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

Lord Harris of Haringey Excerpts

Wednesday 30th December 2020 Lords Chamber

[Lord Harris of Haringey (Lab)]

My Lords, on Christmas Day, there were 578 Covid-related hospital admissions in London; 16 weeks earlier there had been just two. That number became 38, four weeks later, and, after another eight weeks, 124. It is now 578. That is an exponential growth, with the total number of in-patients in London now at just above the previous peak on 8 April. If anything, these figures understate things. The threshold of illness to be admitted to hospital is now higher, and more people are dying in the community without ever entering hospital. And the virus is now more transmittable than it was. So of course these measures are needed. The question is whether they are—or rather, were—sufficient.

Throughout the whole of this year, the Government have dithered, responded too late and then acted inadequately. There were five wasted weeks at the beginning, no monitoring of those entering the country and the chaos of test and trace, and dither and confusion continue. Will the schools reopen next week, the week after or later still? This is overpromising and under- delivering, yet again. Some 1,500 soldiers to help test the nation’s schoolchildren means one soldier to every 20 schools—it is a joke.

Ministers are chasing headlines and not listening to those who have to deliver on the ground. Contracts are given to cronies who fail to deliver but still walk off with eyewatering profits; contrast that VIP channel to riches with the businesses going under for ever because of the chaotic cycle of lockdowns and them never being provided with adequate bridging funds to survive.

With the failure to compensate properly those who are expected to quarantine or self-isolate, it is no surprise that some do not follow the rules. This is a litany of failure, with the worst death rates in Europe and probably the most damaged economy. My question is simple: how can the noble Lord defend it?

Covid-19: Vaccinations

Lord Harris of Haringey Excerpts

Thursday 17th December 2020 Lords Chamber

Asked by

[Lord Harris of Haringey]

To ask Her Majesty’s Government how many people they anticipate will have received COVID-19 vaccinations by (1) 31 December, (2) 31 January 2021, (3) 28 February 2021, and (4) 31 March 2021.

[Lord Harris of Haringey (Lab)]

I draw attention to my interests in the register and beg leave to ask the Question standing in my name.

[The Parliamentary Under-Secretary of State, Department of Health and Social Care (Lord Bethell) (Con)]

My Lords, more than 137,000 people in the UK have received the first dose of the Pfizer/BioNTech Covid-19 vaccine in the first week of the largest vaccination programme in British history, and I thank all those involved. It will take at least until spring for all high-risk groups—an estimated 25 million people in England—to be offered a Covid vaccine. We remain committed to the principle of offering everyone in Britain a vaccine.

[Lord Harris of Haringey (Lab)]

The Government have form on overpromising and underdelivering, so I am interested in the figure that the noble Lord has given. Assuming that he is going to achieve 25 million vaccinations, that means in excess of 1 million people a week being vaccinated between now and then. With 200 vaccination centres, that means something like 7,500 vaccinations per week and, if centres work 14 hours a day for seven days, that will be something like 75 per day. Does the noble Lord not think that he is in danger —again—of overpromising and—again—of fuelling the widespread belief that the crisis is over, which is leading to the behaviour that we all know is likely to fuel the number of cases in the next few weeks?

[Lord Bethell (Con)]

My Lords, the mathematics done by the noble Lord are interesting but not quite a reflection of the strategy. It is undoubtedly true that the NHS is, wisely, taking the start of the deployment with great care. This is an extremely complex vaccine to deliver, but hospital hubs, local vaccination services and vaccination centres will be rolled out around the country. The kind of ambition that the noble Lord describes—quite rightly—is exactly what we seek to deliver; we will update the House as that deployment plan rolls out.

Face-to-Face Medical Appointments

Lord Harris of Haringey Excerpts

Thursday 19th November 2020 Lords Chamber

[Lord Bethell (Con)]

My Lords, I thank my noble friend for his comments and reassure him that the Government are absolutely focused on the restart programme. The chief executive of the NHS has written to GPs, emphasising the absolute and primary importance of face-to-face appointments, for exactly the reasons that my noble friend knows full well. I also emphasise the enormous response that we have had from the public, and that we are meeting exacting targets for those face-to-face meetings. I also emphasise that new technologies and techniques have been very much welcomed by the public. Telemedicine, and telephone and video consultations, have proved to be extremely popular and helped to increase the number of appointments last month compared with this time last year.

[Lord Harris of Haringey (Lab)]

My Lords, nearly three-quarters of GP consultations at the peak of the pandemic were conducted by telephone or video call. A BMA survey in June found that nine in 10 GPs want to continue to deliver consultations remotely, once the pandemic has ended. Many people are reluctant to discuss their symptoms in this way, or cannot access the necessary technology, and often diagnoses are not possible without a physical examination. Is the Minister happy with such a change? What guidance does the department intend to give on this, and will the GP contract be reviewed to reflect what is happening?

[Lord Bethell (Con)]

The noble Lord is entirely right. Without doubt, there are very many circumstances in which a face-to-face appointment is absolutely necessary, whether that is for a physical analysis, for the comfort of the patient or to check out other symptoms that may not be apparent from a telephone call. However, there are other people for whom telephone appointments are helpful. The Royal College of Physicians found that 20% of patients over 65 felt worse after an in-person appointment because of the stress involved. But the noble Lord is entirely right that guidelines do need to be evolved in order to reflect the changes, and there may be a moment when the GP contract needs to be revisited.

Covid-19: Conflicts of Interest

Lord Harris of Haringey Excerpts

Wednesday 18th November 2020 Lords Chamber

[Lord Bethell (Con)]

My Lords, we are enormously grateful for the very many people who stepped forward to offer help during this time. When the Prime Minister made his public call for help, 16,500 people contacted us with various offers. It was, of course, necessary to triage and prioritise that huge list. In that list there were a great many people who had extensive experience in their area; there were people who were new to the game; there were have-a-go heroes; there were multinational companies. There were also those whose intentions were not as pure as one would hope. We approached each and every one on their merit, and there were official guidelines to guide the procurement processes. We have stuck to those guidelines every step of the way.

[Lord Harris of Haringey (Lab)]

Yesterday the Minister said that he had personally made 300 calls to potential suppliers of PPE earlier this year. Not surprisingly, given the report from the National Audit Office today, which the Daily Mail described as devastating, he did not tell us how the lucky recipients of all his calls were chosen. Could the Minister tell us whether one of those calls was to the jewellery designer Michael Saiger, based in Miami, who received more £200 million in contracts from the Minister’s department, paying £21 million to a Spanish fixer? How did Mr Saiger and his jewellery come to the attention of the department? Why were major British companies with well-established global supply chains, which offered to help, ignored?

[Lord Bethell (Con)]

My Lords, I am grateful to the noble Lord for referring to my calls. I would have made a lot more than 300 calls then, because those were extremely difficult times. I would remind him that the NAO report says that we found Ministers had properly declared their interests, and we found no evidence of their involvement in procurement decisions or contract management. Ministers were not involved in procurement decisions; they facilitated the introduction of potential suppliers at a time when there was a massive global crisis. Supplies to this country were being abducted by other countries, supply chains had broken down, the channel tunnel was constrained and the Indian transport system had ground to a halt. Presidents were literally diverting planes in the air with supplies meant for one country and grabbing them for their own. In those circumstances, Ministers and their advisers intervened to get the right supplies to the front line to help those seeking PPE. Those were extremely energetic efforts. I am extremely proud of that work. Procurement decisions were left to civil servants.

Covid-19: Contracts and Mass Testing Programme

Lord Harris of Haringey Excerpts

Wednesday 4th November 2020 Lords Chamber

Asked by

[Lord Harris of Haringey]

To ask Her Majesty's Government how many contracts they have placed for the purchase of (1) personal protective equipment, and (2) the mass Covid-19 testing programme, (a) with suppliers identified as “VIPs”, and (b) using fast-track procurement procedures since 1 March; what is the total value of any such contracts; and what steps they are taking to demonstrate that such contracts (a) represented value for money, and (b) involved no favouritism.

[The Parliamentary Under-Secretary of State, Department of Health and Social Care (Lord Bethell) (Con)]

My Lords, 289 contracts with an estimated value of £6.1 billion have been awarded by the DHSC to private sector suppliers to support test and trace, and 370 contracts worth an estimated £8.3 billion for the delivery of PPE. These figures are currently being validated with the National Audit Office. A direct award of a contract—an option available under the procurement regulations in cases of extreme urgency—has been used in the great majority of these cases. I reassure noble Lords that suppliers are evaluated by departmental officials and awarded contracts in line with the DHSC’s standard contract terms and conditions.

[Lord Harris of Haringey (Lab)]

My Lords, the noble Lord must realise that he is in danger of appearing complicit in the stench surrounding these procurements. On 6 April, he met with Meller Designs, which provides beauty products. It is owned by a man who was the finance chief of Michael Gove’s leadership campaign and a donor to the Conservative Party, while the noble Lord, Lord Feldman, who also sat in on that meeting, was chairman of the party. A few weeks later, the company was awarded a series of contracts amounting to £155 million for face masks and hand sanitisers. Those did not go through the normal procurement processes. What was discussed on 6 April? Will the Minister publish all documentation relating to every one of these VIP and fast-track procurements, including emails or messages suggesting specific contractors, and show how decisions were based on value for money rather than favouritism?

[Lord Bethell (Con)]

My Lords, the noble Lord will remember that at the beginning of this year the global supply of PPE, in particular, and other medical supplies completely collapsed. There was a global drought in the supply of key materials necessary for the protection of doctors, nurses and front-line healthcare staff. In those circumstances, we relied on a very large network of contacts and formal and informal arrangements in order, under extremely difficult circumstances, to reach the people who could manufacture these supplies, often moving their manufacturing from one product to another.

Covid-19 Update

Lord Harris of Haringey Excerpts

Thursday 10th September 2020 Lords Chamber

[Lord Bethell (Con)]

My Lords, I am not sure that I have a precise answer to the noble Baroness’s question on easement powers. It was my impression that they had not been used in the vast majority of areas—only in a few areas—and that, where they had been applied, their use had been of a mainly administrative rather than practical nature. However, I am happy to look into the question that she asks and to reply to her by letter.

[Lord Harris of Haringey (Lab)]

My Lords, the noble Lord has responded rather testily to a number of your Lordships in providing answers. In particular, he failed to answer the substantive question from my noble friend Lord Hunt of Kings Heath about why people were being sent, or being told to go, such extraordinary distances when they wanted and needed a test. He says that he does not want to have the blame game, but that is blamed on people who did not need a test going for one. First, can he tell us what those figures are and, secondly, can he reassure us that the messages he is now giving out will not lead to people who should be tested feeling that they should not bother the system? That would be just as big a danger.

[Lord Bethell (Con)]

I shall be extremely careful about how I reply to that question because I would not want to come across as testy. The noble Lord is right: it is a challenge to strike the right balance between guiding towards testing those who truly need tests because they have symptoms and trying to get those with less of a priority away from testing. I reassure him that, even under current circumstances, 90% of those who apply for a test get one within 20 miles and the average distance to travel is six and a half miles. Therefore, even though some of the anecdotes about being recommended to travel long distances might seem extraordinary, the lived reality of most people who go for tests is that they are quick, near, accurate and effective.

Health Protection (Coronavirus, Restrictions) (England) (No. 3) Regulations 2020

Lord Harris of Haringey Excerpts

Thursday 3rd September 2020 Lords Chamber

[Lord Harris of Haringey (Lab)]

My Lords, as ever, we are grateful to the Minister for introducing these regulations. They are, of course, an urgent measure and I do not disagree with their urgency, but what is deeply regrettable is that, in the name of urgency, so little that the Government and in particular the Minister’s department does is properly considered and scrutinised by either this House or the other Place.

I therefore make no apology for raising another group of issues where the Government have acted in the name of urgency, evading proper scrutiny. I refer to the fast-track procurement processes. Some of the contracts that have been awarded seem strange to say the least. Can the Minister explain why, in April, two contracts worth £8.4 million were awarded to Taeg Energy Ltd for hand sanitiser? Taeg Energy is listed as a dormant electricity production company, owned by a Mr Matthew Gowing. How and why was it selected? Who did it know in the Department of Health and Social Care to come to be awarded these contracts?

Why, in the same month, was another contract worth £692,000 for the supply of PPE gowns awarded to Kau Media Group Ltd, which is based in Hammersmith? How was a company specialising in social media, search engine optimisation and online advertising even considered by the department for such a contract? Who did it know?

Finally, how was Ayanda Capital, a company specialising in currency trading, offshore property and private equity, selected for a contract to supply £252 million-worth of face masks? How did this happen? Is it true that about £150 million-worth of these were not fit for use in the NHS? Again, who did it know?

The Minister must understand that these contracts, all rushed through without going through normal procurement policies—I do not argue with the need to get PPE—create the impression that something fishy is going on.

[Baroness Penn (Con)]

I remind the noble Lord of the time limit on Back-Bench speeches.

[Lord Harris of Haringey (Lab)]

I would have finished in the time you took to make that intervention. If we saw this in some other jurisdiction we would say that it reeks of corruption, stinks of cronyism or, at the very best, demonstrates rank incompetence and naivety. Can the Minister reassure us?

Health Protection (Coronavirus, Restrictions) (Leicester) Regulations 2020

Lord Harris of Haringey Excerpts

Wednesday 29th July 2020 Lords Chamber

[Lord Harris of Haringey (Lab) [V]]

My Lords, these regulations relate to Leicester, but they are a template for what will arise in other places; indeed, yesterday we had the news from Oldham. My first question to the Minister is: how would this work in a much bigger conurbation, such as London? There are 32 boroughs—33 if you count the area of the City of London Corporation—each distinct administratively, but the public do not take much notice of borough boundaries as they go about their daily lives. If restrictions had to be reimposed in Greater London, would they be applied in a one-size-fits-all manner across all the city, or more selectively? If pubs and bars are closed in Islington but not in Camden, how will that work in practice? If there is a problem in Newham, does that mean that the lockdown will apply in Ealing or Richmond? What, in practice, will the consultation arrangements with the relevant local authorities, the London Mayor and the individual borough leaders be?

Last Friday in your Lordships’ House, I raised the issue of self-administered tests for those unable to attend a test centre. My understanding is that the Government are phasing these out. Can the Minister confirm this? Such tests require the subject to insert a swab up the nose and into the back of the throat, obtain a suitable sample and return it by post for analysis. This requires precision and dexterity, as well as overcoming the gag reflex. The Minister told the House last week that self-testing was “popular”. Since then, I have heard more public reaction than ever before to something said in Your Lordships’ House, with dozens of people saying how difficult they found self-testing. Today the Minister provided a briefing note in response to my topical Written Question of 14 May. Although it does not answer any of the specific questions raised, it does say that more than 1 million home tests have been sent out, so I ask the Minister again: what proportion of these were returned and how many were unusable?

The note says that the tests are “very accurate” but goes on to say that a negative result may be because “the sampling of the individual was not undertaken appropriately”. What, therefore, is the Government’s working estimate of the proportion where the sampling was not done properly?

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

Lord Harris of Haringey Excerpts

Friday 24th July 2020 Lords Chamber

[Lord Harris of Haringey (Lab)]

My Lords, for us to move safely from lockdown, there must be effective testing, tracking and tracing. We are told today that the Government are abandoning self-testing administered by those who cannot attend a test centre. Such tests require the subject to insert a swab up the nose and into the back of the throat, obtain a suitable sample and return it by post for analysis. In an earlier debate, I pointed out that this requires a degree of precision and dexterity that not all of us will have, and means overcoming the natural reaction of the body if something is inserted up the nose or put to the back of the throat.

I submitted a topical Question on 14 May on this. It should have been answered a week later; it has still not been answered 10 weeks on. So I ask the Minister again, what proportion of the tests sent out were returned within three days and were returned but unusable, and what is the Government’s estimate of the proportion of false negatives? Will the Minister agree that self-testing, like the track and trace app, is another expensive but predictable failure?

Independent Medicines and Medical Devices Safety Review

Lord Harris of Haringey Excerpts

Wednesday 15th July 2020 Lords Chamber

[Lord Bethell]

The noble Baroness is right about culture change, but we are aware that having a big, clunking fist of financial threat hanging over individuals who are considering the admission of mistakes is not the right combination to create a culture of self-awareness and acknowledgement. We have to move extremely delicately to encourage people and make them feel safe enough to acknowledge the mistakes that might have happened and to embrace the kind of dialogue with patients that is necessary to deal with these results. That delicate balance is one of the most important things to get right in our reaction to this report.

[Lord Harris of Haringey (Lab) [V]]

We have heard some of this before. Thirty-four years ago, I submitted to the then Secretary of State—now our Lord Speaker—a patients’ charter prepared by the association of CHCs, which talked about listening to patients, putting them at the centre of every decision, and having a proper system of redress. Since then, every White Paper published by every successive Secretary of State has paid lip service to those principles, as the Minister has today. But the noble Baroness, Lady Cumberlege, has shown how shallow the commitment has been. The Minister talked about a patchwork quilt of safety mechanisms; can he convince us that this time it will be different? When will the Government say not only that they accept her recommendations in full, but what robust arrangements there will be to make sure that action and culture change actually follow?

[Lord Bethell]

Let me reassure the noble Lord that this report is taken seriously. But I acknowledge the fact that some of these issues are extremely complex, and when dealing with issues such as sexism, bullying, racism and a failure to engage with patients, there are not single-shot solutions like patients’ charters that will somehow transform the ecosphere. We have to look at it in the round, and that is why there will be major interventions like the HSIB, the people plan and the focus on fairness in the workplace that will ultimately make a big difference.