important reason for us to monitor regularly whether it is about money or staff because, as a nurse myself, I know that if we are very short of staff, we will have to prioritise in some form in both the NHS and social care.
The other issue about which many of us have been written to was spoken to yesterday by my noble friend Lady Grey-Thompson. If people with dementia are rapidly discharged from NHS care into care homes, which clearly they should be if that is appropriate, we need to ensure that there is no retrospective charging for them and their families. That is another important reason for Amendment 1.