Baroness Laing of Elderslie
Main Page: Baroness Laing of Elderslie (Conservative - Life peer)Department Debates - View all Baroness Laing of Elderslie's debates with the Department of Health and Social Care
(4 years, 2 months ago)
Commons ChamberI think the fact that the Government have made this time available for scrutiny is welcome. I want to start, as others have done, by thanking all the care workers, NHS staff, support staff and council staff who have responded so courageously to the pandemic in Glasgow North.
I particularly want to express my solidarity with and send my best wishes to many of the new constituents in Glasgow North who have been affected by the outbreak at the University of Glasgow and have found themselves confined to their halls of residence. I am grateful to the principal of the university, Professor Sir Anton Muscatelli, for taking the time this morning to speak to me and my MSP colleagues Bob Doris and Sandra White about the situation and the steps the university is taking to support students who have found themselves in difficulty. I know, Madam Deputy Speaker, that you take a particular interest in the University of Glasgow and the wellbeing of its students.
The pandemic is going to bring flare-ups and flashpoints, and some of them will be easier to see than others, but, as others have said, nobody is to blame for this. Catching the virus is not something wrong or in itself a breach of the regulations. It is not a question of blame, but there is a question of responsibility and where the duty of care lies, and that is what I want to look at in my short contribution.
That is particularly important, in Glasgow North, for people who are in the creative sector and who are self-employed. They are literally the heart and soul of our city. Creativity means so many different things: it is the musicians, the artists, the sound and light engineers who support them, the pop-up shops, the artisan producers, the wedding dress makers, and the event organisers and co-ordinators. These are individual self-employed self-starters, and they have been left behind by this Government. I thought the Tories were supposed to celebrate and support entrepreneurs, and instead they find themselves excluded, but it does not have to be that way.
This comes back to the question of responsibility, and that was the point I was making to the Prime Minister last Wednesday. The costs and the consequences of covid are unavoidable. Somebody has to meet them, and that somebody has to be and can only be the state—the Government. The Government have already had to borrow an unimaginable amount of money. Governments around the world have had to do that, and an independent Scotland would be able to do that.
The question is how the money is used to the best effect. The Government can either pay through job retention schemes, through income guarantees and through investment in preventive healthcare and support for people’s mental wellbeing, or they can pay through long-term mass unemployment and through the social security system, with the costs that come with that—from the health service to social work, the police and all the rest. That is why we have to see this moment as a chance to do things differently and to set a different path, whether that is a universal basic income in whatever shape or form it might take, or prioritising green, sustainable alternatives to working practices, transport and service delivery.
However, the Government’s vision seems to be a return to the rat race and a return to trickle-down economics—that we will know we have beaten the virus when things go back to the way they were before. They already want to take us back to some notion of empire with their Brexit obsession, and now they are harking back to the days of Thatcher, where mass unemployment is fine so long as some people get to be filthy rich. They should not think that we are not wise to the idea that the disaster of a no-deal Brexit can be hidden behind the economic difficulties caused by the pandemic. That might suit some of the Tories, but it is not what people in Glasgow North want to see. They and we in the SNP want “Build back better” to be not just a slogan, but a genuine direction of travel.
In reality, we cannot go back and we will not go back. There is not going to be a light-bulb moment, even in this Chamber, when suddenly we stop washing our hands, keeping our distance and wearing masks, and we all just pile back into offices instead of working from home. We are moving to a new kind of normal and to a different way of how society and the economy will work in future. If that direction does not come from Westminster, then people in Scotland will seek it and find it elsewhere. The virus will not be defeated by grandiose rhetoric about moonshots and world-leading apps; it will be defeated by everyone working together, by making careful judgments based on the best scientific advice and by admitting—as the Scottish Government and the First Minister have done from the start—that mistakes will be made and learning from them for the future. Ultimately, of course, the future for Scotland will be in Scotland’s hands. It always is.
Goodness—thank you very much, Madam Deputy Speaker. What a delight it is to be called to speak so suddenly.
Order. I should explain, lest there be confusion, that it is of course unusual for the Chair to call two people from the same side of the House consecutively—I hope the hon. Gentleman is getting his breath back—but the hon. Member for Derbyshire Dales (Miss Dines), who would have spoken from the Government Benches, has withdrawn from the debate, so I am obliged, under the current strange rules, to go directly to the hon. Gentleman—whether I want to or not.
Well, there was a bit of a sting in the tail there, Madam Deputy Speaker; I will take that up with you later. Incidentally, I can perfectly well disagree with the hon. Member for Glasgow North (Patrick Grady): even though he is theoretically on the same side of the House, he is on a different side from me in respect of many other arguments.
Government in this country can only ever be by consent, and when the Government start to lose consent in a pandemic or at a moment of national crisis, there is a real problem for the nation. As much as the Under-Secretary of State for Health and Social Care, the hon. Member for Bury St Edmunds (Jo Churchill), knows that I am I am very fond her and deeply respectful of what she brings to bear in this House, I none the less worry that the Government are presently losing the consent of the British people.
My inbox is full of people who now subscribe to all sorts of mad conspiracy theories. They elevate wild scientists they have discovered somewhere on the web to be the great international experts in the field. They point to things that the Government have done in respect of which there are anomalies; sometimes they are inevitable anomalies, but none the less they pick holes in all that. It feels to me that, slowly but surely, people are beginning to lose confidence in the Government’s handling of this situation. I want to make sure that as a nation we work together—there is no party political advantage to be gained on either side—but we need the Government to do better.
There have been too many mixed messages. It is terribly difficult for an individual member of the public, whose job is not to follow every latest announcement from government—whether it is from their local authority, the Westminster Government, or the Government in Cardiff Bay or in Edinburgh—to understand which specific rules apply to them. Every Member present will have had hundreds of emails and requests, asking “What am I meant to do in this set of circumstances?” I do not know about others, but I often scratch my head as to what the precise answer is. It is therefore difficult for ordinary members of the public. The broadcasters have often not helped: they announce things as if they are for the whole UK and they turn out actually to be for part of England. We need to do much better at this.
The Government’s exaggerated boasting has not helped. I would ban the words “world-beating”. It is not a competition with other countries; it is a competition with the virus. Honestly, I would just bin all that. This is not about trying to win some popularity contest, either; it is just about trying to do the right thing.
I know this is a painful thing to say, but the Dominic Cummings moment did immeasurable damage to the Government’s ability to deliver their own strategy. I know that most hon. Members on the Government Benches think that as well, because they say so in private, and in many cases they have had more emails about that than Opposition Members have. If it feels as if there is one rule for one set of people and another for everybody else, it undermines confidence in the Government.
The test and trace system barely works at the moment. The Government said four weeks ago that it would be sorted in two weeks but it still is not sorted, and I do not think it will be sorted until the end of October.
On the financial problems for pubs, it is not that we are killing pubs, it is just that we have kneecapped them. I can see no logical reason why we would want to chuck everybody out of a pub at 10 o’clock, at the same time, in all the pubs in the whole of the town. It is illogical. We have not done that in Wales; we have done it differently, allowing for drinking-up time and things like that, which is a perfectly sensible, long-standing tradition in Britain. That is what we should have done more widely.
There is no money for the 3 million freelancers, musicians and so many others. We have not sorted out the problem of people going on holidays who were being told by holiday companies, “No, this isn’t really the law; it’s just guidance,” so they will not offer compensation.
The Government must do far more in Parliament. As I said way back, earlier this year, legislation that sits on the statute books for two years that we have to take up and down, yes or no, with no amendment allowed, is no way to govern by consent.
It is an honour to follow the hon. Member for Winchester (Steve Brine), but I must disagree with what he said on having to respond to a pandemic. While I absolutely agree that the pandemic brings up new situations, the truth is that we were slow into lockdown. The Government were slow in testing and they were slow with PPE. Those facts are well documented.
It is absolutely right that the British people want the Government to succeed in fighting this virus. This is a time for leadership, but leadership also requires integrity. My hon. Friend the Member for Rhondda (Chris Bryant) mentioned the issue of Dominic Cummings. That was a time when the Prime Minister fractured the relationship with the British public, in terms of them looking up to him for the leadership that was required. At times like this, the leadership needs to step up, but sadly, the Government and the Prime Minister have lost that control.
The rate of infection is rising. Our testing system is not fit for purpose. Our university students should be having one of the best experiences of their lives, but hundreds are describing their current experience as like being locked in a prison. Schools in my constituency are being forced to partially close, and I agree with the hon. Member for Winchester about the ill-thought-out 10 pm curfew, which has been described as shambolic by Tory MPs and the Mayor of Manchester.
Test and Trace is massively important, and on just about every measure, the Test and Trace system is going backwards. It is clear that the Government have wasted the last few months and have failed to get Test and Trace ready for the increase in cases that they should have anticipated. I have had numerous emails from parents, key workers, the elderly and the most vulnerable, all desperate to get an appointment for a test. If they do get an appointment for a test, it might be hundreds of miles away. The truth is that there is no availability, and that is simply not acceptable. The Government need to get a grip on fixing the system before things get even worse.
On care homes, back in March, we saw the Government’s strategy to enable hospitals to cope with the anticipated number of coronavirus cases lead to the elderly and most vulnerable being discharged from hospitals back into care homes without testing for infection. On 15 April, I wrote to all the care homes in my constituency, offering them support and asking about their experiences. In every reply, I saw the same themes emerging over and over again: a lack of PPE, concerns about no testing provision being available, people deeply concerned about the risks to their most vulnerable patients, a lack of financial support from the Government—the list goes on. The Government cannot fail care homes once again. Weekly testing of care home residents and staff is critical to saving lives, yet there have been repeated delays to the roll-out of testing, and care homes have waited days for their results. That cannot carry on.
Labour has repeatedly called for additional resources for social care, so we welcome the news that the adult social care infection control fund will continue, but the real test of the plan is whether the Government deliver on weekly testing for all care staff, first promised in July but still not delivered. We have serious concerns about delays in getting results back.
Reports that infection rates are beginning to rise in care homes once more are extremely concerning. Getting on top of the challenges that social care faces before winter is vital. We cannot afford action to protect care homes and other services to be as slow and chaotic as it was at the start of the pandemic. There are also serious concerns about vacancies in the care sector in the months ahead, particularly if there is a second wave of the virus as care providers prepare for winter. The Government must provide an immediate plan to better support care workers in all settings, including the 70,000 who are employed by direct payments and the 9 million unpaid carers.
I know that local businesses and workers in Bradford West are extremely worried about what the future holds. With the furlough scheme due to end on 31 October, the Chancellor announced the job retention scheme. The new scheme seeks to support only jobs with a viable future under covid-19 restrictions. That means an increase in job losses. Given that Bradford West has the seventh highest unemployment rate in the country, I am extremely concerned—
I was going to allow the hon. Lady her last line.
My hon. Friend can intervene on me if he likes; I will give way to him.
I join others in calling, six months on, for this place to have greater oversight as we deal with this pandemic. We face six more months of hardship, and it is absolutely right that this Parliament should play its role in scrutinising the Executive.
I would like to focus on the roll-out of a vaccine. That may seem a little premature, given that we are contemplating a second wave of the pandemic and further economic intervention, but a vaccine is potentially six months away. China is already mass producing a product, and it has another 10 others online. Oxford is heading into its phase 3 tests, with tens of thousands of people being tested, and other institutions around the globe are doing the same.
The scale and complexity of the challenge is up there with the D-day landings and Dunkirk. To put it politely, we must learn the lessons of the PPE roll-out, testing and track and trace. Mass vaccine roll-out is an enormous responsibility, and we need to get it right. Planning must start immediately, and I have written to the Prime Minister recommending that he consider calling on the Ministry of Defence to establish a small taskforce, led by a senior empowered voice of authority, to begin the planning and design of a draft blueprint. The armed forces have the capacity, the logistical experience and the national reach to take on this mammoth, incredible task, and they are not overburdened by any current duties involving tackling covid-19.
Let us pause to consider what is involved: the logistics of shifting millions of refrigerated vaccines across the country; creating regional distribution hubs, which then feed into mobile testing centres; developing a national database to track progress and issue vaccination certificates, which will probably have to be internationally recognised in order to allow international travel; establishing an order of priority for who receives the vaccine first—key workers, the vulnerable and teachers, for example—and answering more detailed questions about potentially using schools to vaccinate children. All those things must be planned for. With the co-ordination of Whitehall Departments, local authorities, the private sector, policing and security to consider, as well as military support, I hope I make the case for why we need to start thinking about this now.
I believe that the biggest challenge will be in managing the transition period—potentially up to a year—when parts of our society have been liberated from the threat of covid-19 and seek to return to normality, but those who have yet to be vaccinated are still subject to social distancing rules. We need to get the planning right today so we can avoid the logistical challenges that we suffered with PPE and testing. In the spirit of global Britain, we can then share our blueprint and plans with other nations, especially those without such advanced logistical capabilities as ours.
I stress that there is huge scope for this to go wrong if we do not start to plan now. The west was slow to understand the impact of the pandemic, the pace at which it moved through society and its lethality, but Britain has an opportunity to be an exemplar in the management of covid-19’s departure. Let us task the Ministry of Defence now, appoint a leader to plan and prepare for this complex and critical national project, and ensure that we efficiently defeat this pandemic when we are finally armed with a workable vaccine.
Before I call the next hon. Member, I should warn the hon. Member for Heywood and Middleton (Chris Clarkson) and all those who will follow that I have to reduce the time limit to four minutes, which is still a long time.
I want to make a short speech about two key issues that I am deeply concerned about. Like many others, I held a Macmillan coffee morning last Friday, and I heard about the terrible impact of coronavirus on cancer treatment. Macmillan research notes that cancer care provision was in crisis before the pandemic because of understaffing among cancer nurses, which has placed incredible pressure on an overstretched workforce and support services. NHS figures show that only 319 people began receiving cancer treatment in July after attending a screening programme for breast, cervical and bowel cancers. That is 65% lower than this time last year. As well as drastically low numbers coming through the system, only a quarter started treatment on time. That is far lower than the 90% standard. I do not believe that reciting figures reflects the urgency of the situation, as this problem is having a devastating impact on people and on the lives of their loved ones. Life-saving treatments are being cancelled or postponed. I heard on Friday from a Macmillan nurse that, due to accessing screening services late, some patients’ cancer has progressed too far for treatment to be affected and they are now just following a care pathway.
The British Medical Association has already warned that thousands of people would suffer if vital routine care was shut down during a second wave. This should not have happened in the first place, but will the Minister outline what additional measures are being implemented to avoid potentially preventable deaths from cancer, particularly with regard to reducing waiting times and tackling the backlog of patients?
My second area of concern is related to humanist marriages. Today, Humanists UK flagged up the fact that the latest coronavirus regulations to come into force in England today allow religious and civil marriages to have up to 15 guests, but, initially, this did not include humanist weddings. Instead, the regulations said that humanist weddings must be limited to six attendees. However, within the last hour, it seems that the Government have recognised that this would be discriminatory and have now said that humanist weddings can have 15 people. This is vital to many of our constituents. Just last year, a British social attitudes survey recorded that 52% of British people state that they have no religion. Will the Minister to confirm that this is the case and that there will be parity between humanist weddings and others as it stands?
With a time limit of four minutes, I call Mr Chris Clarkson.