Commonwealth Fund Report: NHS Ranking

Debate between Lord Bethell and Lord Foulkes of Cumnock

Tuesday 14th September 2021 Lords Chamber

[Lord Bethell (Con)]

My Lords, we are investing a tremendous amount in preventive care, and I agree with the noble Baroness that this is key to the future—to better and longer lives and, on my noble friend’s point, to increasing the productivity of our healthcare system. I have already mentioned the key components of our preventive agenda and I add to that list the £325 million that we have allocated to the diagnostic fund precisely to catch disease earlier, to give people the treatments they need earlier, and to bring down the cost of our healthcare service.

[Lord Foulkes of Cumnock (Lab Co-op)]

My Lords, is one of the reasons for this decline the fact that we have fewer doctors per head than almost any other country in the OECD? When the Prime Minister announced 6,000 new doctors, did he know that it takes six years to train a doctor? In fact, the numbers have gone down rather than up, so what will the Minister and his colleagues do now to improve the position?

[Lord Bethell (Con)]

My Lords, we are grateful to GPs and doctors for the work that they do. Of course, the way to get more GPs is partly by training them, partly by retaining them, and partly by working with GPs from overseas who come and serve in the NHS. That is how we are meeting our commitments on raising the number of GPs in the NHS.

Covid-19 Update

Debate between Lord Bethell and Lord Foulkes of Cumnock

Tuesday 6th July 2021 Lords Chamber

[Lord Bethell (Con)]

My Lords, that is an extremely broad question. I reassure the noble Baroness that we have published thousands of pages of guidance, many of which have been across my desk, and it has been a privilege to read it all. We have developed better thinking on how we do guidance: I would like to think that it is now written in clearer English and in more languages, and has been made more accessible to those who have reading challenges. We have developed those important learnings over the pandemic.

[Lord Foulkes of Cumnock (Lab Co-op)]

Does the Minister agree that it would be preferable if the guidance was similar throughout the whole of the United Kingdom, especially for those of us who travel regularly from Scotland to London? What discussions and meetings does he have planned with the Ministers in the devolved authorities to try to achieve that?

Covid-19: Wuhan Institute of Virology

Debate between Lord Bethell and Lord Foulkes of Cumnock

Wednesday 30th June 2021 Lords Chamber

[Lord Bethell (Con)]

My Lords, I entirely agree with the sentiments expressed by my noble friend. We are absolutely calling for a timely, transparent and evidence-based phase 2 study, including further investigation in China, as recommended by the experts’ report. We agree with the Independent Panel for Pandemic Preparedness & Response that member states should give the WHO greater powers to investigate outbreaks of pathogens with pandemic potential within member states.

[Lord Foulkes of Cumnock (Lab Co-op)]

My Lords, I commend the Minister for an excellent reply to the noble Viscount’s Question—a reply obviously informed by the excellent staff at the Department of Health and Social Care. In the light of that, can I gently ask why, as a Minister, did he feel it necessary to have a parliamentary research assistant?

[Lord Bethell (Con)]

My Lords, I have written to the commissioner for standards in response to that precise question and I should be glad to share that correspondence with the noble Lord.

COVID-19 Variant: Travel Guidance for Local Authorities

Debate between Lord Bethell and Lord Foulkes of Cumnock

Wednesday 26th May 2021 Lords Chamber

[Lord Bethell (Con)]

We have not banned smoking; lots of smoking is going on among the British public.

This is where the public have a role to play. They have agency, they are able to make their own decisions and they can make the sensible distinction between meeting inside when they could be meeting outside and making unavoidable decisions of the kind the noble Baroness alluded to.

[Lord Foulkes of Cumnock (Lab Co-op)]

I will have a go now. The latest advice to people in these areas is to minimise travel and use their common sense. If a family have booked a trip away for the weekend, how would the Minister advise them?

[Lord Bethell (Con)]

My Lords, I would ask them to use their common sense. I am a parliamentarian; I am not telling them or legislating for them on that particular decision. They can see the rising infection rates around them, they know for themselves how this disease spreads and we are asking them to make a sensible, reasonable, common-sense decision about whether that journey is necessary. That is not something we are legislating for, it is what we are putting in guidelines, and I think that that, at this stage of the pandemic, is a reasonable response.

Covid-19 Internal Review

Debate between Lord Bethell and Lord Foulkes of Cumnock

Thursday 20th May 2021 Lords Chamber

[Lord Bethell (Con)]

I am enormously grateful for my noble friend’s kind comments. On his point on vaccines, I emphasise the enormous contribution of the whole union behind the vaccine project. It has been a union project to deploy vaccines to every person in the UK at amazing speed and with consistency right across all parts of the union. For that we should be enormously grateful.

[Lord Foulkes of Cumnock (Lab Co-op)]

My Lords, while we all here respect that health is a devolved responsibility, does the Minister not agree with me that one of the problems that arose was the confusion arising from different rules in different parts of the United Kingdom and different messages throughout the United Kingdom? In the inquiry, will the United Kingdom Government talk with the devolved Administrations to make sure that, in future, there is a more co-ordinated response? The virus knows no boundaries.

[Lord Bethell (Con)]

My Lords, the Prime Minister will define the terms of reference and the chair will define how the inquiry deports itself. On the noble Lord’s point about the rules and the suggestion of confusion, I agree that there was a lot of heat and smoke around differences but the truth is that 99% of everything that we did between the different parts of the union was exactly the same. There was a lot of focus on very small differences, but what I celebrate is how much common ground there was in our responses.

Covid-19 Vaccine Rollout

Debate between Lord Bethell and Lord Foulkes of Cumnock

Wednesday 9th December 2020 Lords Chamber

[Lord Bethell (Con)]

My Lords, I join my noble friend in paying tribute to the MHRA. We have all seen Dr June Raine in her flawless presentation and authoritative explanation of the authorisation of the vaccine. I am sure that, if she were here today, she would want to pay tribute to her incredibly impressive team at the MHRA. I also pay tribute to Kate Bingham and the very many people from the private sector who have stepped forward during the pandemic to take on onerous, sometimes high-profile and sometimes quite controversial roles in the battle with the pandemic. We owe them a huge tribute. They have often given up their time and put themselves in the firing line in order to do this work. Kate Bingham has massively delivered for this country and I am grateful to all those, either at the top of the task force or in local community work, who have stepped forward and made a contribution to our battle against Covid.

[Lord Foulkes of Cumnock (Lab Co-op)]

My Lords, does the Minister agree that there is a danger that this whole programme could be undermined by crazy anti-vaxxers, particularly on social media? What are the Government going to do to counteract this?

[Lord Bethell (Con)]

The noble Lord speaks truth, as always, in this matter. We are naturally concerned by those who deliberately seek to undermine the integrity of the vaccine. However, we are also considerate of those who might have quite reasonable questions about it or might even have what we think are completely unreasonable ones but who have concerns about, or an emotional response to, vaccines. Our approach is to handle those doubts and questions in a dialogue and a spirit of partnership, trying to answer them as considerately as we possibly can. Yes, we should battle those who seek to profit commercially or are acting in their own narrow, national interest to undermine the vaccine in this country. But we want to answer those in our community who have questions about the vaccine with transparency, reassurance and science.

Food Hygiene Rating Displays

Debate between Lord Bethell and Lord Foulkes of Cumnock

Wednesday 7th October 2020 Lords Chamber

[Lord Bethell (Con)]

My Lords, I cannot commit at this point at the Dispatch Box to a date, as the noble Baroness has asked. However, I will express an enormous amount of warmth towards the idea. I acknowledge that only 55% of businesses in England display their ratings for their premises, whereas in Wales, where it is mandatory, the number of businesses with the highest rating of five has increased by 25% since the introduction of mandatory displays in 2013. That is surely good evidence that the scheme has impact and works.

[Lord Foulkes of Cumnock (Lab Co-op)]

My Lords, but is the Minister aware that in Uxbridge, of 263 food outlets, 21 have not been inspected and 30 scored only between zero and two and, as my noble friend Lord Rooker said, are unlikely to display that? If this is replicated throughout England, there will be thousands of outlets not displaying it. Until it becomes mandatory, what are the Government going to do about it?

[Lord Bethell (Con)]

Well, my Lords, the situation in Uxbridge is clearly one of grave concern, and I share the noble Lord’s concerns—but that is not the national picture. As I said earlier, in England generally 55% of businesses display their rating. This is not enough, which is why we are considering the measure with the scrutiny that we are.

Covid-19: Tracking

Debate between Lord Bethell and Lord Foulkes of Cumnock

Wednesday 30th September 2020 Lords Chamber

[Lord Foulkes of Cumnock (Lab Co-op) [V]]

My Lords, is not this new system available only on newer smartphones, which older people and poorer people are less likely to possess? They are the most vulnerable. Is there not a danger of this becoming yet another expensive and useless gimmick?

[Lord Bethell (Con)]

Perhaps I may reassure the noble Lord that the NHS app is usable by nine out of 10 smartphones. On average, 87% of Apple and Android phones can download the NHS app. The Apple express service uses a smaller segment of the population because it requires more modern software in the phones.

Covid-19 Update

Debate between Lord Bethell and Lord Foulkes of Cumnock

Wednesday 1st July 2020 Lords Chamber

[Lord Bethell]

My noble friend is right to raise this important subject. I know the volunteer testing network; I value it enormously and am extremely grateful for its support. I am currently looking into its funding, and I would be glad to write to my noble friend to provide a clearer answer on that.

[Lord Foulkes of Cumnock (Lab Co-op) [V]]

The Minister graphically described Leicester as a rock pool while the tide of the pandemic goes out, but tides have a strange habit of coming back in again. The Government have decreed that all the pubs in England will open on a Saturday—4 July. As my noble friend Lady Thornton said, that has been described as another New Year’s Eve, and of course it is followed by a Sunday. What plans do the Government, and particularly the Department of Health, have to respond to any problems that may arise after this rather early New Year’s Eve?

[Lord Bethell]

The noble Lord is right to be concerned. I think we are all concerned about the unlockdown because we want to return to opening the economy and society, but we are naturally anxious about the consequences. I have met the leaders of pubs, clubs and others in the hospitality industry, and I am working extremely closely with them to put in systems with which we can record those who attend those venues to support our tracing efforts—and to provide a subliminal message to all those who attend that they are at a place of risk and have to behave with some common sense. I am extremely hopeful that the experiment will be a success, but we should not be under any illusion: if the tide returns and the experiment does not work out, we will have no hesitation in suspending the experiment and going back to closing the pubs if necessary.

Covid-19: Obese and Overweight People

Debate between Lord Bethell and Lord Foulkes of Cumnock

Thursday 4th June 2020 Lords Chamber

[Lord Bethell]

The noble Baroness is entirely right to suggest that Covid might be the infection point—the intervention necessary to wake up the nation to the dangers of obesity. We are keen to use that moment to make progress on this important issue.

[Lord Foulkes of Cumnock (Lab Co-op)]

My Lords, I declare a very personal interest in this issue: a recent Lancet article raised concerns that obesity is now shifting severe Covid disease to younger ages. Will the Government put in place public messaging not of shame but of sympathy and encouragement to younger adults?

[Lord Bethell]

The noble Lord is entirely right to raise the issue not only of younger adults but of children. These habits are formed extremely early and are hard to kick; if interventions are to be effective nationwide, they need to be aimed at all parts of society, particularly younger ages, when people pick up the behaviours of a lifetime.

Covid-19: Removal of Restrictions

Debate between Lord Bethell and Lord Foulkes of Cumnock

Tuesday 21st April 2020 Lords Chamber

[The Parliamentary Under-Secretary of State, Department of Health and Social Care (Lord Bethell) (Con)]

My Lords, our priorities are to save lives and protect the NHS. When the evidence demonstrates that it is safe to do so, we will adjust the lockdown arrangements. We have set out five clear conditions that need to be met. Adjusting the lockdown arrangements could involve relaxing measures in some areas, while strengthening measures in others. In formulating the right balance, we will be guided at all times by scientific advice and by the evidence.

[Lord Foulkes of Cumnock (Lab Co-op)]

I am grateful to the Minister, but why do he and other Ministers think that the British public are unable to deal with two messages simultaneously? Will the Government now set out a plan for lifting the lockdown in stages when it is safe to do so in each area, just as is being done in other countries and, indeed, is being looked at by the Scottish Government?

[Lord Bethell]

The noble Lord is right that the British public have been incredibly diligent, and I commend all those who have followed the guidelines to stay at home for the impact they have had on the infection rate and the mortality rate. However, we cannot fool ourselves into thinking that the epidemic is over. We have to be clear with, and level with, the public that any changes in the guidelines are some way off, and that they will be presented to the public when our understanding of the medium-term strategy is clear.

Coronavirus

Debate between Lord Bethell and Lord Foulkes of Cumnock

Thursday 12th March 2020 Lords Chamber

[Lord Bethell]

The recruitment of recently retired staff requires some changes to legislation, which are being studied at the moment. We look forward to bringing them to the House in the near future. I am happy to update the House on those provisions, once we have made further progress.

[Lord Foulkes of Cumnock (Lab Co-op)]

My Lords, I welcome the decision of the Government, and the meetings of the joint commissions, that Parliament should continue to operate properly in our democratic society—not least, as the noble and learned Lord, Lord Judge, said, so that we can deal with the draft legislation for this emergency. But has any assessment been made of potential dangers from the large groups of visitors, from many countries, who wander around—and are taken around—this building? That might create dangers that put the question of our sitting in doubt.

[Lord Bethell]

The noble Lord’s point has been raised with me by staff of the Palace, who are concerned about this. It is not for me, I am afraid, to answer this question; it is for the officers of the House. I know they are looking at this matter and are being advised by the Chief Medical Officer.

NHS: Babylon’s GP at Hand App

Debate between Lord Bethell and Lord Foulkes of Cumnock

Monday 21st October 2019 Lords Chamber

[Lord Bethell]

To date, there has been no articulation of a need for further legislation.

[Lord Foulkes of Cumnock (Lab Co-op)]

My Lords, is it just a coincidence that Dominic Cummings used to work for this dodgy private healthcare company that is now getting so much financial and other assistance from the Government? How many meetings there have been between Health Ministers, particularly the Health Secretary, and officials from this company, Babylon? If the Minister cannot tell us today, will he write to me with details of every meeting and put a copy in the Library?

[Lord Bethell]

Decisions on individual providers are made by the NHS commissioners, not by special advisers. The meetings of special advisers are documented in Cabinet Office folders and I would be glad to send a link.