(4 years, 4 months ago)
Lords ChamberLord Rogan? We will move quickly on to the noble Lord, Lord Balfe.
My Lords, on three occasions today the Minister has said that, if you have a Covid test today, you are not guaranteed to not have the disease tomorrow. In that case, what on earth is the purpose of having the test system at all? Secondly, the NHS is not functioning properly. Bearing in mind the precedents of my noble friends Lord Deighton and Lady Harding, would it be a good idea for the Minister’s department to appoint a specific person to get the NHS up and running again, as foreseen by my noble friend Lord Ribeiro in his perceptive question?
My Lords, we use the tests we have got because they are the tests we have got. The way in which the disease manifests itself is not, I am afraid, something that I can negotiate with. We do what we can, but I emphasise that an unfortunate feature of this disease—and many others—is that it harbours itself silently in our bodies and manifests itself both to infect and be diagnosed only when it is ready. That is a simple fact of life. However, the testing regime has a profound impact on the spread of the disease by identifying those who have some form of symptom, even if it is a quiet one. I pay tribute to Sir Simon Stevens, who is working hard to get the NHS back to business as usual and is having a profound impact on the issue.
(4 years, 4 months ago)
Lords ChamberMy Lords, I endorse everything that the noble Lord, Lord Alton, has said and the spirit of what the noble Lord, Lord Liddle, said. We really have got to get back to a system of proper parliamentary scrutiny because we are deteriorating into farce. The regulations as put forward confuse people even more. What is needed is a clear statement now that brings everything together as to what is and is not allowed.
We also need to know how the regulations are to be enforced. USDAW, the shopworkers’ union, has grave reservations about the safety of its workers if they are asked to enforce them. If they are not, how are the regulations going to be enforced? How are they going to be enforced on the railways?
My final point is that the NHS is still effectively closed down. It is the last bit of Britain that has not been opened up. Waiting lists are growing and people are suffering. We are killing people because of Covid. Can the Minister get the sclerotic NHS back into action?
(4 years, 5 months ago)
Lords ChamberThe noble Baroness is quite right to shine the spotlight on those who are in social care but not necessarily aged over 65. Half of all social care costs are now dedicated to those under 65. Housing standards is an important question. The stock of housing for social care will be considered in any forthcoming review. It is imperative that we have a modern and up-to-date industry.
This policy could lead to literally unlimited costs and a bottomless pit that would make the National Health Service look like a modest outfit. When we devise this policy, we must make sure that adequate contributions are made by those affected and we do not fall into the trap of saying that inherited potential wealth is somehow to be exempted. People must pay a fair share.
My noble friend is entirely right: there is a massive potential liability. We are acutely aware of the intergenerational implications of social care reform. It is only right that we treat both those in social care and future generations fairly. Those considerations will be uppermost in our minds.
(4 years, 6 months ago)
Lords ChamberMy Lords, I would like to thank the Minister for his hard work. You cannot be right in a situation such as we have been facing. For a historian like me, there is something to be said for reading the accounts of the first few months of the Second World War. It began with the British people enthusiastically endorsing all the restrictions imposed by the Government of the day but then, just as with this country recently, what we call obedience fatigue set in as people started getting fed up with the regulations. That is where we are now. So I counsel the Government, “Please, ease it up as fast as you can. If you don’t, people will ease it up for you”.
The one-metre rule is already in force except where the two-metre rule is enforced. In other words, if it is left up to people, they do not obey the two-metre rule just as they do not obey the three-bubble rule, or whatever. People are increasingly doing their own thing. We have to sort out this difference between the focus groups and common-sense government. There was a man called Paul Samuelson in the 1960s who came up with the concept of the free rider. This is basically that people are always in favour of taking actions that cost them nothing, but which other people pay for and where other people suffer. When I am told that the 14-day quarantine period is very popular, I suspect that it is probably very popular with people who go on holiday once a year. It has nothing to offer people like me who go to European Union countries on a regular basis and are now having great difficulties.
I ask the Minister to try to ease things up—and that includes in hospitals. Far too many hospital beds are empty, physiotherapy has collapsed, chiropody has collapsed, and the health service is suffering from a sclerotic condition. The Minister has to get them back to work; this may well take a fair bit of toughness.
My final point is this: we need to get Parliament back to work. We are not functioning efficiently or effectively. I am sitting in my office in Millbank because I could not master the regulations for sitting in the Chamber which, I see from looking at my screen, is almost empty. The House is now running in the interests of the Government; it must be returned to the Members, and PDQ.
(4 years, 6 months ago)
Lords ChamberI think the debate is no longer about face masks. We accept that there may be shaky evidence that they are needed, but what we need to debate is when they should be worn and what sort of face mask? The overall European opinion is that they need to be worn in enclosed spaces and where people are together for a minimum of 10 minutes, because that is where the danger lies. I hope that we will look into this and not talk just about face masks. There are different types, with different levels of effectiveness. I would like the Minister to comment on what is going to be done to get them distributed. This morning, at King’s Cross station there were no face masks; at St Pancras, they were being given away free; and in Cambridge station, there were none. What do HMG have in the way of plans to distribute face masks and to look at the quality control of the types of masks that are going to be used?
(4 years, 6 months ago)
Lords ChamberThe noble Lord, Lord Empey, has withdrawn, so I call the noble Lord, Lord Balfe.
My Lords, I want to go back to the testing centres question. I also had a test, but I had to drive to Stansted from Cambridge. Many people in our community do not have cars and do not drive. What is the Minister doing to make it possible for all major towns to have testing facilities that can be reached either by public transport or on foot?
My second point is more doubtful. Many people do not seem to realise when they should be tested, or, for that matter, how often. If you are tested at the beginning of June, when do you need to be tested again, if at all? What does the test prove, apart from the fact that you do not have the virus? It does not prove that you have had it or will not get it. Will the Minister step up the publicity campaign he just mentioned, so that people can be better informed?
I deeply regret that my noble friend had to drive from Cambridge to Stansted. We are working hard to address that and are looking at alternatives. We have now put up more than 100 sites, and I hope very much indeed that there would now be a site nearer him. We have also pioneered at-home testing, which we believe will address his key point, and we are trialling walk-in centres for city centres such as Cambridge.
My noble friend’s last point is entirely right. You should have a test when you show symptoms, but defining the symptoms of any disease, and in particular this disease, is very difficult. We do miss some people who do not show any symptoms, and some people who think that they have the symptoms actually have the symptoms of something else. It is a real dilemma and part of the battle we face against Covid.
(4 years, 7 months ago)
Lords ChamberMy Lords, as I stated this morning, I would be glad to meet with community leaders. However, I emphasise, as I said this morning, that it is the disease that is racist, and the Government and the NHS are doing an enormous amount to try to protect BAME workers, to whom we owe a huge debt of gratitude. I will do everything I can to help protect them.
My Lords, this morning, the ONS revealed that some 50,000 UK citizens are cross-border workers—in other words, English people who work part of the time outside the UK. Roughly 25,000 appear to be businessmen. There is no evidence that they are carriers; there is every evidence that when they fly back or come back on the Eurostar, they would be happy to be tested. The government proposals to suddenly clamp down on this and basically stop international business happening are not welcome and will do enormous damage to the British economy. Can the Minister try to influence his colleagues in transport to the effect that this development is not needed?
My Lords, I pay tribute to my noble friend’s commitment to freedom of travel—and he will remember my father’s own commitment to it. The sad truth, however, is that it is very difficult to prove a negative: to prove that someone does not have the disease or that they have not recently become infected and have the disease in a latent way or that they are young, fit and well. The restrictions are in place for those reasons. I advise my noble friend that we are working on finding a solution, but none is immediately available.
(4 years, 7 months ago)
Lords ChamberMy Lords, we have no current plans for using geolocation information. However, we have an open mind on options for users being able to share data of several different kinds, and we are open to the idea of consumers making those choices.
I want to ask the Minister about the immunity certificates. At the moment, as I understand it, medical science does not tell you whether you are immune. It can tell you whether you have had it, but surely we do not yet know whether Covid mutates. So how can you issue an immunity certificate, and, importantly, how can you make sure that it is not forged?
My noble friend is entirely right. The science on immunity is confounding and we do not fully understand it, although we are investing a huge amount of time, money and effort into understanding it better. We believe that there may be an opportunity to understand immunity better, and that will inform and make safe people’s commitment to going back to work. No decisions have been made yet, though, and we have in our minds all the reservations that my noble friend described.
(4 years, 7 months ago)
Lords ChamberThe noble Baroness is right to question the resilience arrangements in this country. I reassure her that we have extremely well thought-through resilience arrangements. This disease, though, is more infectious than we could possibly have imagined. The need for PPE is higher than we had originally planned for. In the NHS we have an organisation in which efficiency and supply management has been put at a very high level. However, we have moved incredibly quickly to put in place central supply organisations. The entire weight of government is working hard to ensure that PPE is distributed widely and fairly throughout the system.
In the last couple of days, there have been news reports that a PPE package of some 400,000 pieces ordered from a Turkish company was delayed by the Turkish Government. It has been put to me that the Turkish Government are not responsible for any delay in this shipment, which was a straightforward business deal between the NHS and a Turkish supplier. Will HMG confirm that the Turkish Government have played a constructive role and have not sought to delay the shipment? Will they publicly thank the Turkish Government for not seeking to stop or delay it, even though they have their own crisis to deal with?
I reassure my noble friend that we have been in daily and constant contact with the Turkish Government, who have behaved with good faith and in a supportive fashion throughout all our dealings. We are thankful to them for their involvement.
(4 years, 7 months ago)
Lords ChamberIn the Statement, the Minister referred to the need for people who have other medical needs to still contact their GP. In Cambridge, where I live, the opticians, chiropodists, dentists and surgeries are all closed, with different fierce notices on their doors. When the isolation requirements are lifted, could the Government make it a priority to get these vital medical services open again and get doctors back into surgeries, not at the end of the telephone? Perhaps we could at least teach them that Zoom exists.
I reassure my noble friend Lord Balfe that the amount of video treatment being given by doctors has gone through the roof. During this epidemic, we have seen the medical trade and patients embrace a huge amount of digital technology. We are working with the colleges to try to get all the services of the medical profession open at this time and the response has been largely positive.