Health and Social Care Update
Lord Cormack Excerpts(3 years, 8 months ago)
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Lord Bethell (Con)
My Lords, the noble Baroness is right to say that the Serum Institute of India is the world’s biggest vaccine manufacturer by far and we are enormously grateful for the strong relationship that this country has with the institute and the contribution that it is making to our vaccine rollout. The supply chains for the world’s vaccine production are unbelievably complicated, with ingredients and individual supply items coming from many different countries for each and every vaccine. It is not possible to provide a running commentary on the progress of each one; nor would it be wise to have a bilateral conversation with the country of origin of every vaccine ingredient. Our relations with India, America and the EU will, I am sure, return to the spirit of partnership and the respect of contract law that have characterised those relationships in the past.
Lord Cormack (Con)
My Lords, I shall quote from the Statement:
“Last Monday, we reopened care homes to visitors, with a careful policy of a single regular visitor … we hear each day of more and more residents safely reunited with people they love.”
My wife and I have a dear friend whose mother is 99. She is indeed excited at the prospect of holding her mother’s hand for the first time in a year, but that excitement is overshadowed by the knowledge that several of the workers in the care home where her mother is being looked after have refused to take the vaccine. I urge my noble friend yet again to press forward on this.
Lord Bethell (Con)
My Lords, I hear my noble friend’s message loud and clear and he has made the case both persuasively and thoughtfully. He is a little ahead of events. It is not possible for us to put in any form of certification or mandation until the vaccine has been offered to absolutely everyone in the country. However, he will know that the Cabinet Office has a review process in place that is looking at exactly the dilemma he has spoken to.
Covid-19 Update
Lord Cormack Excerpts(3 years, 8 months ago)
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Lord Bethell (Con)
It was a regrettable administrative oversight; it was one that the Secretary of State has made it clear he would do again if it meant saving lives. I am not aware of it having reached the Cabinet.
Lord Cormack (Con)
My Lords, we should all be enormously grateful to those who have made the vaccination programme such a success. In our thanks, we should not forget Kate Bingham and her team. However, there are still inconsistencies. During the last lockdown, pre-vaccine, we could have services properly distanced in Lincoln Cathedral with a choir and a congregation. Post-vaccine, we cannot. Post-vaccine, we are still—I am back to my old hobbyhorse—allowing care home workers to attend to the most intimate needs of their patients having refused a vaccine. Can we have some consistency, please? I am grateful to my noble friend.
Lord Bethell (Con)
I am grateful to my noble friend for his question and I echo his comments on Kate Bingham. However, my Lords, we are not post-vaccine; we are, at best, mid-vaccine. Vaccinating 20 million people is an enormous achievement but there is a hell of a long way to go. There is still an enormous amount of infection in this country; nearly half a million people, or thereabouts, have the disease. There are variants of concern being generated in this country, such as the Kent virus, and overseas, such as the Manaus virus. Until we are truly through this, we have to show restraint and make uncomfortable decisions, and we must ensure that the NHS is preserved and we save lives. That, I am afraid, remains our priority.
Covid-19: Brazilian Variant
Lord Cormack Excerpts(3 years, 8 months ago)
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Lord Cormack (Con)
My Lords, at the outset, my noble friend said that the Government wanted to use all means at their disposal to combat the spread of all the variants and mutations. I refer to a point I made last week. One means at the Government’s disposal is to ensure that all those who work in care homes are vaccinated. It is quite wrong that they can refuse it and then attend to the most intimate needs of their patients
Lord Bethell (Con)
My Lords, I remind my noble friend that we have some mandatory vaccination already in place in the health service; those who perform operations and other intimate health interventions are required to have hepatitis and other vaccinations, for instance, so there is a precedent for what he talks about. However, it is a huge step, which impacts people’s personal liberty and choices, to make vaccination mandatory for more than a million social care workers. My noble friend makes a persuasive argument, which is why the Cabinet Office is looking at exactly this sort of matter; there is a strong public health argument for mandatory vaccination. Given that we have not rolled out vaccination across the whole population yet, it is premature to make that decision today, but we are considering it carefully.
Covid-19: Vaccination Programme
Lord Cormack Excerpts(3 years, 9 months ago)
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Lord Bethell (Con)
My Lords, the Chief Medical Officer was entirely right. As the noble Baroness probably knows, there are already important requirements on health care workers who, for instance, do surgery or are in certain risky clinical situations to have the right vaccines, hepatitis being one in particular. Having up-to-date vaccines is a condition of engagement for some medical staff. The noble Baroness is right to raise the question of social care. We are looking at the right policy in that area. We want to tread carefully and to take social care workers with us. We are aware of the risks in social care, but we do not want to provide barriers for employment. Getting that decision right will be one of the most important things that we do.
Lord Cormack (Con) [V]
My Lords, I would like to follow on from that. My friend has a 99 year-old mother in a care home and she is naturally very glad at the prospect of more frequent and slightly less distanced visits. She has not held her mother’s hand for over a year. She is deeply concerned that some of the care workers in the home, who have to attend to some of her mother’s most intimate needs, have declined vaccination. Should not the rule in care homes be, in the words of a recent Times leader, “no jab, no job”?
Lord Bethell (Con)
My noble friend puts it very bluntly. At this stage of the rollout, when the vaccine has not been made available to everyone, it is too early to make that kind of decision. However, he makes the case well and I hear it loud and clear.
Covid-19 Update
Lord Cormack Excerpts(3 years, 9 months ago)
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Lord Bethell (Con)
I reassure the noble Baroness that we are absolutely putting the arrangements for pupils in the hands of schools themselves, because they know best how to look after their pupils and their teachers. The role of test and trace is to provide testing facilities and the resources to make schools safe, but it is up to the Department for Education, the local authorities and the schools themselves to protect those who need special arrangements, either because they are shielding or because they have other needs.
Lord Cormack (Con) [V]
My Lords, I am sure that my noble friend will agree that everything possible must be done to ensure that this is the last national lockdown. To that end, is it not important that all information on vaccines, however sensitive it may be, is shared with Opposition leaders, if necessary, on Privy Council terms? Would it not help to avoid confrontations inside and outside the Chamber of the other place if the Prime Minister and the leader of the Opposition were to have a scheduled weekly meeting?
Lord Bethell (Con)
My Lords, they do have a scheduled weekly meeting: it is called PMQs. It is up to either side to decide how well it goes. To reassure my noble friend, we publish absolutely everything on the vaccine. We even publish the formula of the vaccine itself. The data is shared with local authorities—it is out there on the internet—and we could not be more transparent if we tried. We have worked very closely with the Information Commissioner; we have a massive data analytical team; and we are as open as we possibly can be because we believe that trust in the vaccine is absolutely essential to uptake, and therefore it is in our interests to take an open and transparent approach.
Covid-19: Vaccination
Lord Cormack Excerpts(3 years, 10 months ago)
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Lord Cormack
To ask Her Majesty’s Government what plans they have in place to ensure that no one has to wait more than three months for a second dose of a COVID-19 vaccination.
The Parliamentary Under-Secretary of State, Department of Health and Social Care (Lord Bethell) (Con)
My Lords, we are absolutely committed to making sure that everyone gets two doses, so if they have received their Pfizer first dose, they will get a Pfizer second dose within 12 weeks of the first one. Similarly, if they have had their AstraZeneca first dose, they will get their AstraZeneca second dose within 12 weeks. The four UK CMOs and the JCVI agree that prioritising the first vaccine dose will protect the greatest number of at-risk people overall in the shortest period of time.
Lord Cormack (Con) [V]
My Lords, naturally I thank my noble friend for that Answer. I have just returned from the very efficiently run county showground vaccination centre outside Lincoln, where I have had my first dose and have been given a date for my second. My noble friend has certainly reassured me on the Government’s determination both to give the same vaccine and at the right time. However, is he aware of the findings in Israel, where there has been an extremely impressive rollout of vaccination, which have cast considerable doubt on the wisdom of delaying the second dose? This has caused a great deal of concern, not least in your Lordships’ House, voiced by the noble Baronesses, Lady Boothroyd and Lady Bakewell, among others. Can he please give us some reassurance that there is no danger of diminishing the efficacy of the vaccine by delaying the second dose?
Lord Bethell (Con)
I am extremely pleased to hear the update from my noble friend, and I thank all those in Lincoln who were contributing to his effective vaccination and his second appointment, which is very reassuring. I reassure him that, on the Israeli numbers, Sir Patrick Vallance, the Chief Scientific Adviser, has been very clear—he was on the media round this morning. The Israelis looked at a very specific time period—14 days—and a very specific age group. This is very different to the analysis done by the JCVI and the MHRA, which looked at all age groups over a much broader period. The efficacy of immunity from days 10 to 21 is thought to be 89%. That is a very considerable and impactful effect, and I have spoken to the noble Baroness, Lady Boothroyd, to reassure her on that matter.
Health Protection (Coronavirus, Restrictions) (Self-Isolation and Linked Households) (England) Regulations 2020
Lord Cormack Excerpts(3 years, 10 months ago)
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Lord Cormack (Con) [V]
My Lords, I am delighted to follow the noble and gallant Lord, Lord Craig, and I do so with a degree of envy: I long to have my vaccine so that I can come back and be in the Chamber with those who are there now. I spent most of the time when we sat from July almost until Christmas in the Chamber and I miss it. I disagree, gently but firmly, with my noble friends Lord Randall and Lady Wheatcroft: we need an effective Parliament, and that means we need Members in the Chamber. It is essential. Even as we have a hybrid Parliament, which is only a one-dimensional Parliament, there must be Members in the Chamber.
These are dark and difficult times for the House, but I also want to refer to something else. Before he said Prayers today, the right reverend Prelate the Bishop of Rochester said that our thoughts were with those of our parliamentary colleagues in Washington at the moment. Indeed they should be, and we have a wonderful opportunity to demonstrate how democracy really can work, by working together across party. I make an appeal through my noble friend the Minister—and I beg him to pass this on to the Prime Minister—to bring the leader of the Opposition on board. I am not advocating a national Government, much as I would personally like one, but I believe that the leader of the Opposition, who has demonstrated real statesmanship, should be at the table. There should be daily meetings between him and the Prime Minister, and he should be involved in committees such as COBRA. We are fighting this as a society, and it must be a united society—a united nation—and this would do much to achieve that.
Health Protection (Coronavirus, Restrictions) (All Tiers) (England) Regulations 2020
Lord Cormack Excerpts(3 years, 11 months ago)
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Lord Cormack (Con)
My Lords, it is a pleasure and honour to follow the noble Baroness, Lady Hayman, who was the first occupant of the Woolsack when we decided to have a Lord Speaker in your Lordships’ House. She made some incredibly important points. I was sorry we missed part of her peroration; that is a good reason for being in the Chamber rather than Zooming in. I also thought that the noble Baroness, Lady Brinton, spoke very movingly and sensitively about those like her who are shielded. She graphically illustrated what a confusing situation we face at the moment.
The noble Baroness referred to the 75-page document we have. Just before I left my office, there came up on the computer a list of things we should do—including read a 79-page description of the 75-page document. It also contained some rather interesting information. It told us who are here that we should not use the restaurants in the House of Lords, where the staff are working so very hard to ensure that we are given sustenance. It also told me that, living in London in tier 2, I can do various things; I can go to a gym—I do not normally—I can go to shops, I can get a tattoo—I do not want one of those—and I can stay in the pub until 11 pm so that I can leave in a staggered way.
That is all from the guidance that came via Conservative Central Office, which also made the point that the Labour Party was playing politics. That is a puerile and stupid accusation. I do not believe the Opposition are playing politics; if the Government think that, the best thing to do is to invite to a COBRA-style regular meeting the leader of the Opposition and the admirable John Ashworth, who has been a very good shadow Secretary of State.
It is exceptionally confusing. I can do all those things in London. I can summon a mechanic if some appliance goes wrong in my flat but I cannot allow either of my sons—one of whom lives in London—to enter it. When I go back to Lincoln, where we are in tier 3, I will be able—I am delighted and grateful for this—to go to the cathedral for services, but there are many other things I cannot do. I can go to a pub only for a takeaway. My son who lives in London will be breaking the law if he delivers Christmas presents to our home in Lincoln on 18 December, but on 22 December he can descend with his whole family for five days.
There is confusion worse confounded wherever you look. It is time the Government trusted the people by giving clear and simple advice. I called for clarity and simplicity four weeks ago as we entered this second lockdown, but we have not had it. We need not the vast number of pages that I and the noble Baroness, Lady Brinton, referred to but simple, clear guidance. If the guidance is that it is rather unwise for people to mix together as we normally do at Christmas, then say so clearly and sensibly and trust the people. That is a slogan our party used to have; I do not know what has happened to it.
We are now, as I have said before, living in a benign police state. Indeed, it is not all that benign when the police can issue fines for £10,000 without anybody being on trial. That is, frankly, disgraceful. The police could go into homes—I am sure they will have the good sense not to—and separate families until 22 December and then again on 28 December. We must have clear, simple, unambiguous guidance. Libby Purves wrote a good piece in the Times yesterday in which she said that
“99 per cent of us may not let a friend, relative or neighbour cross our threshold”,
apart from during those five days. It is more than sad—it is tragic—that we have come to this pass.
The Government take our most basic freedoms and demand trust, but they offer none in return. That is why I have tabled a regret Motion calling attention to the contrasts, the lack of simplicity and the lack of clarity. I shall listen to what the Minister says before I decide whether I move that or not, but, frankly, this will not do.
Lord Cormack
At end insert “but that this House regrets the confusing signals given out by the contrast between the rules for Tier 2, Tier 3, and the relaxation of rules over the Christmas period.”
Lord Cormack (Con)
I do not wish to delay the House, or those who wish to play with their electronic voting machines.
Department of Health and Social Care: Unpaid Advisers
Lord Cormack Excerpts(4 years ago)
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Lord Bethell (Con)
The noble Baroness makes her points extremely well. She rightly points out that we take advice from a wide variety of people. The only reason that we are talking about this today is because a transparency register is made of my appointments, which is published on GOV.UK and I would be glad to share the website link with anyone who would like to look at it more closely. The appointments of unpaid advisers follow the guidance on direct appointments from the Cabinet Office. We are scrupulous in our adherence to that guidance, and we will continue to be so in any future appointments we make.
Lord Cormack (Con)
My Lords, in view of what has been said by the Minister, I am extremely sympathetic to him. Could he publish a full list of all those who have given of their time, talents and money at a time of great crisis? Could he place a copy of that in the Library of your Lordships’ House?
Lord Bethell (Con)
My Lords, I am not sure if I can make the commitment that my noble friend asks. It is a reasonable commitment and I take it in the spirit with which it is meant, but there have been literally hundreds of people—not all of them formal, not all of them documented—who have stepped forward in the spirit that the noble Baroness, Lady Jones, has spoken of to try and contribute to our thinking, our connections and our ability to respond to this pandemic. That is a long roll of honour, of which I am extremely proud. I will give some thought to the way in which we do it, but doing it in a formal fashion in the way my noble friend describes may not be feasible or approachable.
Health Protection (Coronavirus) (Restrictions) (England) (No. 4) Regulations 2020
Lord Cormack Excerpts(4 years ago)
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Lord Cormack (Con)
My Lords, we have to remember that on Sunday—Remembrance Day—when we commemorate those who gave their lives and their health for our freedom, we will be one or two inches nearer to living in a benevolent police state or a benign autocracy. That is a matter of enormous grief to me and to many others. It has been the subtext of a number of speeches today, particularly the moving speech of my noble friend Lord Shinkwin.
I have two questions for the Minister. On the subject of churches, we had a perfectly benign but totally unsatisfactory Answer yesterday to my noble friend Lord Moylan’s Question from my noble friend Lord Greenhalgh. He was not able to produce a single shred of evidence to suggest that it was unsafe to go to a place of worship. Yesterday, the most reverend Primate the Archbishop of Canterbury, the Archbishop of Westminster, other leading Anglicans, the Chief Rabbi and many other faith leaders wrote to the Prime Minister spelling out how important it was to keep open places of worship for public worship. We have had no answer. I say to my noble friend that the House has every right to demand a proper answer. Where is his evidence to justify this draconian step, for that is what it is? We should resist it if we possibly can.
I go from the sublime to the earthy: why are we preventing people from playing on golf courses? Nothing is safer than regulated exercise in the open air. I am not a golfer; I have never played golf in my life and I do not want to. A petition was launched on Saturday of last week and, by Monday, it had a quarter of a million signatures. If you are expecting people to obey orders, you should make orders that you can justify; you should not alienate normally law-abiding people such as those who play golf or go to churches and synagogues. You should not alienate them, because the price you will pay as a Government will be a very large price indeed. I rest my case.