Covid-19 Vaccine Rollout

Lord Bilimoria Excerpts

Wednesday 9th December 2020 Lords Chamber

[Lord Bethell (Con)]

I am grateful to my noble friend for his kind comments, and endorse his tribute to all those who have worked hard on the front line of healthcare during this pandemic, at times putting themselves at risk, and all of them under great stress. We owe them enormous gratitude. The JCVI has made a clear priority list and advised that the first priorities for any vaccination programme should be the prevention of mortality and protection of healthcare staff and systems. Therefore the vaccine is being rolled out to the priority groups, including care home residents and staff, people over 80, and healthcare workers. They are the ones who will be at the top of the list, and that seems to me proportionate, fair and right. As we work through the later prioritisations, others in the population will have access to the vaccine.

[Lord Bilimoria (CB) [V]]

My Lords, many congratulations to the Minister, the Government, Kate Bingham and the Vaccine Taskforce on V-day, yesterday. Does the Minister agree that this has been possible only because of the collaboration, in just six months, between the private sector, the Government, the NHS, universities, including Oxford, and the pharmaceutical sector, including AstraZeneca? In due course, could business help to roll out the vaccines, through inoculations taking place in offices, factories and business premises, thus causing less disruption? The CBI, of which I am president, stands by, ready to help.

[Lord Bethell (Con)]

I am enormously grateful to the noble Lord for his clear and heartfelt offer of help, and I completely endorse his comments. The collaboration between the NHS, the Government and business has been at the heart of our entire response to the pandemic. This collaboration has been termed the “triple helix”—a phrase that I like very much indeed. It is going to be at the heart of our building back of the healthcare system in the years ahead. On the noble Lord’s kind offer, I remind him that when someone takes any medical treatment, including a vaccine, they have to have the space to take stock and recover from the excitement of the vaccine, and they have to be supervised in that space by someone with some kind of clinical experience. So, while his offer is kind, it is likely that vaccine distribution will be in locations where we can put clinical supervision.

Covid-19 Update

Lord Bilimoria Excerpts

Monday 30th November 2020 Lords Chamber

[Lord Bethell (Con)]

My noble friend is entirely right about the hospitality sector. It is a sector that we care about greatly and we recognise how hard hit it has been. None the less, we have to be considerate of the fact that the best epidemiological studies suggest that this is an environment where infection hits hard, so we are trying to hit the right balance between the two. As for local areas and trying to be more precise and focused in our tiering, that sounds like a sensible suggestion. However, we experimented with it quite thoroughly during the summer, and I remember standing here at this Dispatch Box week after week running through tweaks to various local tiers, only to find that the virus very quickly leaped from one area to another. It is a frustrating fact that the virus spreads from city to surrounding rural area and from one town to the next with alarming speed. It is also true, as discussed in response to the earlier question, that for communications it is important to keep things simple. For those reasons, we are not envisaging a change to the tiering structure at the moment.

[Lord Bilimoria (CB) [V]]

My Lords, is the Minister aware that just a few minutes ago, before the Statement, a press report questioning the accuracy of lateral flow antigen tests said that 140,000 tests were carried out in the Liverpool City Region, and yet the Statement says that more than 300,000 people were tested in Liverpool and, with the mass testing, cases have fallen by three-quarters and Liverpool has now gone down from tier 3 to tier 2? Why can we not get the communication right so that people can have confidence in mass testing so that it can be rolled out nationally, and show the evidence that it actually works?

[Lord Bethell (Con)]

I am extremely grateful for the opportunity to remind the noble Lord that earlier today we published a fulsome programme of community testing. I would be very glad to send him a copy of it, because it lays out exactly the plan he has just described; I am hopeful that he will celebrate its publication. He is entirely right that infection rates have come down in Liverpool—not just because of mass testing but it has made a contribution—and I pay tribute to the mayor and people of Liverpool for their approach in recent months.

Covid-19: Vaccination Prioritisation

Lord Bilimoria Excerpts

Wednesday 25th November 2020 Lords Chamber

[Lord Bilimoria (CB) [V]]

My Lords, the Question of the noble Baroness, Lady Campbell, shows very clearly that flexibility will be needed, and I think the Government are hearing that. Now that we have three vaccines, including the Oxford-AstraZeneca vaccine, how soon does the Minister think we will be able to roll out vaccinations at a target of 1 million a day? Will he confirm that target? Will that be from January onwards? In the meantime, the need for rapid mass antigen lateral flow testing is all the greater.

[Lord Bethell (Con)]

My Lords, the noble Lord tempts me to commit to schedules that I am simply not in a position to commit to, I am afraid to say. The performance of the various vaccines is extremely complex: each one of them needs a different delivery plan. In collaboration with the NHS, we are putting in place an extremely energetic and thoughtful deployment programme. Those in charge have been instructed to have that ready to start from 1 December, but I will not hide it from the House that it may well be after the new year that the very large numbers begin. I reassure the House that we are super-focused on this deployment plan, and, as soon as the vaccines become available, we will be trying to get them to the public as soon as we can.

Coronavirus Act 2020 (Expiry of Mental Health Provisions) (England and Wales) Regulations 2020

Lord Bilimoria Excerpts

Wednesday 25th November 2020 Grand Committee

[Lord Bilimoria (CB) [V]]

My Lords, the coronavirus and the isolation of lockdown are impacting not just our physical health but our mental health, as people deal with loneliness, stress and anxiety. Whether we are working from home, furloughed or travelling to our workplaces, the drastic changes to our workday can take a toll. Employers must play a vital role in supporting the mental health of their workforce by prioritising and promoting a positive well-being culture.

The CBI, of which I am president, has been working with firms of every size and sector to help tackle the challenge of mental health in a pandemic. The Law Society, a member of the CBI, supports these regulations, which will expire provisions in Schedule 8 to the Coronavirus Act 2020 which would weaken Mental Health Act 1983 protections if brought into force. The Law Society states that it recognises that, at the onset of the pandemic, these exceptional emergency provisions were considered potentially necessary to support healthcare professionals in responding to the immediate crisis, but that, as they have not been used in England to date, as the Minister said, they should be expired so as to restore the full certainty of important statutory protections for vulnerable people.

The Law Society also recommends that the Government consider expiring the provisions under Schedule 12 to the Coronavirus Act alongside the expiration of those under Schedule 8 being implemented by these regulations. However, if Schedule 12 remains in force, the Law Society recommends that the Government publish improved guidance clarifying how to conduct the required process under these easements and provide detailed guidance to assist local authorities in making human rights assessments. Do the Government intend to expire the provisions under Schedule 12 to the Coronavirus Act, which weaken statutory protections for vulnerable people under the Care Act 2014 and the Social Services and Well-being (Wales) Act 2014, alongside the expiration of those under Schedule 8? Will the Minister commit to providing improved guidance on the easements under Schedule 12, clarifying how local authorities should conduct relevant processes and make human rights assessments?

Covid-19 Update

Lord Bilimoria Excerpts

Thursday 12th November 2020 Lords Chamber

[Lord Bethell (Con)]

My Lords, the noble Lord is entirely right on two things, and wrong on another. He is entirely right that isolation is absolutely key—without isolation, there is no point in testing or tracing. It is true that not everyone who is asked to isolate does isolate, but we have a programme in place to try to encourage, inform and inspire people to isolate. He is entirely right that lateral flow tests offer huge advantages, in terms of the speed at which they can be used, their cost and their flexibility. But we have bought tens of millions, maybe even hundreds of millions, of these tests in recent weeks. We are deploying them in mass testing, and we have completely followed the advice and inspiration of the noble Lord in this matter in a massive way.

[Lord Bilimoria (CB) [V]]

My Lords, Sir John Bell, the Regius Professor of Medicine at Oxford University, has said that these inexpensive, easy-to-use lateral flow antigen tests, when used systematically, could reduce transmission by 90%. Could the Minister confirm that the trials are already showing that these tests are picking up 75% of positive cases and 95% in the most infectious individuals? If that is the case, when can we have these millions of tests that Ministers have spoken about deployed, not only in the NHS, care homes, schools and universities but at airports, factories, offices, workplaces, theatres and even sports grounds, so that we can get our economy back firing on all cylinders very soon?

Covid-19: Vaccine

Lord Bilimoria Excerpts

Wednesday 11th November 2020 Lords Chamber

[Lord Bethell (Con)]

My noble friend makes a very reasonable point. The marketplace for vaccines is extremely competitive. The British Government have been emphatic in our commitment to CEPI, Gavi and the other vaccine organisations. The COVAX advance market commitment aims to produce 1 billion doses for high-risk populations in 92 developing countries in 2021. We support that initiative enormously and work with other partners to ensure the fair and equitable distribution of vaccines around the world.

[Lord Bilimoria (CB) [V]]

[Inaudible]—about the Pfizer BioNTech vaccine and full credit to the vaccine taskforce. Given that other vaccines, such as the Oxford AstraZeneca one, will, I hope, be available soon, what will the Government do to ensure the rapid rollout of the inoculations of these vaccines? Can business help in any way? As president of the CBI, we stand by to help in any way we can. Secondly, I offer my congratulations on the rapid mass-testing pilot starting in Liverpool. Can the Minister confirm that these pilots will now be rolled out to another 67 regions, and how soon will that happen?

[Lord Bethell (Con)]

I am grateful for the noble Lord’s remarks. Business can play an important role. Distribution of the vaccine will employ a large workforce and the supply chain is incredibly important. There will be a dimension for business to provide thought leadership and behavioural leadership to encourage and make space for employees and to be advocates for the principle of vaccination in every way. In terms of mass testing, we have sent lateral flow devices to 67 directors of public health and we will be learning from the Liverpool experiment to see whether we can apply citywide mass testing of the kind he describes to other cities in the future.

Covid-19: Intensive Care Treatment

Lord Bilimoria Excerpts

Thursday 29th October 2020 Lords Chamber

[Lord Bethell (Con)]

My Lords, we are extremely grateful to the Resuscitation Council for its work on this important tool. It gives an opportunity for patients to express their preference and for clinical judgment to be used at moments of acute intervention. It is being used in some places but, as the noble Lord rightly points out, its use is variable. I would be glad to take this back to the department to see what can be done to encourage its use more thoroughly.

[Lord Bilimoria (CB) [V]]

My Lords, I am the chancellor of the University of Birmingham, and the professors at the university hospital there said that there was no way that any triage tool was used. If anything, better intensive care treatment was given during the crisis, so I am glad that the Minister very categorically said that. The Sunday Times article was trying to insinuate that people were not getting the intensive care that they needed. Can he reassure the House that in the second wave, the Nightingale hospitals that were built at such brilliant speed will be used if needed and are ready for use?

[Lord Bethell (Con)]

My Lords, I completely agree with those at the University of Birmingham who confirmed that triage tools were not used. They were not necessary, and everyone had absolutely the best care that could have possibly been given to them. The Nightingale hospitals are on standby where necessary; they will be deployed if needed, but it is my hope that they will not come into play.

Health Protection (Coronavirus, Restrictions) (Self-Isolation) (England) Regulations 2020

Lord Bilimoria Excerpts

Thursday 22nd October 2020 Lords Chamber

[Lord Bilimoria (CB) [V]]

My Lords, with millions of people and many thousands of businesses in tier 2 and tier 3 areas, the support measures announced today by the Chancellor will bring a huge sigh of relief to many, especially those in the hospitality sector. However, it is no exaggeration to say that successful, affordable mass testing could transform the way we live and work in the months ahead. The Minister has worked very hard in this area. Will he give us an update on the 20 million 15-minute antigen tests that have now been procured and are being deployed around the country?

The Prime Minister, the Health Secretary, the Transport Secretary and even the Minister have consistently used Public Health England’s 7% figure to reject calls for the introduction of airport testing. By contrast, 30 other countries are now implementing airport testing on arrival. Some have gone further to test after five days of quarantine to reduce the number of asymptomatic carriers who might be missed. Today, the Daily Telegraph reported that

“Oxera and Edge Health, said the 7 per cent figure was ‘significantly understated’ because it excluded not only travellers who might have symptoms but also those whose viral load could be detected … ‘If all infected passengers (including detectable symptomatic passengers) who attempted to enter the UK population but were prevented from doing so were to be included in the estimate, this estimate would be 63 per cent.’”

That is nine times 7%. They also said that the public health report was based on a modelling exercise and did not take into account

“‘real-world’ evidence from … airport testing regimes such as Jersey, where only a tiny fraction of arrivals tested positive without any onward community transmission.”

Will the Minister explain why we cannot implement airport testing, which will help our tourism industry, business, airports and airlines, which have suffered so much through this pandemic?

Health Protection (Coronavirus, Restrictions) (No. 2) (England) (Amendment) (No. 5) Regulations 2020

Lord Bilimoria Excerpts

Tuesday 20th October 2020 Lords Chamber

[Lord Bilimoria (CB) [V]]

My Lords, business and government must work in partnership to reduce transmission while keeping the economy moving. Business is keen to see maximum transparency on the evidence being used to make decisions. The Minister has attempted to justify the 10 pm curfew. Can he please explain why Public Health England data, starting from the week that pubs reopened in early July, showed that food outlets and restaurant settings had only 5.18% of cases, in which case the 10 pm curfew is unnecessary?

A major announcement was made yesterday, which I found tucked away on the seventh or eighth page of a major newspaper. The Government have secured up to 20 million 15-minute test kits to be fast-tracked to Covid hotspots. Will the Minister confirm the wonderful news that this new lateral-flow technology, which provides rapid results, can be used at airports, public venues, schools, factories and universities? Where are the Government planning to distribute these tests? Will they be made available to hospitals, care homes, schools and universities?

This is a game changer; it will help the economy to get back to normal and to fire on all cylinders. It is probably the most significant news we have heard, among all the doom and gloom of the past weeks and months. I believe it is called the SARS-CoV-2 Antigen test, manufactured by Innova, and tried and tested. This is excellent news. It is swab-based at the moment, but perhaps there will be a saliva version soon. I am told that it costs around £15 and that it is very accurate, with 100% specificity and 96% sensitivity. Could the Minister confirm this good news and when this can be ramped up around the country?

Health Protection (Coronavirus, Local COVID-19 Alert Level) (Medium) (England) Regulations 2020

Lord Bilimoria Excerpts

Wednesday 14th October 2020 Lords Chamber

[Lord Bilimoria (CB) [V]]

My Lords, a second national lockdown would be devastating for our economy, so it is right to prioritise bringing infections under control. Business supports the simplification of Covid rules with the three tiers of restrictions. But this remains very tough news for thousands of firms that have done so much to keep customers and employees safe.

Now that clear rules are in place, good, open communication is essential. Businesses in the worst-affected areas have too often had to plan on rumour or react to things at the last minute. This can be solved with a more collaborative approach between businesses, central government and local government. Restoring a sense of national unity is critical for tackling the virus and, to maintain confidence and compliance, the Government must show more of its evidence base for new restrictions.

One example of this would be the 10 pm curfew for restaurants, bars and pubs. I have asked this question before, but can the Minister provide us with the evidence that the curfew is necessary? I have heard that only 5% of new infections come from the hospitality sector and, when wearing my business hat, I have heard from my trade that only 10% of drinking takes place after 10 pm.

To protect jobs, we should keep financial support under review and in lock-step with the severity of the restrictions. I pay tribute to the Chancellor, who has continually listened when we have asked for more help, and iterated and adapted and avoided cliff edges. For that, I know that business is very grateful. But ultimately, mass rapid testing must really ramp up if we are to prevent a second wave from further harming economic growth.

I know the Minister and I appreciate his hard work and dedication. I know that I sound like a stuck record, but I will say this: we get updates on normal testing, with the target of 500,000, but what about the LAMP boxes that can be rolled out? We could have something like a ventilator challenge to have them manufactured; British manufacturing would come to the fore. We could really ramp up their use in airports, schools, factories and offices. Similarly, we could have mass testing with pregnancy-type tests; they may not be as accurate as PCR tests, but with a triage-type approach combining them with LAMP and existing testing, we could really be on top of the virus.

Business wants to work with the Government on support during these restrictions. The CBI, of which I am president, has proposed a six-point action plan. Business wants to see the following: increased visibility and awareness of the data trigger points used in decision-making; ensuring that decisions are communicated at the right time to the right people; clarity of message on what people can do and on changes to what they cannot do; communication of who is in charge of the lockdown, with a go-to person accessible to businesses who can provide information; stepping up test and trace efforts; and a framework which recognises that local lockdowns will impact local economies differently, with improved support for businesses and people where staff absences are due to self-isolation rules, a clear mechanism for channelling funding quickly by local authorities, and any such support made easily accessible to local firms.