Women’s Health Strategy

Debate between Lord Bethell and Lord Wigley

Tuesday 9th March 2021 Lords Chamber

[Lord Bethell (Con)]

My Lords, the question of fragmentation does not affect women alone; it is a problem across the healthcare system. However, the noble Baroness is entirely right: some of the conditions that afflict women in particular are not properly prioritised, and, therefore, the pathways connected with them are not as developed as they should be. That is the kind of challenge that we wish to address. However, the overall macro point is this question of listening: have we really listened to women—their symptoms, needs and health priorities—or are we behind the curve on that? I suspect that, too often, the health priorities that women would like to see emphasised simply have not been heard by the system.

[Lord Wigley (PC) [V]]

My Lords, I draw attention to my registered interest as a vice president of Mencap. In presenting this Statement to the House of Commons yesterday, the Minister stressed that the inquiry that the Government is initiating will specifically include disabled women and those with mental health issues—something that I greatly welcome. Will the Minister confirm that this group will also specifically include, in their own right, women who have learning disabilities, because they are disproportionately vulnerable to illnesses that have no relationship to their disabilities, which places them in potential double jeopardy and needs to be addressed in its own right?

[Lord Bethell (Con)]

Yes, I can reassure the noble Lord that the call for evidence is open to everyone aged 16 and over, which, of course, includes people with disabilities and learning disabilities. The online survey within the call for evidence specifically mentions disabilities throughout, and I reassure the noble Lord that the evidence that we gather with regard to disabilities and learning disabilities will be considered extremely carefully to inform the priorities, content and actions of the strategy.

Covid-19 Vaccines Deployment

Debate between Lord Bethell and Lord Wigley

Thursday 11th February 2021 Lords Chamber

[Lord Bethell (Con)]

My Lords, the noble Lord touches on one very positive subject: summer holidays. I entirely agree with him on the therapeutic effect of planning one’s holiday. I spend far too much time looking at Scottish cottages and the North Coast 500 to inspire me about the months ahead.

The noble Lord touches on the very difficult subject of care homes. I do not avoid the fact that this is one of the most awkward and regretful circumstances of the moment we are in. The bottom line is that care homes have many residents of different ages. A care home epidemic is unbelievably difficult to control and leads to mortality and sickness. I do not recognise the 20% figure that he articulated, but he is right that in many homes it is not the case that 100% of residents have been vaccinated. It is certainly not the case that everybody who would wish to visit one has been vaccinated. We are in a strange lacuna where visits are not possible—at least not indoor visits, only outdoor ones. I hope that we can end this awkward and difficult moment with the swift and emphatic deployment of the vaccine.

[Lord Wigley (PC) [V]]

My Lords, will the Minister join me in welcoming the fact that Wales had become the first of the UK nations to have vaccinated more than 20% of its population? Will he confirm that the availability of vaccine supplies for all four homes nations has been co-ordinated by the NHS centrally? That being so, can he reassure me that adequate supplies will consistently be made available to the NHS in Wales to keep up this rate of vaccination, and to enable it to give to all those who have had their first jab their second follow-up jab within 12 weeks?

[Lord Bethell (Con)]

My Lords, I pay tribute to the Welsh for hitting that remarkable number. I thank the noble Lord very much indeed for bringing it to the House’s attention. I absolutely assure him that distribution of the vaccines is done in very close concert between the four nations. These numbers are assessed and gone through in great detail on a weekly call on Thursday evenings between the Secretary of the State and his opposite numbers. The JCVI and Emily Lawson, who is running the vaccination programme, are in close contact with their DA counterparts. The figures I have seen suggest that the supply to the nations is more than the target numbers that we had originally planned.

Covid-19: People with Learning Difficulties and Autism

Debate between Lord Bethell and Lord Wigley

Monday 5th October 2020 Lords Chamber

[Lord Bethell (Con)]

My Lords, I would like to pay tribute to the work of the learning disability and autism advisory group for its social care task force. Its recommendations have informed the development of the social care winter plan, which provides specific provisions for those with learning disabilities and autism. I would be very glad to meet whichever groups the noble Baroness recommends, because this is an important issue that we care about immensely and are determined to get right.

[Lord Wigley (PC) [V]]

My Lords, I draw attention to my registered interest as a vice-president of Mencap. Does the Minister recognise the challenges facing many parent carers of people with a learning disability who are older people, who often themselves are having to shield during lockdown? What are the Government doing specifically to ensure such households have the support they need as we enter the second wave of Covid this autumn?

[Lord Bethell (Con)]

My Lords, the role of any carer is one that we should applaud and pay tribute to, for they are often the overlooked supporters of those with learning difficulties and autism. The plight of those families during Covid has been very hard, and we recognise the tough challenges faced by older parents in particular, who have big responsibilities for children with learning difficulties. The main support will be through local government, and we have put through a huge amount of finance to local authorities and charities to support those families. The adult winter plan has £500 million for the infection control fund, and the NHS has £588 million to support those who are moving from one part of care to another. We will continue this financial support in this area.

Covid-19: Self-isolation Payment Scheme

Debate between Lord Bethell and Lord Wigley

Wednesday 2nd September 2020 Lords Chamber

[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.

[Lord Wigley (PC) [V]]

My Lords, will the Minister confirm that if local spikes appear around the United Kingdom, this scheme will be available to them? Will it be available in Glasgow, for example? Can he confirm that enough flexibility will be allowed to those administrating the scheme to ensure that those who need the scheme, whose circumstances will vary greatly, will be able to get it quickly and expeditiously?

[Lord Bethell (Con)]

The noble Lord asks a wide-ranging set of questions. We are looking at the effectiveness of the scheme. We are working with DAs to see whether the scheme could or should be extended in Scotland, Wales and Northern Ireland. Once that review is done and we have assessed its impact, we will be able to make decisions of the kind he describes.

Covid-19: Removal of Restrictions

Debate between Lord Bethell and Lord Wigley

Tuesday 21st April 2020 Lords Chamber

[Lord Bethell]

Forgive me, my Lords, the beeping of my computer distracted me during my answer to the previous question. I did not want to give the impression that I was sceptical of the use of serology tests; far from it. We are investing a huge amount in research into serology tests of various kinds, both lateral flow and ELISA tests. We have been in touch with more than 180 providers of these tests. The Government recently backed a British-based consortium developing a British lateral flow test of which we have very high hopes and expectations, with a view to potentially doing a large amount of mass testing in the months to come. As the noble Lord rightly implied, you need a level of antibody prevalence for the testing to be accurate and useful. This type of test will be important to us further down the road and I will update noble Lords on the progress of our research as it develops.

[Lord Wigley (PC)]

My Lords, does the Minister agree that the best outcome by far would be for the unlocking to be simultaneous in the four nations of these islands? Does he also accept that that can happen only by the unanimous agreement of the four Governments? Will he confirm that there can be no question of areas ahead of the curve of the pandemic unlocking prematurely and putting in jeopardy the lives of citizens in other areas which are behind the curve?