(3 years, 1 month ago)
Lords ChamberMy Lords, the vaccination of children is something that we are looking at; it is with the JCVI at the moment, I understand. I do not have the precise timetable at my fingers. What I will say is that we of course need to vaccinate as many adults as we can and will therefore move to children after that, because they are the ones who least need that protection. My nephew has been vaccinated in another country; I have spoken to him about it and it is very touching to hear him describe how he now feels that he can visit relatives who might be vulnerable or have co-morbidities. He sees it as a contribution to the national well-being. That is exactly the spirit in which we go into this but, as I say, it is up to the clinicians to make their pronouncement. We wait to hear from them before we can make a decision.
My Lords, all supplementary questions have been asked.
(3 years, 1 month ago)
Grand CommitteeMy Lords, I largely agree with what the noble Lord, Lord Lansley, said just now.
These regulations, which support and are aligned to the common framework, revoke and restate with modifications retained EU law on health security. The regulations ensure that EU law continues to function effectively following the end of the transition period, and provide a legislative regime for epidemiological surveillance and response to serious cross-border health threats, whether at risk of extending beyond the UK to an EU member state or as may otherwise necessitate a co-ordinated response within the UK to ensure a high level of human health protection. Will the current variant now coming to the UK be dealt with by these regulations?
The noble Baroness, Lady Gardner of Parkes, has withdrawn, so I call the noble Baroness, Lady Brinton.
(3 years, 4 months ago)
Lords ChamberWe shall move on to the third Private Member’s Bill in a moment, but we will allow the Chamber to clear and re-form itself before we do so.
(3 years, 5 months ago)
Lords ChamberMy Lords, we absolutely agree. That is exactly how the guidelines are written and exactly the guidance sent into the system. The issue we face is much more pastoral in nature: it is one of training and creating the space and resources necessary to have extremely difficult conversations. That is the kind of front-line support we need to put in place. It is a question of patient engagement rather than a change of guidelines, but I completely take on board the noble Baroness’s recommendations.
My Lords, with the help of the Leader of the House, all supplementary questions have been asked.
(3 years, 5 months ago)
Lords ChamberMy Lords, I completely agree with the noble Baroness that a descent into some type of vaccine war would be extremely regrettable, and the British Government are doing everything they can to continue in a spirit of partnership with overseas Governments. We have not reached the possibility of taking on a mixing and matching approach. We believe that the supply chain we have in place is ample to achieve the targets we have already published. However, to answer her question directly, there is some evidence that mixing and matching may prove to be even better than having two of the same vaccine—that it may stimulate the immune system in ways that give you a more developed response to the virus. Therefore, we continue to look carefully at this possibility.
My Lords, the Minister is right to draw attention to the success of the vaccination programme, but does he not agree that last Thursday’s Statement is rather light on advice on what people should do to protect themselves and others until the lockdown ends? In particular, there is no reference to the need to continue wearing face coverings. The Minister will recall that he kindly wrote to me about this on 28 January. His letter included the advice that, “The public should not challenge people for not wearing a face covering.” Will he now consider changing that advice as, surely, the wearing of masks is as important as social distancing and avoiding large gatherings?
I am extremely impressed by the noble Lord’s perseverance on this issue. I know that he feels very strongly about the need for members of the public to be involved in policing the wearing of masks. However, that is simply not the way in which the British administration of guidelines is handled in this country; it is for those who are put in positions of badged authority to implement them. I simply cannot advocate that members of the public should intervene on one another to insist on, or apply any form of retribution regarding, the wearing of masks.
(3 years, 7 months ago)
Grand CommitteeThe noble Lord, Lord Liddle, is not able to take part in the debate, so I call the noble Lord, Lord Lancaster of Kimbolton.
We were told that you were not on the call at the beginning of the debate and did not hear it.
I was on the call and heard the beginning. But if that is your ruling, Chair, that is fine.
No; we do not want to deny you the opportunity. Please speak to us now, Lord Liddle.
My Lords, I declare my interest as a vice-president of the Local Government Association. I know we all agree that the committee’s report is an excellent contribution to the debate on the future of social care funding. In it, the committee recommends that adult social care is given a long-term sustainable funding settlement for the benefit of those who use and work in these services. I absolutely agree with these sentiments.
As this report highlights, publicly funded social care support is reducing, as smaller budgets have forced local authorities to limit the number of people who receive public funding. Covid-19 has shown the value of social care services and their importance to our society, but the pandemic has also added significantly to the financial pressures on council services. In its submission to the Treasury’s budget consultation, the LGA called on the Government to use the announcement to set out a clear timescale with specific deadlines for how reforms to adult social care provision, eligibility and funding will be introduced. A programme of reform for social care, led by national government, will be essential as we look to improve services and reduce inequalities.
The legacy of Covid-19 for social care and, most importantly, the people who use social care services, must be a reset, not simply a restart. This impetus should spur our thinking around long-term reform of care and support, which should be built on cross-party co-operation, as has already been mentioned. I hope that the Government will work with all parts of the social care world, particularly people with lived experience and local authorities, on a way forward that is informed by the many valuable lessons from the response to Covid-19 on the role and value of social care in all our lives.
I would also like to see the Government commit to a new deal for the care workforce, comprising action on pay, training and development, career progression and professionalisation, and recognition. To achieve those aims, the LGA has suggested that the Government commission an independent review to gather evidence and make recommendations, so that planning for the future of pay and reward in adult social care can begin. Ultimately, we must think about adult social care as an economic opportunity, rather than an economic cost. Reforming pay and reward for those working in adult social care will attract people to work in the sector, fill existing vacancies and benefit local economies.
Adult social care can play an important role as we seek to recover from the pandemic. In bringing my remarks to a close, I point out that the response to Covid-19 has highlighted the essential value of social care to the wider public. It is vital that this support be harnessed to deliver the long-term reform of the adult social care system that we so urgently need. I look forward to working with the Government and Members in both Houses to take this agenda forward.
My Lords, the noble Baroness, Lady Uddin, has withdrawn from the debate, so I call the noble Baroness, Lady Browning.
(3 years, 7 months ago)
Lords ChamberWe now come to the group beginning with Amendment 17. I remind noble Lords that Members other than the mover and the Minister may speak only once and that short questions of elucidation are discouraged. Anyone wishing to press this or anything else in the group to a Division must make that clear in debate.
Clause 7: Disclosure of information in accordance with international agreements
Amendment 17
Does the noble Lord, Lord Patel, wish to move to move his Amendment 63? Lord Patel? We cannot hear the noble Lord.
We now come to Amendment 66. I remind noble Lords that Members other than the mover and the Minister may speak only once and that short questions of elucidation are discouraged. Anyone wishing to press the amendment to a Division must make that clear in debate.
Amendment 66
We now come to the group consisting of Amendment 67. I remind noble Lords that Members other than the mover and the Minister may speak only once and that short questions of elucidation are discouraged. Anyone wishing to press this amendment to a Division must make that clear in the debate.
Amendment 67
(3 years, 7 months ago)
Lords ChamberMy Lords, no-shows are being managed extremely effectively under the current arrangements. We are extremely grateful to the British public for their perseverance.
My Lords, I am happy to join others in congratulating the Minister on how he has delivered news about the vaccines to your Lordships’ House and to everybody concerned with the rollout. I wish it well in every possible respect. However, I am sure he will agree that, as it will take a little while before the vaccine has the beneficial consequences we want, it is essential that we do not drop our guard now. In that context, I return to a subject I asked him about two weeks ago: the mandatory wearing of face coverings. I asked him then what guidance the Government could give to public-spirited people who try to encourage others who are not wearing face masks in places such as shops and on public transport about whether they are right to do so? Can he give some comfort to those of us who want to intervene but are frankly deterred by the reaction we are likely to get? It is good news that the supermarkets are operating a new policy, and I welcome the announcement by the Metropolitan Police Commissioner. I would like a bit of a lead from the Government as well.
The noble Lord is entirely right. The advent of the new variant, with its extremely high transmissibility, means that we all have to rethink our approach to the pandemic. We must all adopt habits that are uncomfortable and frustrating, of which mask-wearing is one good example. I know that colleagues in government are looking at ways in which restrictions should be refined. The Government do not take a view on intervening with members of the public; it is the personal responsibility of individuals to make decisions for themselves. The police certainly have very clear guidance on what interventions they should make, and it is best to leave it to them.
(3 years, 7 months ago)
Lords ChamberMy Lords, I will focus on school education in lockdown. Education has had a poor deal during this crisis. Education is vital for children and young people to thrive and prosper, yet those involved have suffered U-turns—sometimes almost instant—a lack of equipment, and mixed messages about exams and assessments. This has left them confused and distressed.
I ask the Government to put in place a long-term strategy for education, with transparent options if things need to change. They should work with local authorities, unions, parents and children to develop and share a strategy now.
This strategy should include the following. All those working in schools should be vaccinated and treated as a priority. They should have reliable supplies of protective equipment and a safe environment, as they are very special. Testing for all in schools must be established. A broad and balanced curriculum must be maintained and guaranteed as far as possible. Children need not only academic education but structure, routine, socialising, activities such as art, sport and exercise, and the chance to discuss how best to cope in challenging times. Exam assessment systems need to be firm and clear. Families must be guaranteed computer equipment for each child when working at home. Services such as mental health services must be geared up to cope with present and future demand. Where is such a strategy?
Parents also face a crisis. The Government need to listen to parents, who may have the challenge of coping with work, running a household and supporting children who are not at school. Those who cannot work due to childcare commitments must be guaranteed flexible job retention. Confusion and anxiety about the basic needs of children and parents must be addressed urgently by the Government; otherwise, we risk long-term problems in mental health and inequalities, with services that cannot cope.
The noble Lord, Lord Robathan, has withdrawn, so I call the noble Lord, Lord McNally.
Sorry, I did so, and it went back on mute. I beg your pardon. My Lords, I speak again from the hills of east Lancashire, which are not so sunny today.
The Minister said that we are not back to the grim times of last March, but in this part of the world, and many others in the north, we have never really been out of them, apart from a short time in the middle of summer. The misery, loneliness and debilitating frustration of people such as small shopkeepers in town centres continues.
Vaccination is really the Government’s last chance to show that they can do something competently in this area. My noble friend Lady Bowles of Berkhamsted talked about the logistics and the rollout. In my view, at local level it is very important that the local people involved—the hospitals, GPs, pharmacies and local authorities providing facilities—are able to operate with a degree of flexibility.
Too often we have an attitude in this country of tram lines and tick boxes, and people are not able, and do not feel they are able, to do anything at all that is not on their tick list. Yet if people have the vaccines locally, it is very important that they use them, and that we do not get a situation in which there is a surplus of vaccines in a particular place and people do not turn up to get their vaccination, or there are not enough of the priority categories available. People have to be able to use those vaccines. Every vaccine delivered locally and not used will be a disgrace. I ask the Minister to assure us that people will have the flexibility to use them and to get people vaccinated, right up to 100%.
The noble Baroness, Lady Kennedy of Cradley, has withdrawn, so I call the noble Lord, Lord Moylan.
(3 years, 7 months ago)
Lords ChamberMy Lords, I shall speak about the wearing of face coverings on public transport. What do the Government intend to do about the attacks on public-spirited individuals who attempt to encourage non-wearers of masks to comply with the law? What advice can they offer to members of the public who believe that the law should be obeyed but are deterred by the threat of physical violence on confronting the lawbreakers?
Yesterday the Evening Standard reported the case of a train passenger who was attacked with a knuckleduster and put in hospital after he asked two men to wear face masks. He was kicked as he got off the train at Barnes station and then beaten up on the platform. He suffered a punctured lung and multiple broken ribs. In an earlier incident in October, an NHS worker confronted a group of two men and a woman on a District line train and asked them why they were not wearing masks. He too was attacked, punched several times on the side of the head and then thrown off the train on to the platform at High Street Kensington. I suspect that a number of your Lordships may have remonstrated with non-wearers of masks on trains, tubes or buses and been rewarded with mouthfuls of vile abuse for doing so; I recall my noble friend Lady Thornton recounting such an incident in your Lordships’ House, and I certainly have.
If we ask public transport workers to support us, they tell us they have no powers to enforce mask wearing. That even goes for Transport for London bus drivers, who will not refuse boarding to non-mask- wearing passengers. My appeal to the Minister is to take whatever powers are needed to get the law enforced, issue new instructions to public transport operators and help all of us who support the policy to stay safe —both from the threat of the virus and from the threat of the thugs.