Covid-19

Debate between Lord Bethell and Baroness Andrews
Wednesday 15th September 2021

(2 years, 6 months ago)

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Lord Bethell Portrait Lord Bethell (Con)
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My Lords, I absolutely applaud the sentiments that the noble Baroness articulated: her sense of responsibility and commitment to the community are generally exactly what we are trying to inculcate in a lot of people. But I just do not agree with her or with the noble Lord, Lord Faulkner, that having a state-mandated direction—accompanied, presumably, by fines and, therefore, court appearances for some—could possibly be described as light touch. It is the most intrusive and intimate of measures. If the circumstances require it, we are prepared to do it. We have done it, and, if necessary, we will do it again. But noble Lords really are missing the mood of the nation if they think that the vast majority of the country is in the same place.

I am afraid to say that this is a question of personal choice at the end of the day. The public health judgment—these decisions were made in participation with public health officials—does not support mandatory mask-wearing for the entire country. I agree that visiting Scotland is a completely different experience; there, policymakers have made a different decision, as they have in some other countries. But when we lifted mandatory mask-wearing on 19 July we saw a very large change in the public’s habit. Why? Because some people find it extremely intrusive and not comfortable at all, and they do not like it or are not prepared to do it. Therefore, at this stage of the pandemic it feels proportionate and right to rely on guidance and inspiration and on the leadership of both our national and civic leaders. If necessary, in plan B we will come back to the mandating of those kinds of measures. At this stage it really does not feel proportionate.

Baroness Andrews Portrait Baroness Andrews (Lab)
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My Lords, if I may pursue this with the noble Lord, he has used the term “proportionate” on several occasions and has now said that the Government will be prepared to come back to this if they feel that the circumstances require it. It is worth reminding the House that the term “light touch” was not used by my noble friend Lady Thornton but by Sir Patrick Vallance.

I have several questions for the Minister. First, when will the circumstances be such that the Government will agree that “proportionate” is no longer the key and that action will need to be taken to require masks to be mandatory and people to stay at home? That is what the SAGE advice is suggesting. Secondly, exactly why have the Government not taken the advice of their own advisers in this respect, given the circumstances, which have been well described across the Chamber, of increases in the number of hospitalisations and the number of infections? Thirdly, what does the Minister think is likely to be the worst-case scenario this winter and the key risks, given that the Government have, on two or three occasions over the last 18 months, not followed the advice to act swiftly and urgently and according to the advice that they have been given? Why is it so difficult to take that advice and act on it now? It appears that we have not learned the lessons about the necessity for early intervention to stop things getting worse.

Covid-19 Internal Review

Debate between Lord Bethell and Baroness Andrews
Thursday 20th May 2021

(2 years, 10 months ago)

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Lord Bethell Portrait Lord Bethell (Con)
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My Lords, the Prime Minister promised on 12 May that there will be a statutory inquiry beginning in spring 2022, as my noble friend alluded to. Its chair and terms of reference will be announced before spring 2022, and it will be for the terms of reference and the chair to determine exactly what subjects are looked at.

Baroness Andrews Portrait Baroness Andrews (Lab) [V]
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My Lords, I ask the Minister to return to the first Question asked by my noble friend—she asked two—which he overlooked. Does the Minister agree that publishing the internal review could strengthen the strategic plan to contain new variants? Does he agree with me that it would certainly raise public trust and that, because of the inordinate delay until next year in starting the public inquiry, it surely makes sense? Even if this is not a public-facing review, it is of such public interest that he should publish the internal review.

Lord Bethell Portrait Lord Bethell (Con)
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My Lords, as I said before, there was an internal ways-of-working review into the department’s early response to the pandemic, way before the threat of variants was on the horizon. None the less, it is our commitment to focus on the pandemic and the threat presented to us by its future evolution. That is why we are focused on today’s measures. We will leave reflection on the past to the inquiry.

Health and Social Care Update

Debate between Lord Bethell and Baroness Andrews
Monday 22nd March 2021

(3 years ago)

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Lord Bethell Portrait Lord Bethell (Con)
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My Lords, I am grateful to the noble Lord for his tribute to the NHS, both the front-line staff and those who have organised the vaccine rollout. He is right to say that this has been a huge national achievement. However, I do not accept the characterisation he has made of other aspects of our pandemic response, including the provision of PPE, which, by the way, involved a huge global competition for extremely rare materials and led to a massive increase in domestic production. I also do not agree with his characterisation of the test and trace programme, which has developed into becoming one of the largest testing programmes in the world. It is now extremely effective, with tracing completion rates above 90%.

Baroness Andrews Portrait Baroness Andrews (Lab) [V]
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My Lords, further to Minister’s exchange with the noble Lord, Lord Forsyth, can he update the House on plans to increase the manufacture of vaccine in the UK and when and where that might happen?

Lord Bethell Portrait Lord Bethell (Con)
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My Lords, I am not sure that I have at my fingertips the precise rollout plan for domestic manufacturing. All I can do is reassure the noble Baroness that we are exploring all options equally hard and are working 110% on every opportunity we have for delivering vaccines into the UK. I reassure the noble Baroness and all noble Lords in the Chamber that we are doing all we can and that at this stage we are hopeful and confident that the supply chain will deliver the vaccines we need in order to vaccinate all adults by the end of July.

Women’s Health Strategy

Debate between Lord Bethell and Baroness Andrews
Tuesday 9th March 2021

(3 years ago)

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Lord Bethell Portrait Lord Bethell (Con)
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The noble Lord makes a really good point. I am not sure whether we have considered the gender aspect of the clinical trials work programme in our G7 agenda. It has been very much about pandemic-preparedness and ensuring that next time we are able to share clinical trial information. Of course, we pat ourselves on the back for our own vaccine clinical trials in the UK, which, I think, have met a new standard for gender representation. He makes a good point, however, about making that case in our G7 work programme, and I will take it back to the department for further consideration.

Baroness Andrews Portrait Baroness Andrews (Lab) [V]
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My Lords, I welcome the consultation and hearing women speak for themselves. It is very encouraging that there has been such an immediate and very positive reaction. We have known for a very long time that health inequalities affect women specifically and disproportionately, and we can take action without necessarily waiting for the consultation—for example, the 2018 BMA report on women’s health showed that even women’s life expectancy had deteriorated, and it recommended changes in medical training and education. As the Minister says, getting this consultation right is a big challenge, but can he assure me that, however challenging it is, the findings will be heard, followed up, acted on and invested in?

Covid-19 Update

Debate between Lord Bethell and Baroness Andrews
Thursday 4th March 2021

(3 years ago)

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Lord Bethell Portrait Lord Bethell (Con)
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My Lords, I am grateful to the noble Baroness for her insightful question about the obscure but vital question of data architecture. If there is going to be one powerful legacy of this awful disease, it will be the way in which data helped drive medical research, medical insight and the treatment of individuals. I am not sure if we need a new registry, a national Covid registry; what we need is for our existing data to be able to talk to itself. I can tell the Chamber that we are making enormous progress on that. I pay tribute to the unsung heroes, the CTOs who meet weekly at the NHS data architecture meeting, an obscure but vital forum where an enormous amount of good work is done by NHSX, NHSD, test and trace and others in primary and secondary care who are working incredibly hard, so that if one takes a test today, it goes into one’s patient record tomorrow and can be used the day after by a researcher looking at long Covid, dexamethasone, recovery or whatever. This is how modern healthcare should work. We have not done it well enough to date. We are making great progress on it tomorrow and we must not stop.

Baroness Andrews Portrait Baroness Andrews (Lab) [V]
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My Lords, like everyone else, I could not agree more that the NHS rollout has been absolutely brilliant. I should also say that the Minister has been resilient, and we all appreciate that. However, I return to what is a more uncomfortable subject, I suspect, and follow up the question on airport testing. The Minister said that far fewer people are travelling and that the pursuit of quarantine conditions is more effective than it was. Given that fewer people are travelling, is it not possible to do what my noble friend Lord Winston suggested and pursue those people through test and trace and airport testing, as many other countries are doing successfully? How can the Minister say that quarantine testing of people in self-isolation is more effective? Can he give us more details on that?

Lord Bethell Portrait Lord Bethell (Con)
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My Lords, I thank the noble Baroness, Lady Andrews, for her questions. Perhaps I may tackle the specific question of airport testing, which has been raised a couple of times. The honest truth is that the arrival of families in south Gloucestershire and Aberdeen who had done a pre-flight test and subsequently developed symptoms demonstrates, I am afraid, that pre-flight and airport testing is not as effective as one would hope. If it were, we would not have to impose a 10-day testing regime with tests on the second and eighth days. That is the only rigorous way in which one can do it. It is estimated that airport testing catches perhaps between 10% and 20% of infection, and that is why managed quarantine is so important. The infection rate among those who arrive in the UK is high enough for us to be seriously concerned and to impose the kind of isolation that we have done. Until that infection rate is reduced, I am afraid that we have to look forward to managed quarantine and isolation being a part of the travel experience for some time.

Covid-19 Update

Debate between Lord Bethell and Baroness Andrews
Thursday 4th February 2021

(3 years, 1 month ago)

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Lord Bethell Portrait Lord Bethell (Con)
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My Lords, they do have a scheduled weekly meeting: it is called PMQs. It is up to either side to decide how well it goes. To reassure my noble friend, we publish absolutely everything on the vaccine. We even publish the formula of the vaccine itself. The data is shared with local authorities—it is out there on the internet—and we could not be more transparent if we tried. We have worked very closely with the Information Commissioner; we have a massive data analytical team; and we are as open as we possibly can be because we believe that trust in the vaccine is absolutely essential to uptake, and therefore it is in our interests to take an open and transparent approach.

Baroness Andrews Portrait Baroness Andrews (Lab) [V]
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My Lords, the Minister said, quite rightly, that the priority for the vaccine is saving lives. Adults with learning difficulties have death rates comparable to those of the over-80s. Given the success of the vaccine rollout, is there any flexibility now for prioritising highly vulnerable groups, particularly when we know that the variants have to be controlled with extra vigilance?

Lord Bethell Portrait Lord Bethell (Con)
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My Lords, the noble Baroness is right, and I am grateful to her for giving me sight of her question in advance. Her point is completely valid and I support her interest in this. The JCVI has made it plain what the initial rollout of priority groups 1 to 4 will be, but there is a mechanism whereby it reviews and reassesses the rollout of further priority groups. That will be the moment when it can look at the kind of questions she raises about groups, such as those with learning difficulties, who have a high rate of mortality. I can reassure her that it is conducting a rolling review of the rollout of the vaccination and will take these matters into account.

Covid-19: Intensive Care Treatment

Debate between Lord Bethell and Baroness Andrews
Thursday 29th October 2020

(3 years, 5 months ago)

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Lord Bethell Portrait Lord Bethell (Con)
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My Lords, I am grateful for the opportunity offered by the noble Baroness to reinforce the point. Age discrimination is absolutely forbidden by the NHS constitution. The CMO wrote to NHS trusts on three occasions to reiterate that point. I quote a letter published on 7 April:

“The key principle is that each person is an individual whose needs and preferences must be taken account of individually. By contrast blanket policies are inappropriate whether due to medical condition, disability, or age.”

Baroness Andrews Portrait Baroness Andrews (Lab) [V]
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My Lords, the Minister’s response is indeed very reassuring. Does he agree that many elderly people will have been very worried by the Sunday Times report? They will welcome the assurances that have just been given by the NHS and the professional bodies that triage was never intended or used as a strategy for implementation. However, we have to be mindful of the fact that, as the pandemic is accelerating, fears are rising. Therefore, it is vital to get this message out as loudly as possible, just as the NHS did in April, when it said at the start of the epidemic that, far from rationing ICU care:

“All patients should be treated respectfully and equally and should receive the best available care.”


Can the Minister say now what the Government will do to support the NHS in reassuring every potential patient, irrespective of their age?

Lord Bethell Portrait Lord Bethell (Con)
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We go into the second wave in much better shape in relation to coronavirus because we know so much more about the virus. In terms of medicines, the therapeutics, the practices, the training, the configuration of our wards and the building of the Nightingales, there is a huge amount of skill, learning and capacity in the NHS to ensure that everyone has the opportunity to receive the best possible care. I remind noble Lords that these claims not only worry patients, they are deeply offensive to NHS doctors, nurses and therapists who have cared for more than 100,000 Covid patients to date in hospital settings and are committed to providing the best possible care in a second wave.

Covid-19: South Yorkshire

Debate between Lord Bethell and Baroness Andrews
Thursday 22nd October 2020

(3 years, 5 months ago)

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Lord Bethell Portrait Lord Bethell (Con)
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The noble Baroness alludes to a glitch that the noble Baroness, Lady Thornton, raised yesterday, which I looked into overnight at her suggestion. It is true that if someone lives in a household with several other people who have been reported to have Covid, they are, at the moment, each receiving emails or calls, not on a household basis. We are looking at this and I hope to have it fixed in the next few days. I am grateful to the noble Baroness, Lady Thornton, for raising it.

Baroness Andrews Portrait Baroness Andrews (Lab) [V]
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My Lords, scientific evidence now suggests that one of the reasons for the spike in cases in the northern regions is due to the fact that Covid has been more virulent and persistent there, and that restrictions were lifted too soon. What have the Government learned from that? Returning to the questions asked by my noble friend Lady Thornton, what will be the criteria in determining when it will be safe to move from the latest restrictions? The Minister spoke movingly of how fearful he was that they would not work. Difficult though it is, the question is: when will we know whether they are working? What will be the elements and criteria of the exit strategy?

Lord Bethell Portrait Lord Bethell (Con)
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My Lords, the exit strategy question is extremely important and I am grateful to the noble Baroness for raising it. We have not published strict criteria for each exit strategy for moving from one tier to another. It is part art and part science, in any case. We look at a large number of indices, including hospitalisation, transmission and incidence rates, and so on. What the Government and local authorities can do is to figure out local Covid plans with inherent exit strategies. We will be working on those as a matter of priority.

Covid-19

Debate between Lord Bethell and Baroness Andrews
Tuesday 20th October 2020

(3 years, 5 months ago)

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Lord Bethell Portrait Lord Bethell (Con)
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The right reverend Prelate puts it extremely well. We completely recognise that not only does the virus attack the most vulnerable, but those who are least fortunate bear the huge brunt of the lockdown and the measures needed to crack down on the virus. In these matters, I emphasise that it is worth stepping back and reminding ourselves that the Government are not the source of the problem; the virus is. All the Government can do is take measures to save lives, protect our healthcare service and keep our schools open. In that way, it is not right to demonise central government for taking measures.

Central government can take measures to help protect the vulnerable, and I acknowledge the right reverend Prelate’s point on this. I reassure her that we have put in place the Job Support Scheme to ensure that those affected by business closure are still paid; we have made £465 million available to help local authorities implement and enforce restrictions; we have provided £1 billion of extra funding to local authorities across the country; and we are committed to working with local authorities to allocate testing and tracing locally.

On the message the Government deliver, I recognise the phenomenon described by the right reverend Prelate, but I reassure her that there is no intent by government to make an association between poor behaviours and results. The data is there. We have published every piece of data we can and, to an extent, it does not lie. It is an uncomfortable truth, but some communities have consistently higher prevalence and infection rates. There is some responsibility on those communities to address the causes of that. It is an intent shared by government, local authorities, communities and individuals. There is no avoiding the fact that you cannot pin responsibility on any one of those four pillars.

Lastly, the right reverend Prelate is entirely right that faith communities pay an important role. I pay testimony to those faith communities in cities such as Leicester and Bolton, which have worked with us to great effect. We continue to put our relations with faith communities at the centre of our outreach to communities.

Baroness Andrews Portrait Baroness Andrews (Lab) [V]
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My Lords, is the Minister aware that, today, a highly respected member of SAGE, Professor Stephen Reicher, said that the three-tier system is

“the worst of all worlds … where there is no sense of clarity. There is a growing sense of inequity and resistance”?

Wales has decided to go for a circuit break, with the situation deteriorating, and a poll suggests that public opinion is very much moving towards recognising that this is necessary and will support it. What evidence can the Minister provide to show Professor Reicher that he is wrong?

Covid-19: Local Restrictions

Debate between Lord Bethell and Baroness Andrews
Friday 9th October 2020

(3 years, 5 months ago)

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Lord Bethell Portrait Lord Bethell (Con)
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My Lords, I note and take very seriously the noble Viscount’s comments on the state of our legislative response to the epidemic. There will no doubt be a time for reflection, learning the lessons of the epidemic and reviewing the legislative processes that we have available. This is not the time; the challenge of Covid is still very much a clear and present danger, but we will take on board his recommendation to reflect and improve on the structures we already have.

Baroness Andrews Portrait Baroness Andrews (Lab) [V]
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My Lords, to go back to my noble friend Lord Hunt’s question, given the exponential rate of the increase in Covid in the north and Midlands, have we not again lost the advantage of acting early and acting fast? Now we are told that the Government are considering introducing a national scheme based on three tiers of severity. What is holding this up? To what extent and how are local authority leaders—who still say publicly that they are being treated with contempt—involved in this decision? And when will Parliament be told?

Lord Bethell Portrait Lord Bethell (Con)
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My Lords, I cannot help but observe the palpable irony of being told, on the one hand, to engage, form alliances and double up on stakeholder engagement and, on the other, being told to hurry up and get a move on. An effective response means a combination of both national and local systems. A huge amount of work needs to be done to build the consensus, support and technical arrangements for that response. We are putting a huge amount of work into that process and look forward to making announcements on it. Until then, I reassure the noble Baroness that officials and politicians are working night and day to make that response as effective as possible.

Covid-19: NHS Application

Debate between Lord Bethell and Baroness Andrews
Thursday 1st October 2020

(3 years, 5 months ago)

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Lord Bethell Portrait Lord Bethell (Con)
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My Lords, I greatly regret that the noble Baroness, Lady Deech, had to make that journey. That is a troubling thing for her to have had to do. I reassure her that 89% of the population have phones whose hardware and software is compatible. Even on today’s numbers, one-third of the 16-plus population of Britain has the app on their phone. This number is high enough to make the app extremely effective; it is an enormous penetration. While this does not account for absolutely everyone, it is terrific progress and we will build on that success.

Baroness Andrews Portrait Baroness Andrews (Lab) [V]
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My Lords, the Minister just gave a figure for the over-16s. In view of the outbreak of Covid in universities, what proportion of university students have accessed the app and actually used it? Am I right in thinking that it is accessible only if you are over 16? Why is this the case?

Lord Bethell Portrait Lord Bethell (Con)
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My Lords, I cannot answer the noble Baroness’s question. There is a very good reason: the privacy arrangements of the app mean that we do not know who has downloaded it. This information is available only to those who have downloaded it. It is precisely because of those privacy arrangements that an enormous amount of trust is placed in the British people. However, I do not deny that it is frustrating that we do not have the kind of demographic insights that the noble Baroness quite reasonably asks for.

Covid-19 Update

Debate between Lord Bethell and Baroness Andrews
Monday 21st September 2020

(3 years, 6 months ago)

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Lord Bethell Portrait Lord Bethell (Con)
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My Lords, I am afraid that any decision about an inquiry is way beyond my pay scale, but the noble Lord is entirely right: there will clearly be massive lessons that we need to learn about the ways in which we do government, and health, and manage our public health. Those lessons should certainly include the economy since the impact of this disease on it has been profound. We will be living with those consequences for some time to come. We need to learn how to protect the economic future of our children when dealing with these kinds of national epidemics.

Baroness Andrews Portrait Baroness Andrews (Lab) [V]
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My Lords, one of the most public failures of communication has been the refusal of the Prime Minister to talk to his counterparts in the devolved nations. Yesterday, they had the privilege of a conversation with Mr Gove. The Prime Minister has still not spoken to them since May. I find that extraordinary. I have never seen Mark Drakeford so angry. Does the Minister agree that unilateral decisions taken in England can have a perverse impact, particularly on Wales, as many people live in Wales but work in England? Will the Prime Minister now engage? Will those devolved Ministers be at the COBRA meeting tomorrow, for example? When will the Prime Minister set up the regular, reliable meetings with his counterparts for which they have been asking for months?

Lord Bethell Portrait Lord Bethell (Con)
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My Lords, the noble Baroness makes a powerful point but it is at odds with my own experience. I deal with my counterparts in the devolved authorities on a very regular basis. We have extremely strong bilateral relations and I pay tribute to the collaborative spirit in which they go into those conversations. All I can say is that I am extremely grateful to those in the devolved authorities who have worked so closely with us in a four-nations response to this epidemic.

Covid-19 Update

Debate between Lord Bethell and Baroness Andrews
Thursday 10th September 2020

(3 years, 6 months ago)

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Lord Bethell Portrait Lord Bethell (Con)
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I answered the question as clearly as I possibly could. This is about communication and clarity and making sure that people understand the instructions; it is not about science. If that is not effective then the guidelines are pointless.

Baroness Andrews Portrait Baroness Andrews (Lab)
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My Lords, perhaps I may take the Minister back to the question asked by the noble Baroness, Lady Walmsley. I was sorry to hear him say rather dismissively that people are clogging up the system because they seek some sort of reassurance, although they do not have symptoms. That seems to me a perfectly natural and human reaction. Can he confirm that basically government policy now is actively to discourage anybody without any symptoms in any situation seeking a test? If that is the case, what is his answer to the letter that he received from the directors of public health in the south-east, who are deeply worried that an area of low infection could easily become an area of high infection? What will he say to the universities that have introduced testing for all students, asymptomatic or not, because they want to protect their local communities, given what we know from America—from Chapel Hill, for example—about the absolutely devastating effect that university populations can have?

Covid-19

Debate between Lord Bethell and Baroness Andrews
Thursday 3rd September 2020

(3 years, 6 months ago)

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Baroness Andrews Portrait Baroness Andrews (Lab)
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My Lords, I take the Minister back to airports. I have three questions. First, what is the science telling us about the likely impact—I know that this is a difficult question—of people coming off planes from highly affected countries? Have we done any research on that? Secondly, the Minister said that it is very difficult to test when people come off aircraft because the disease may be inhabiting them but not presenting. Other countries, however, are testing at five-day and even 10-day intervals: have we considered that? Thirdly, if our only strategy is quarantining, are we collecting data on how people are conforming? Are they staying in isolation? How do we know that? Can the science and the data be made available to us? If there is an unknown or even a known loophole, how do we fill that if quarantining is our only strategy?

Lord Bethell Portrait Lord Bethell (Con)
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The noble Baroness asks three extremely perceptive questions. With regard to the science of testing at airports, a huge amount of work is being done on this, and I pay tribute to the work of the scientists at SAGE, who have, I think, published several papers on this matter.

The number that sticks in my mind is SAGE’s estimate that of those infected who pass through an airport only 7% would be captured by what is called day zero testing—a tiny proportion. That uncomfortable and inconvenient statistic holds us back from doing what we would love to do—it just does not work. We are looking at seven-day testing, eight-day testing and 10-day testing. This is a lot about risk management: there is a risk curve. I would be happy to share a copy of the SAGE report, which is public, that shows that curve.

The noble Baroness is right to raise quarantine implementation: it is a cause of concern. Quarantine is critical to the effective implementation of our epidemic management. It is a trust-based system. Anyone who has read the papers will know that that trust-based system is under pressure. We are keeping it under review and will be looking at whether it needs to be updated.

Covid-19: Local Restrictions

Debate between Lord Bethell and Baroness Andrews
Thursday 3rd September 2020

(3 years, 6 months ago)

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Lord Bethell Portrait Lord Bethell (Con)
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My Lords, I entirely agree with the noble Baroness that local support, trust and collaboration between actors from all political parties are essential to fighting Covid effectively. I pay tribute to the very large number of dialogues and collaborative interventions we have had across the country with local actors from all political parties. Yes, local lockdown decisions are not always popular. They are tough choices and elected representatives find them difficult, but we have found that politics does not play a part in those decisions and we stick to that.

Baroness Andrews Portrait Baroness Andrews (Lab) [V]
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My Lords, it seems to have been decided that areas of low infection do not need the same degree of access to testing as the known hotspots. Indeed, there are accounts of people in London being directed to Wales because there is not sufficient testing capacity. Is this not exactly the way in which to miss the next hotspots and possibly the trigger of a national spike? Is it not another stable door that is left open? On what scientific evidence was this decision made and will it be published?

Lord Bethell Portrait Lord Bethell (Con)
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My Lords, the noble Baroness is right that testing capacity is naturally prioritised to those areas with a major outbreak and that, when supply is constrained, some of the recommendations for travelling, particularly later in the day and in the afternoon, can involve long distances. Our objective is to put in place massive testing capacity right across the country in all areas, whether high or low in infection prevalence. That is our ambition.

Covid-19: Response

Debate between Lord Bethell and Baroness Andrews
Monday 27th July 2020

(3 years, 8 months ago)

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Lord Bethell Portrait Lord Bethell [V]
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The noble Baroness raises an incredibly important issue and I pay tribute to Kate Bingham, who is running the Vaccine Taskforce. She is tackling exactly the issue that the noble Baroness raised. GPs are right to be concerned about capacity, which is why we are looking at ways of massively increasing the capacity to deliver such a vaccine. We will definitely look at resources such as returnees, pharmacists and other sources of people power to deliver the vaccine into the arms of the nation. On the anti-vaxxer groups, the fake news and wrong stories around vaccines are an area of deep concern. We are working with faith groups and other civic leaders to put right the arguments for a vaccine because, at the end of the day, any vaccine requires the participation of a large proportion of the country in order for it to be truly effective. It will cause huge disruption and personal suffering if trust is not maintained in the efficacy of such a vaccine.

Baroness Andrews Portrait Baroness Andrews (Lab) [V]
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Where does the Minister think the greatest risks of a second wave of Covid-19 now lie? What specifically needs to be achieved by early autumn to prevent that, and what extra support will be provided specifically for care homes?

Lord Bethell Portrait Lord Bethell [V]
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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.

Covid-19: Personal Protective Equipment

Debate between Lord Bethell and Baroness Andrews
Thursday 16th July 2020

(3 years, 8 months ago)

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Baroness Andrews Portrait Baroness Andrews
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To ask Her Majesty’s Government what steps they are taking to ensure that there is a sufficient supply of personal protective equipment for (1) hospitals, and (2) care homes, in the event of a second wave of cases of COVID-19.

Lord Bethell Portrait The Parliamentary Under-Secretary of State, Department of Health and Social Care (Lord Bethell) (Con) [V]
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My Lords, we have made our supply chains more resilient by massively expanding both our supply from overseas and our domestic manufacturing capability. We are now confident in our supply of PPE to meet the needs of health and social care over the next seven-day and 90-day horizons and are looking further ahead. We continue to model future demand from health and care services to cover the approach of winter and bring resilience to the supply chain.

Baroness Andrews Portrait Baroness Andrews (Lab) [V]
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My Lords, the Government are being warned, urgently, on all sides to prepare for a second wave of Covid this winter. I hear what the Minister has said but last week, the Public Accounts Committee found that the Government are still not treating the supply of PPE with similar urgency. Will the Minister now commit to publishing a detailed plan by September, as the committee has asked for, explaining what exactly will be different, so that mistakes are not repeated and health and care workers are better protected?

Covid-19: Care Home Deaths

Debate between Lord Bethell and Baroness Andrews
Wednesday 22nd April 2020

(3 years, 11 months ago)

Lords Chamber
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Lord Bethell Portrait Lord Bethell
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The noble Baroness is entirely right. This is an evil disease which strikes the elderly and those with pre-existing conditions the worst, and those who live in care homes are the most vulnerable. The Government have sought to put a ring of steel in place. We have resourced care homes enormously. Testing is now being focused on care homes to try to reduce the prevalence of the disease, and we will continue to focus on protecting our care homes.

Baroness Andrews Portrait Baroness Andrews (Lab)
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My question is about the information we have on the deaths of care workers in care homes. Given that so many of our care homes are extensively staffed by BAME workers, and we are incredibly grateful, can the Minister say whether we are likely to have figures for the proportion of BAME staff in those homes who have died? On that point, and in the context of the review, which we welcome, into the disproportionate numbers of BAME workers generally in the health service who have been affected, can the Minister tell us when it will start, who will lead that inquiry and what timetable the Government will be working to?

Lord Bethell Portrait Lord Bethell
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I echo the noble Baroness’s timely comments on the role of BAME workers, many of whom have provided an amazing service and put themselves in harm’s way to care for those who are vulnerable. The idea that they are being disproportionately hit by this disease is extremely distressing. The numbers are not to hand so I cannot share precise numbers at the moment, but we are looking into this at speed and trying to understand the causes and the impact of this awful phenomenon. I commit to bring those numbers to the House as soon as they are available.