Health Protection (Coronavirus, Restrictions) (Leicester) (No. 2) Regulations 2020

Lord Bourne of Aberystwyth Excerpts

Thursday 24th September 2020 Lords Chamber

[Lord Bourne of Aberystwyth (Con) [V]]

My Lords, it is a pleasure to follow the noble Baroness, Lady Bowles. I thank my noble friend for presenting these regulations for consideration.

As has been noted by the noble Lord, Lord Hunt, there is a retrospective flavour to this debate, which is all too familiar with the regulations that we have been considering on coronavirus. I accept the need for regulations, but surely we can overcome this retrospective nature and debate these things in a more timely way.

The great danger is that, when these regulations were brought in, the infection rate was falling, fatalities were falling and there was a very different flavour to the atmosphere then, compared with now. Against that background, can my noble friend tell us what the infection rate is currently in Leicester, Oadby and Wigston, and indeed in Blaby and Charnwood, which were initially subject to some of these restrictions too? It would be good to note whether the numbers are still falling; I rather doubt it myself.

The Minister stressed the local nature of the approach, which is something that many of us believe in very strongly. We have currently a rather overcentralised system of controls and should be aiming for a much more local approach. I would welcome the Minister saying something about the attitude of Her Majesty’s Government to the implementation of policy. I accept that there has to be a national framework, but I think that we would all welcome more local input and use of local expertise.

The Minister referred to some difficulties in Leicester. I accept that this was the first area of the country to go into local lockdown, so some grind of gears was, as the Minister said, perhaps inevitable—although the gear-grinding was much more reminiscent of when I was learning to drive. There were far more problems of communication than perhaps the Minister has outlined. What lessons have been learned about the experience in Leicester? I accept and welcome the multilingual nature of communications, and I have no doubt that that is being replicated in other parts of the country that are now subject to lockdown, but I would welcome the Minister saying something on that too.

Of course, Leicester is an area with a large black and Asian minority ethnic population—a long-established and very well integrated population from those communities on the whole. Can the Minister say whether any lessons are being learned about the challenge and fact that these parts of the community are affected disproportionately, and what action is being taken as a consequence of lessons learned in communities such as Leicester?

Being the first, in a local sense, to be in more of a lockdown than the rest of the country, Leicester has suffered more economic impact. I welcome the bold Job Support Scheme that has been announced by my right honourable friend the Chancellor in another place; many of us have been pushing for that for some time. Above all, I ask the Minister to give more strategic thought to what we should be doing as a country in relation to the split between the centralised approach—indeed, overcentralised at the moment, I would argue—and a more locally focused approach that I think we should be aiming for.

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

Lord Bourne of Aberystwyth Excerpts

Friday 18th September 2020 Lords Chamber

[Lord Bourne of Aberystwyth (Con) [V]]

My Lords, I very much regret the retrospective nature of this debate. It is sad, but it reflects an all too cavalier attitude to the law that seems to permeate thinking at present and needs to stop.

These regulations indeed seem out of date. The memorandum refers to a falling rate of transmission, which it is not; a falling rate of hospitalisation, which it is not; and a falling rate of fatalities: alas, that is not the case. What we really need is some clear strategic thinking, which is absent. I very much agree with the noble Baroness, Lady Donaghy, about the importance of Cobra and some strategic thinking behind our whole approach to this disease. That seems lacking. As many noble Lords have said, we also need more parliamentary scrutiny and proper involvement of both Houses in the way that the approach develops. The Government really need to start grappling with these points. Perhaps I might ask my noble friend the Minister what has happened to the review that is supposed to happen every 28 days. Indeed, I think two reviews are probably due by now.

I welcome the localism approach, which is something that should be extended. People trust their locality; it is familial. They trust their neighbours, they trust local community groups and charities, and often they trust their local authority to have a better handle on what is happening—so that is clearly needed. But I part company with the Minister when he talks about a slow, steady increase in infections. It is more than that—it is inexorable, and we need to begin to grapple with this with a strategic approach and proper parliamentary scrutiny.

NHS Counter Fraud Authority (Establishment, Constitution, and Staff and Other Transfer Provisions) (Amendment) Order 2020

Lord Bourne of Aberystwyth Excerpts

Monday 7th September 2020 Grand Committee

[Lord Bourne of Aberystwyth (Con) [V]]

My Lords, it is a pleasure to follow the noble Lord, Lord Jones, one of the most liked and respected politicians in Wales. I thank the Minister for bringing forward the order, which I certainly support. The NHS is rightly a cherished national institution and extra funding has indeed been brought forward by the Government. That is quite right, particularly in light of the current challenging crisis that faces us.

Fraud is always to be condemned, but there is something especially nauseating when it is taking money away from patient care in our cherished national institution, the NHS. Fraud is something that we should all take very seriously. Like the noble Lord, Lord Jones, I thank the NHS Counter Fraud Authority for the work that it has been doing developing intelligence against fraud and saving the NHS money by uncovering fraud: £60 million in the last year for which figures are available. Of that, £27.6 million related to dental contractor fraud, so that was a considerable amount.

The Minister for Care in the other place said that coronavirus presents a heightened risk of fraud; indeed, the Minister said the same again today. In the light of that, does the Minister believe that additional resources are needed in these challenging circumstances to save additional money for the NHS? If so, what is being done in that regard? I know that the Counter Fraud Authority has been working on a revised strategy, but I do not believe that it has yet been published. Does the Minister have any detail on that, and will he indicate when that strategy will be published?

I believe that PPE for combating Covid—which has presented, in some respects, a challenge with regard to fraud—is purchased centrally by the Government and is therefore not subject to the scrutiny and supervision of the NHS Counter Fraud Authority. Can the Minister indicate what body is scrutinising this area for fraud, what supervision does exist, and if that body—whatever it may be—is working alongside the NHS Counter Fraud Authority in order that the two bodies can be truly effective in that respect?

I thank the Minister very much for bringing these regulations forward; we should all welcome them. I hope that we are able—because I realise that this is on a three-year rolling cycle—to assure the people who are doing this vital work that their jobs are safe. I am sure that is the case, but I fear that when we see these things on a three-year rolling cycle, towards the end of the three years the employees and those working for the authority might perhaps be wondering what will happen to their jobs. I am sure that that is not the case, but anything that the Minister can say about the continuing security of these jobs would be welcomed by the House. With that, I lend my support to this order.

Covid-19: Masks

Lord Bourne of Aberystwyth Excerpts

Thursday 11th June 2020 Lords Chamber

[Lord Bourne of Aberystwyth (Con) [V]]

My Lords, first, I thank the noble Lord, Lord Campbell-Savours, for his very cogent presentation. I have several questions for the Minister. The first relates to supply: do we have enough, and enough for venues other than transport? If it is right for transport, it is hard to see why it is not right for religious buildings, town centres, shops and so on. As others have said, surely that is the case. We need to make sure that masks are of an appropriate quality—is that being monitored? We need to make sure that appropriate publicity is given to this.

As a country, we seem to have been a bit too leaden- footed in our response to this. To get the R rate down, we clearly need face masks in all sorts of venues. I hope that the Government will proceed with this, and I look forward to hearing from the Minister on those specific questions.

Covid-19: BAME NHS Staff

Lord Bourne of Aberystwyth Excerpts

Tuesday 19th May 2020 Lords Chamber

[Lord Bourne of Aberystwyth (Con)]

My Lords, I recognise that this one nation Minister and one nation Government are committed to action, but clearly there is an urgency about this. I realise that we have the Public Health England review, but after that, how soon will the Minister be expecting to take action to ensure that its recommendations are implemented forthwith?

[Lord Bethell]

I can reassure my noble friend that action is already being taken. Individual trusts are putting in place trials and arrangements to try out different forms of amelioration, including changing staff rotas and taking vulnerable staff out of the front-line wherever possible. We will build on these pilots and trials in order to move as quickly as we can. The causes of the massive difference in the effects of the disease on different ethnic groups are not clear yet, so it is not possible to say for sure which pilots will work. However, we are moving as quickly as we can and we will build on the evidence base in order to put in effective measures.

Draft Human Tissue (Permitted Material: Exceptions) (England) Regulations 2020

Lord Bourne of Aberystwyth Excerpts

Monday 18th May 2020 Lords Chamber

[Lord Bourne of Aberystwyth (Con)]

My Lords, I refer noble Lords to my entry in the register of interests.

Like other noble Lords, I strongly support these regulations. I pay tribute to those who have made this possible, particularly the noble Lord, Lord Hunt, and the noble Baroness, Lady Randerson, who are participating in this debate. I also thank the Minister very much; I know the pressure that he is under at the moment and how busy he is, and it is a great credit to him that the regulations are with us today.

I have some practical questions about the operation of the regulations. The first is about the publicity campaign, which I would like to hear more about from the Minister. Unlike others, I have seen it referred to; I was exercising to Spotify at the weekend and heard reference to this measure coming in very shortly, so that is positive.

Secondly, paragraph 6.4 of the Explanatory Memorandum to the regulations refers to this applying only to people who have been ordinarily resident in England for 12 months. On the face of it, that does not seem unreasonable, but I wonder how that is operating in relation to our devolved areas. If someone moves across the border from, say, Brecon to, say, London, is there a break in the period? It seems that there probably is, unless I have missed this point in the regulations, and that was probably not intended. I would be grateful if the Minister can say something about that. If he is unable to answer now, I would appreciate a later response.

Further to that point, is there a regular coming together of devolved authorities, given that there is now a similarity of approach in devolved areas? It would be good if there was collaboration, co-operation and discussion. Is that happening and, if so, on how frequent and regular a basis?

Next, the Minister quite rightly referred to the advanced therapy medicinal products, and I agree very much that this is an exciting technology. Paragraph 10.7 of the Explanatory Memorandum states that one reason why the Government have not extended this measure into that area is because they are worried about pharmaceutical companies profiteering—I think I am paraphrasing that correctly. There is nothing wrong with a profit, provided it is not excessive. I wonder if the Minister could say something about how he looks forward to it being extended to cover these advanced therapy medicinal products and how likely that is to happen relatively quickly.

Lastly, on practical points, the Minister again quite rightly said that it will be the Secretary of State or the Minister who decides on exclusions and therefore on inclusions in relation to the list that is in these regulations. I understand that, but on how regular a basis will there be a review, and how will that review be brought before Parliament? Will it be done on an annual basis, for example, or can the Minister perhaps ensure that we are given at least an annual update by Ministerial Statement? That would be very useful.

This is a difficult period in which to bring these regulations forward, but as others have said I am sure that it is the right thing to do because they are life saving and therefore very much to be welcomed. However, I would be grateful if the Minister could seek to bring clarity to the areas that I have highlighted.