Covid-19 Update

Debate between Lord Bethell and Lord Greaves

Thursday 12th November 2020 Lords Chamber

[Lord Greaves (LD)]

My Lords, the Statement is very positive about the quickie lateral flow tests. It refers to the pilots in Stoke-on-Trent and Liverpool and the fact that mass testing will be carried out in 67 other authorities. However, the list does not appear to include Lancashire, which I thought was part of that testing. Can the Minister confirm that Lancashire is part of it, even though it has been missed off the list, and is it the whole of Lancashire or just some of the 12 districts in Lancashire? The Statement also refers to the Government’s strategy of suppressing the virus and supporting education, the economy and the NHS until a vaccine is available. That is fine but, once again, it does not home in on the people who are really suffering—close family and friends, and particularly old and vulnerable people. A recent report—released this week, I think—from the Red Cross, called Lonely and Left Behind, really shows up the misery and mental disarray that a lot of these people are in. Some have been locking themselves down and have been frightened to go out since the early spring. Does the Minister understand that, if a system of quickie testing of this kind and then vaccination are to be brought in, these people have to be treated as an absolute top priority, and that the first thing the Government have to do is to give them the confidence to take part in it?

[Lord Bethell (Con)]

My Lords, I reassure the noble Lord that the 67 DPHs who are taking the tests in the first round are those who stepped forward. I believe that they include DPHs in Lancashire, but I shall be happy to confirm that. Regarding the Lonely and Left Behind report, the noble Lord put it extremely well. Of course those are the people who have been extremely hard hit by the pandemic. I hope he will acknowledge that we have put those who are older and vulnerable at the top of the prioritisation list—there has been no ambiguity about that. They will be vaccinated first and will therefore be freed from lockdown. When the vaccination is available, it will be a massive priority to get our society open again and to get the love, tenderness and support to the people whom he described—all things that are needed in order for them to have happy and fulfilled lives.

Covid-19: Great Barrington Declaration

Debate between Lord Bethell and Lord Greaves

Tuesday 13th October 2020 Lords Chamber

[Lord Bethell (Con)]

The noble Baroness is entirely right. Not only is the evidence of reinfection mounting—a source of huge disappointment, frankly, but something that we have to realistically face up to—but the evidence of long Covid is also mounting, with nearly one in 10 young people infected with Covid reporting some kind of ongoing illness, and many reporting extremely worrying neurological, cardiac or renal damage. This is not flu; this is not a complex cold; this is not a posh version of a duvet day. This is a very serious infection that leaves a long effect on those who are vulnerable, and even on the young and fit. We should be very wary of it.

[Lord Greaves (LD)]

My Lords, what we need is some stability. Yesterday, as picked up by the media overnight, Lancashire and the borough of Pendle—here I declare my interest—were put into tier 2, which was welcomed locally by people and businesses. We now hear of discussions that, by the end of the week, we might be downgraded to tier 3. This is neither stability nor understanding. What on earth is going on? Is it a shambles?

[Lord Bethell (Con)]

My Lords, I pay tribute to the council in Pendle which, as those in the Chamber know, has done an enormous amount to fight Covid infection and has been exemplary in its approach to containment. However, it is a sad truth that the infection is spreading, particularly among the young, and making its way through the generations. You have only to look at the hospitalisation rates today to see that we will have a serious problem as the lag is complete; in a few weeks’ time, those rates will go up. The Government are taking prompt action, which is tough and unpleasant for those involved. I deeply regret the possibility that Pendle may be hit by harder restrictions, but this is a reasonable approach and it is done to save lives.

Covid-19 Update

Debate between Lord Bethell and Lord Greaves

Wednesday 23rd September 2020 Lords Chamber

[Lord Bethell (Con)]

The noble Lord makes an extremely good point. I am grateful to him for alerting me to this question in advance. We take the contribution of pharmacists to the battle against Covid extremely seriously. I am not sure, right now, why pharmacists have been taken off the list and I would be glad to look into the matter and respond to him shortly.

[Lord Greaves (LD)]

My Lords, turning to the new proposals affecting people advised to self-isolate, on the one hand, an isolation payment of £500 is being offered, which is an incentive; on the other, there is a new legal duty, the enforcement of which could result in some quite swingeing fines if people do not do it. It is a two-sided thing. I have two questions about this. First, what involvement will local authorities have in this process? Will it all be done centrally or locally—like the payments in the pilot areas—or will it be both together? Secondly, there is obviously a lot of scope for disputes about this—about individuals and how they are treated and so on. What documentation will be involved? It is rather more than simply getting a telephone call and being asked to do something. It is an offer of quite a bit of money, and it is an instruction to do things. Will they be sent pieces of paper or will it be done by email or whatever? Will there be documentation to back all this up?

[Lord Bethell (Con)]

My Lords, implementation of both the payment and the legal sanctions will run their course through exactly the same channels as any other social care payment or the implementation of any other social duty. That will be led by local authorities, as it would be with any other social penalty. The police will be involved. The courts will be involved. Appeal processes will be involved. We hope that there will not be many sanctions, and that the payments will make a big difference to isolation protocols.

Covid-19 Update

Debate between Lord Bethell and Lord Greaves

Monday 14th September 2020 Lords Chamber

[Lord Bethell (Con)]

My Lords, I am here to support the regulations before the House, not to comment on the issues about which the noble Lord asks.

[Lord Greaves (LD)]

My Lords, the noble Lord has previously congratulated people in my part of Lancashire on how well we are doing, which I do not quite agree with; we are working hard. Why are people, whether in our borough or the surrounding ones, still not able to book tests locally when we usually have three testing stations going? Some are being told to ration the number of tests they do each day, which involves gaps of perhaps two hours when they will not accept any bookings, even though the testing kit and the people are there, and the tests could be carried out. However, people are not being allowed to use them.

[Lord Bethell (Con)]

My Lords, the amount of testing we are doing is increasing enormously. Most people who book a test do get it locally, and that test is delivered quickly and on time. The result arrives within 24 hours and we are doing a million tests a week, which is well within the bounds of our business capacity.

The noble Lord is right that the system is under scrutiny and pressure. Not everyone is getting a test where and when they want it. However, overall, it is reasonable to ask people not to make frivolous demands upon the tests, and to ask that those who are asymptomatic wait until there is further test capacity before they step forward to ask for their test.

Covid-19

Debate between Lord Bethell and Lord Greaves

Thursday 3rd September 2020 Lords Chamber

[Lord Greaves (LD) [V]]

My Lords, yesterday the Minister praised Pendle Borough Council—I repeat my interest—for its work on Covid, which now includes local tracking of positive cases; that is, the kinds of cases that the national system has failed to reach. Can the Minister explain why passing cases to the local level, which should be done within 24 hours, has in some cases taken four or five days? Furthermore, when a case has been reached, and more local contacts have been discovered, why do they have to be passed back to the national level and not quickly followed up locally? They might even be in the same street. Why are district councils such as Pendle not being provided with sufficient funding to cover all the costs of this work?

[Lord Bethell (Con)]

My Lords, once again I pay tribute to Pendle Borough Council, which is an absolute model of local collaboration in the handling of a local outbreak. I am greatly encouraged that Pendle has stepped forward to do local tracing. I do not know the precise details and will not pretend otherwise, but the story the noble Lord tells illustrates a harsh truth: not everyone wants to be traced. Not everyone participates in the system with the kind of enthusiasm one would like. It sometimes takes persistence and determination to track people who may be recipients of some very difficult news about their isolation and how they are going to spend the next 14 days—news that may either have an economic impact on them or seriously disrupt plans for them and their family. It is tough to track and trace people. That is why we work with local authorities to do it, why I was proud to announce the numbers earlier and why I am grateful to the noble Lord for illustrating the point with his story from Pendle.

Covid-19: Self-isolation Payment Scheme

Debate between Lord Bethell and Lord Greaves

Wednesday 2nd September 2020 Lords Chamber

[Lord Bethell (Con)]

The noble Lord is entirely right. The decision to isolate is extremely tough for a great many people, both economically and psychologically. The importance of isolation is absolutely critical in our battle against Covid. We have to think of ways of supporting people in every way we can. That is the responsibility of local authorities, and we have provided them with £300 million of funding to support their isolation, test and trace programme. I would like to pay tribute to local authorities that are doing a fantastic job of putting support in place for those who are isolating in expectation of the winter.

[Lord Greaves (LD) [V]]

My Lords, I speak from Pendle, and declare my interests, where council staff and the council leadership are working heroically in the front line of the Covid battle. This is a welcome although very small step. Is the Minister aware, though, that our determination to test, test, test and find positive cases is greatly hindered by the inefficient and failing national tracking, contact and isolate system and by the complex, obscure and bureaucratic way in which decisions on local restrictions and support are being made? Will the Government give much more authority and resources to local people with the skills and local knowledge that are needed, particularly in tracking down local contacts and persuading them to co-operate? Give us the tools and we will get on with the job.

[Lord Bethell (Con)]

The noble Lord gives fascinating testimony, and I pay tribute to the council in Pendle, which is well known for its energetic approach in dealing with the epidemic. I honestly say a massive thank you to all those in Pendle who are working so hard. Despite what the noble Lord has just said, they are being successful. The strategy is working and they are fighting the disease and breaking the chains of transmission, and we are all hopeful that Pendle will be restored to normal life as soon as possible. Our approach is to give those on the ground the tools they need, exactly as the noble Lord asks. I am hopeful that that is happening. I hear reports that it is, and that is very much the emphasis of our approach.

Independent Medicines and Medical Devices Safety Review

Debate between Lord Bethell and Lord Greaves

Wednesday 15th July 2020 Lords Chamber

[Lord Greaves (LD)]

My Lords, this is yet another outstanding report from the noble Baroness, Lady Cumberlege. The beginning of the “Implementation” section reads:

“Our recommendations are designed to pave the way for a future healthcare system that looks and feels very different.”


This is not only an outstanding report; it is a revolutionary report. Do the Government accept that this is not just another committee of inquiry but an investigation that found the facts and came back with recommendations? Are they going to set up the task force?

[Lord Bethell]

I completely agree with the noble Lord, Lord Greaves, that this is an important report. I pay tribute to my predecessor my noble friend Lord O’Shaughnessy, who commissioned it. We take it extremely seriously. No one could possibly read about the hardships suffered by the women described in this report without wanting to move swiftly on it. It has only been a few days so I cannot announce a strict timetable for every measure, but I assure the noble Lord that it is taken seriously and we will be moving on it in the very near future.