Covid-19 Update

Debate between Lord Forsyth of Drumlean and Lord Bethell

Tuesday 15th June 2021 Lords Chamber

[Lord Forsyth of Drumlean (Con)]

My Lords, what is the point of this Statement? It was briefed to the newspapers over the weekend and the contents were given to members of the press for scrutiny. So Laura Kuenssberg has done the job and there seems to be little for us to do—which may account for the grumpiness I see around the Chamber. Has my noble friend seen the excellent report of the Constitution Committee of this House published on 10 June, entitled COVID-19 and the Use and Scrutiny of Emergency Powers? It is damning of the Government’s use of secondary legislation without proper consultation—of which today we have yet another example. Will the Government mend their ways and accept the recommendations in this excellent report?

[Lord Bethell (Con)]

My Lords, I absolutely pay tribute to the Constitution Committee. It was generous enough to have me appear in front of it, and I gave several hours of evidence. I am glad to see that my noble friend read the report; I hope he enjoyed my evidence in it as well. In that evidence I made it absolutely crystal clear that the Government work with the laws at our disposal; that is what we have to hand. There may be a time when Parliament chooses to review those laws. Now is not the time, but when it is we will do it.

Covid-19

Debate between Lord Forsyth of Drumlean and Lord Bethell

Wednesday 26th May 2021 Lords Chamber

[Lord Bethell (Con)]

My Lords, I must admit that I am not aware of a large number of people having to repeat their 10-day isolation, so let me look into that and I should be glad to write to the noble Baroness.

[Lord Forsyth of Drumlean (Con) [V]]

My Lords, in the light of the extraordinary personal vendetta that Dominic Cummings is pursuing against the Health Secretary and the Prime Minister, is it not obvious that the Government must now bring forward the official inquiry into the handling of the pandemic promised by the Government so that the public do not have to rely on a partial, self-serving account, fortified by hindsight?

[Lord Bethell (Con)]

I am extremely grateful for my noble friend’s remarks. The inquiry will, as he says, provide an important moment to look at the lessons that we can learn from the response to the pandemic. The Prime Minister has given extremely clear reasons why the timetable is as he described and we should stick to the timetable that he has suggested.

Health and Social Care Update

Debate between Lord Forsyth of Drumlean and Lord Bethell

Monday 22nd March 2021 Lords Chamber

[Lord Forsyth of Drumlean (Con) [V]]

My Lords, what contingency plans do the Government have in place should the EUC/EU pursue its outrageous threats to prevent the export of vaccines under a legal contract with the NHS? In that event, can my noble friend say what estimate he has made of the delay, if any, to completing the undertaking he gave earlier that all adults in the UK will have had their first dose by the end of July?

[Lord Bethell (Con)]

My Lords, from the beginning, we have put in place arrangements for the UK manufacture of vaccines, which, in the light of events, has proved to be a pragmatic and sensible move. We are hopeful that the EU will continue in the spirit of partnership and will respect contract law. I stand by the statement I made on our expectations on the supply of the vaccine to cohorts one to nine and all adults that I articulated earlier.

Covid-19 Update

Debate between Lord Forsyth of Drumlean and Lord Bethell

Thursday 4th March 2021 Lords Chamber

[Lord Bethell (Con)]

My Lords, we are taking a leadership role in COVAX, CEPI, ACT, Gavi and all the international, multilateral initiatives to roll out vaccine around the world. We are looking at what to do with our own stock of vaccines, and the Foreign Secretary has made it very clear that distribution of the vaccines we have bought is very much on the agenda. The AstraZeneca vaccine is being used as probably the default vaccine of choice around the world, as it is low- cost and easily distributed. Through our G7 chairmanship, we entirely support the agenda of preventing further pandemic by ensuring that vaccines are fairly and widely distributed around the world.

[Lord Forsyth of Drumlean (Con) [V]]

I join others in congratulating my noble friend and his colleagues on the brilliant success of the vaccine programme. However, why is everyone in the United Kingdom, on receiving the vaccine, not being issued with a card to show that they have had it?

[Lord Bethell (Con)]

My Lords, they are issued with a certificate. It is a digital certificate that is put in their patient record. In the modern day, that is by far the most effective way to ensure that people know that they have had the vaccine. A physical card has the potential for fraud. We have looked that extremely carefully, but we think the digital approach is the right one. Most people will receive a small card with their second dose appointment on it, but if my noble friend did not get one, I am sorry about that.

Covid-19 Update

Debate between Lord Forsyth of Drumlean and Lord Bethell

Monday 30th November 2020 Lords Chamber

[Lord Forsyth of Drumlean (Con) [V]]

My Lords, could my noble friend comment on reports in today’s press that four hospitals only, in the whole of England, are busier than last winter? Could he explain how on Saturday Michael Gove warned that, unless the latest regulations were implemented, every hospital in England risked being overwhelmed by Covid-19 cases? Before our debate tomorrow, could he publish the modelling on which this assertion was based?

[Lord Bethell (Con)]

My Lords, I saw the press reports to which my noble friend refers. I remind him that their suggestion that we should be running our hospital system at 99% capacity during a pandemic is not reasonable. It would put our flexibility to deal with any increase in infections over the winter months in an incredibly precarious state. Running at around 88%, which is the current rate, is pragmatic. It would take very little for the 600,000-plus group of people who carry the Covid infection at the moment to have an impact on those bed numbers before the NHS was overwhelmed. That was the point that the Chancellor of the Duchy of Lancaster made, and I thought he made it very well.

Covid-19 Update

Debate between Lord Forsyth of Drumlean and Lord Bethell

Thursday 12th November 2020 Lords Chamber

[Lord Bethell (Con)]

My Lords, I reassure the noble Lord that the 67 DPHs who are taking the tests in the first round are those who stepped forward. I believe that they include DPHs in Lancashire, but I shall be happy to confirm that. Regarding the Lonely and Left Behind report, the noble Lord put it extremely well. Of course those are the people who have been extremely hard hit by the pandemic. I hope he will acknowledge that we have put those who are older and vulnerable at the top of the prioritisation list—there has been no ambiguity about that. They will be vaccinated first and will therefore be freed from lockdown. When the vaccination is available, it will be a massive priority to get our society open again and to get the love, tenderness and support to the people whom he described—all things that are needed in order for them to have happy and fulfilled lives.

[Lord Forsyth of Drumlean (Con) [V]]

My Lords, why has my noble friend not answered my Written Questions on the following: on false-positive tests, which were due on 28 September; on the legality of using the Public Health Act for lockdown, which was due on 14 October; and, finally, on why those Questions have not been answered, which is also overdue?

[Lord Bethell (Con)]

I can only apologise to my noble friend for the slowness in replying to his Questions. It is not a reasonable excuse, but the Department of Health and Social Care has been overwhelmed by the pandemic. A large amount of our correspondence is behind schedule. I have worked hard to try to catch up on that, but I apologise to him sincerely for the delay. When I get back to the department tomorrow morning, I will chase it up and get him replies to his perfectly reasonable Questions.

Social Care

Debate between Lord Forsyth of Drumlean and Lord Bethell

Wednesday 28th October 2020 Lords Chamber

[Lord Bethell (Con)]

Talks are happening in the background in many ways. I cannot give the noble Baroness a precise date, because our focus is very much on managing Covid and learning its lessons, including from the CQC report that the noble Baroness rightly pointed out. But this is a massive priority both for the Government and for opposition parties, and I can reassure the noble Baroness that it will be taken on board at the soonest possible moment.

[Lord Forsyth of Drumlean (Con) [V]]

My Lords, further to the question from the right reverend Prelate the Bishop of Carlisle, the Economic Affairs Committee of this House produced a report on social care that had all-party support and was universally welcomed across the House. That was in July 2019—14 months ago. There has been no proper government response and no opportunity to debate it. How much longer must people in desperate need have to wait for the Government to reach a conclusion? I say to my noble friend that Covid is not an excuse for procrastination but an imperative for urgent action.

[Lord Bethell (Con)]

My Lords, we all acknowledge the power and intellectual insight of the Economic Affairs Committee report, which was welcomed on the Floor of the House and speaks for itself in terms of its authority and insight. But my noble friend is, I am afraid, not being reasonable when he says that Covid is not an excuse for inaction. There is an enormous focus on the front line and by the management of the NHS and the DHSC on preparing the winter plan, which is ambitious but also extremely stretching. There simply is not the management or political capacity to take on a major generational reform of the entire industry in the midst of this massive epidemic.

Covid-19 Update

Debate between Lord Forsyth of Drumlean and Lord Bethell

Monday 14th September 2020 Lords Chamber

[Lord Bethell (Con)]

My Lords, the amount of testing we are doing is increasing enormously. Most people who book a test do get it locally, and that test is delivered quickly and on time. The result arrives within 24 hours and we are doing a million tests a week, which is well within the bounds of our business capacity.

The noble Lord is right that the system is under scrutiny and pressure. Not everyone is getting a test where and when they want it. However, overall, it is reasonable to ask people not to make frivolous demands upon the tests, and to ask that those who are asymptomatic wait until there is further test capacity before they step forward to ask for their test.

[Lord Forsyth of Drumlean (Con) [V]]

My Lords, can my noble friend tell me what the Government have identified in English children under 12, including babies, that makes them, to use his phrase, “a vector of infection and a Covid hazard”, that does not apply to children in Scotland, who have been back at school for weeks? And on the subject of making things easier to understand—simplifying matters—why is it okay in England to meet one’s grandchildren in the pub but not in their family home if the household consists of six people?

[Lord Bethell (Con)]

My Lords, Scottish children are just the same as English children, but the Scottish Government have decided to take a different approach; we celebrate the differences between our two nations in this. With respect to meeting in the pub, you cannot meet more than six people in the pub and you cannot meet more than six people between two households. The arithmetic is reasonably straightforward.

Independent Residential Care

Debate between Lord Forsyth of Drumlean and Lord Bethell

Tuesday 7th July 2020 Lords Chamber

[Lord Bethell [V]]

The noble Baroness is entirely right that the issue of excess beds is an unfortunate and unwelcome added pressure on an already pressured system. Sir Simon Stevens was echoing the sentiments of the Government and the Secretary of State when he said that we need to move towards a long-term settlement for social care. That was very much the commitment of the Prime Minister during the election and in the manifesto. Steps have been taken towards working on that but we have been interrupted by Covid-19. It remains a number one priority for the Government. In the meantime, we will be putting in the financial resources necessary to provide the resilience for those smaller homes of which the noble Baroness speaks.

[Lord Forsyth of Drumlean (Con) [V]]

My Lords, does my noble friend think it reasonable that, 12 months after the Economic Affairs Committee produced the report Social Care Funding: Time to End a National Scandal, we have not had a debate on the report or a response from the Government? He talks about providing resources for social care. That report identified an £8 billion gap just to get back to the standards we had in 2010. Does he not think that instead of the occupants of Nos. 10 and 11 Downing Street standing on their doorsteps and putting their hands together to clap the achievements of social care workers, their hands should be put in the Treasury’s pocket to find the money now urgently needed to prevent the collapse of nursing homes and to prevent us continuing to rely on the good will and hard work of people who are being pressed beyond endurance? This delay cannot go on longer and longer, which has been the pattern for the last decade.

[Lord Bethell [V]]

My noble friend asks the question extremely well. The Lords Economic Affairs Committee report is an extremely thoughtful and respected piece of work. Under normal circumstances we would certainly have had that debate and moved forward on this incredibly important issue, which was flagged both in the election and in the manifesto as a major government priority. However, I cannot hide from my noble friend that the Covid epidemic has disrupted progress, particularly on this delicate issue, which requires a huge amount of management time by senior healthcare officials, who are utterly consumed by Covid at the moment. Please be under no illusion that this is a major priority for the Government. Once the preparations for winter are in place, it will be at the top of the list.

Social Distancing: Two-metre Rule

Debate between Lord Forsyth of Drumlean and Lord Bethell

Tuesday 16th June 2020 Lords Chamber

[Lord Bethell [V]]

The noble Lord’s maths is entirely right. That is why we are moving cautiously in this area, despite many people’s concerns and despite the profound effect on industries such as the hospitality industry, which we regret enormously. However, the main focus is to drive down the infection rate. If we can get the prevalence levels down sufficiently, social distancing will not be required any further, and it is on that target that we are focusing.

[Lord Forsyth of Drumlean (Con) [V]]

Do the Government accept that each day’s delay in reducing the two-metre rule will result in needless redundancies, that many of these jobs will go in the next few days and will not be replaced in the short term, and that we cannot wait weeks for a review? Failure to act now will see the loss of hundreds of thousands of jobs, and that will hang like an albatross around the neck of the Administration.

Covid-19 Update

Debate between Lord Forsyth of Drumlean and Lord Bethell

Monday 16th March 2020 Lords Chamber

[Lord Forsyth of Drumlean (Con)]

My Lords, following the comment of my noble friend Lord Bridges on IR35, which will impose huge costs and burdens on small businesses and entrepreneurs, would it not be sensible for the Government to defer its implementation? More importantly, it is obvious that these measures are going to result in a deep recession in this country. Many good businesses are going to go to the wall, unless they are helped with their cash flow. Declaring an interest as a banker, I know that the banks will want to extend credit to those businesses, but the regulatory rules and the senior managers regime prevent them from doing so. Of course public health is the most important thing, but it is of the utmost importance that the Government enable the banks to provide support for those businesses, and that they recognise that the Budget package, welcome as it is, is a mere flea-bite compared to what is required—and required now.

[Lord Bethell]

My noble friend is entirely right; it is a point well understood in Government. But he does slightly answer his own question, because our priority at this stage is to ensure that the medical and clinical response is right, and that the message gets across to the public about what they can and should do to protect themselves and delay the spread of this virus. I reassure him and the House that the economic impact of this virus is fully understood, and that there will be a full package of measures announced at a later date, once we have got this initial response out of the way.

Coronavirus

Debate between Lord Forsyth of Drumlean and Lord Bethell

Thursday 12th March 2020 Lords Chamber

[Lord Bethell]

The noble Baroness is entirely right to ask about a specific group. As yet, I do not have a clear answer on the exact demographic that she describes, but I reassure her that our understanding is that this will hit hardest the most vulnerable in our society. The entire focus of our provisions is therefore to make sure that the most vulnerable are looked after best.

[Lord Forsyth of Drumlean (Con)]

My Lords, yesterday I asked my noble friend whether he would give guidance to employers on the standards of deep clean required to enable people to return to premises. He indicated that he thought that the CMO did not think that this was necessary and that such advice would be “red herrings or distracting”. I read in the newspapers today that, sadly, a case was identified in the Treasury, which arranged a deep clean overnight so that people could return to work. Speaking as an employer with buildings where continuing services are important to consumers, customers and others, as well as to maintaining employment, we would like to carry out a deep clean every night, so that, if a case was identified, the premises would be safe, but we do not know what standard of deep clean is required. Frankly, asking a cleaning company what it would recommend does not seem the basis on which best to protect not just the staff of the building but also the businesses. May I reiterate the plea for some guidance? If that is not possible, perhaps we could be told what the Treasury decided.

[Lord Bethell]

I thank my noble friend for his question on deep cleaning. I reassure him that no one is suggesting that the best efforts of any employer to protect the welfare of their staff is in any way irrelevant or undervalued. Cleaning is an important response to this virus and those who decide to put resources into cleaning their premises are entirely to be lauded. There is clear guidance on the PHE website. I have put that guidance in the Library and would be happy to arrange for it to be emailed.

Let me try to explain the nub of the question. The CMO has not put the daily deep cleaning of offices or any work premises at the top of his priorities. The reason for that is that it takes only one person to touch a doorknob at 7 am for that doorknob to be contagious for the rest of the day, whereas a pair of hands can be cleaned many times a day. If you do the arithmetic of how the virus is spread—as the modelling professionals do at SAGE—constant handwashing, which we bang on and on about, is the most effective way of preventing the virus spreading. When that no longer proves an effective measure, the CMO will undoubtedly change the guidance and publish that guidance widely.

--- Later in debate ---

[Lord Bethell]

The noble Lord’s point has been raised with me by staff of the Palace, who are concerned about this. It is not for me, I am afraid, to answer this question; it is for the officers of the House. I know they are looking at this matter and are being advised by the Chief Medical Officer.

[Lord Forsyth of Drumlean]

My Lords, I return to the question of deep cleaning. My noble friend says that the advice is clear. Could he confirm that, if an employer arranges for all surfaces within their premises to be treated, that will be sufficient to allow staff to come back into the building safely?

Dementia: Accident and Emergency

Debate between Lord Forsyth of Drumlean and Lord Bethell

Wednesday 11th March 2020 Lords Chamber

[Lord Bethell]

The noble Baroness will be aware that the identification of dementia patients in England has risen dramatically from 42% to 67%, which more than accounts for the increase in the Alzheimer’s Society’s numbers. We are, however, concerned about this issue and remain focused on pulling together a new challenge on dementia strategy for the next five years and on ensuring that beds are liberated in a timely and reasonable fashion.

Coronavirus is naturally a matter of high concern in our preparations. Care of existing vulnerable and lonely people and the elderly is a massive priority, and we are putting in place plans to provide that care.

[Lord Forsyth of Drumlean (Con)]

My Lords, if the care of people with Alzheimer’s and other conditions is such a priority, why have the Government not responded to the Economic Affairs Committee report on social care which came out seven months ago, and why was there nothing in an otherwise excellent Budget speech on social care, which we have been promised now for year after year after year?

[Lord Bethell]

The noble Lord is quite right to point out the delay in providing an answer on social care. That is why the Secretary of State for Health and Social Care wrote to Peers earlier this month, initiating a round of cross-party conversations and putting in the diary the beginnings of a process to pull together cross-party agreement. That cross-party agreement is essential to providing a long-term solution to this important problem.

Covid-19: Deep Cleaning

Debate between Lord Forsyth of Drumlean and Lord Bethell

Wednesday 11th March 2020 Lords Chamber

[Lord Bethell]

My Lords, the noble Lord, Lord Kennedy, makes an important point. Cleaning and cleansing will be uppermost in all our minds, and I assure the House that it is a source of great focus in the efforts to combat Covid-19. However, I will try to persuade the noble Lord that we have only limited resources, time of those involved in the cleaning processes and good will from the public, so timing is essential when we are delivering measures to combat the spread of Covid-19. The CMO has been very clear on this: personal hygiene in washing hands and avoiding the spread of the virus to the face and skin should be the priority for us all. That is the focus of the Government’s efforts at this stage.

[Lord Forsyth of Drumlean (Con)]

My Lords, I declare an interest as chairman of a bank. The issue that the noble Lord has raised is very important. If someone is diagnosed with coronavirus, good practice means that no staff are allowed back into the building until it has been deep cleaned. An alternative would be to deep clean the building every night, so that if there were a case people could continue in their work, but to be able to pursue such a policy you need to know exactly what needs to be done to maintain the welfare and safety of the workforce.

[Lord Bethell]

The noble Lord is entirely right that cleaning is important, but the kind of deep cleaning protocols he described are not those recommended by the CMO at this stage of the epidemic. The SAGE group of statisticians and epidemiologists is modelling the outbreak of the virus very closely. Its computer models track the behaviours of the virus, the demographics of the country and the behaviours of people in different circumstances. Its focus is to try to ensure that we channel all our efforts into effective measures and do not explore red herrings or distracting policies that might prove counterproductive or distract from effective measures.