Covid-19
Lord Loomba Excerpts(2 years, 11 months ago)
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Lord Bethell (Con)
Let me assure the noble Baroness that there has absolutely not been a change of policy at all. There are clear channels of communication from DPHs and local authorities to the contain secretariat at NHS Test and Trace, which can mobilise the community testing resources. I am not aware of there being a large glitch in the provision of resources to Bedford but I should be happy to look into it, given that it has been mentioned by two noble Lords. I should be glad to write to her to see whether there is anything that we should be improving specifically for the city of Bedford.
Lord Loomba (CB) [V]
My Lords, is the Minister aware of the desperate need for second vaccine doses in Nepal? While the majority of the most vulnerable old people have had their first doses, the suspension of exports from India means that they now cannot get second doses and time is running out. Will the UK offer doses to rectify that situation?
Lord Bethell (Con)
My Lords, the noble Lord points out an extremely challenging situation, particularly in Nepal, but, frankly, all around the world there is a global pressure on the supply of the vaccine. Britain has contributed enormously to that through COVAX, our financial support and the AstraZeneca vaccine, whereby nearly half a billion vaccines worldwide have been run through the profit-free AstraZeneca process. However, we are aware of the situation in Nepal. My noble friend Lord Lancaster spoke movingly in his debate on the matter in this Chamber and we take note of the particular needs of that country.
Covid-19: One Year Report
Lord Loomba Excerpts(3 years, 1 month ago)
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Lord Loomba (CB) [V]
My Lords, I am delighted to be participating in this important and timely debate. I am proud and appreciative of the Government’s efforts to save lives and protect our economy. It is true that there were some shortcomings in the beginning. However, we must recognise the enormous challenges faced by the Prime Minister, the Health Secretary, the Home Secretary, the Chancellor of the Exchequer, and the scientists and medical pioneers, all working relentlessly to save lives, control our economy and bring some normality to our lives during these difficult times of lockdown, which have brought many other issues to the surface, such as mental illness and domestic violence. We must not forget the tireless work of our front-line workers, doctors and nurses, who are putting their own lives at risk to save others. It is extremely commendable and shows a real sense of community.
At an early stage, the Government invested a large amount of money in developing a vaccine, with the help and expertise of our scientists from the University of Oxford and Imperial College London. The vaccine rollout has been an outstanding achievement so far, and exemplary to other countries. All vulnerable groups have been offered a vaccination. Infections and death rates are low and falling dramatically. The pressure on the NHS has come under control. Therefore, it is now our duty and responsibility to ensure that we do not undo these achievements. We should make mask-wearing part of our normal routine. The appropriate use, storage and disposal of masks is essential to making masks as effective as possible.
It is highly likely that Europe’s third wave will hit the UK, as was claimed by Prime Minister Boris Johnson. However, we must do everything possible to avoid it. We should continue to have some restrictions on large social gatherings. We should ban overseas travel for holidays beyond 30 June, until the vaccination programs in other countries have caught up with ours. We must restrict arrivals from outside the UK and ensure that those who must enter are tested and quarantined upon arrival. It is crucial to avoid a third wave of this awful virus. We cannot afford further lockdowns, given the impact that they have on our lives.
I declare an interest. More than 120,000 people have died in the UK as a result of Covid-19. I suspect that more than 50% of those left behind are women who are now Covid widows—they are now lonely, insecure and victims of bereavement grief. I urge the UK Government to set up a Covid-19 widows support group, to provide financial support and practical help for them to overcome their bereavement grief. By setting up a Covid widows support group, the UK Government would be setting an example for other countries to follow.
Health and Social Care Update
Lord Loomba Excerpts(3 years, 1 month ago)
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Lord Bethell (Con)
My noble friend has just made a fantastic pitch for my job. He articulated the case for investing in Britain to pharmaceutical and medical devices companies around the world. Which company cannot be looking at Europe, right now, wondering whether Britain is not, by far, the best destination for their investment and research? I completely agree with my noble friend; my head is in my hands when I look at Europe and what is going on there, but my hope is that good sense will return. In the meantime, if anyone wants to invest any money in life sciences, please give me a ring.
Lord Loomba (CB) [V]
My Lords, the vaccination milestone of 25 million in 100 days is commendable. However, we must be very careful that we do not undo or undermine our good work thus far. Will the Minister tell us why the Government do not consider it important—imperative, even—to ban all overseas holiday travel this summer, as many countries are now suffering from a third wave of Covid-19 due to new variants becoming apparent, and there is an increased risk of them being transferred to the UK via travellers?
Lord Bethell (Con)
My Lords, the noble Lord puts the situation well. I do not agree with every aspect of his assessment, but his concerns are shared by the Government. We keep the whole situation under review, but the bottom line is that we do not know the impact of the variants of concern on the vaccine and vice versa. We keep the situation very closely monitored. The measures in place are entirely proportionate to the threat we face but, should that escalate, we will not hesitate to take the necessary decisions.
Hotel Quarantine for Travellers
Lord Loomba Excerpts(3 years, 2 months ago)
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Lord Bethell (Con)
The noble Lord is entirely right to be concerned about those who travel for essential reasons but who may face some hardship through their journey. We are putting in place special arrangements to ensure they are looked after in the best way possible. However, I remind him and the House that the purpose of these measures is to reduce dramatically the amount of travel. Travel is no longer a right; it is a danger, and as a result everyone needs to think very seriously before they commit to a journey.
Lord Loomba (CB) [V]
My Lords, we need to control the new variant strains entering the UK by controlling the travel corridors at airports and seaports if we want to avoid a third wave of Covid-19. Can the Minister tell us whether the Government deem the mandatory hotel quarantine an important step to ensure the safety of the nation from further devastating deaths from Covid-19 and overwhelming pressure on our NHS, considering the huge impact this would have on immigration, police, medical staff and the parties waiting in hotels at airports and seaports around the country?
Lord Bethell (Con)
The thrust of the noble Lord’s question is entirely right. We are now living in different circumstances; the variants of concern could emerge as a real threat to the vaccine. This Government will do whatever we can to protect the vaccine deployment and the reassurance it has given to millions of people, and to protect our hospitals, our NHS and life. We will therefore do whatever it takes. He is right that travel arrangements for people must be subject to mandatory control; it is not possible to hope that people will go home and isolate in cases such as this. Hotels may play an important part in ensuring that that mandate is truly effective. Our plans are being processed at the moment; our monitoring of the variants of concern has been upgraded massively, with huge investment in international surveillance. We will update the House accordingly.
Covid-19: Vaccinations
Lord Loomba Excerpts(3 years, 3 months ago)
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Lord Bethell (Con)
My Lords, my noble friend rightly picks me up on my use of words. I profoundly thank all those in the armed services who have made a contribution. They bring particular qualities to such a challenge as the deployment of the vaccine: logistical analysis and project management of the highest level, and the manpower and ability to get things done quickly on the front line. Those are extremely complementary. However, be under no illusion; there are 1.3 million employees in the NHS, and far fewer in the Armed Forces. There is no question of the Armed Forces being able either to replicate or take the role of the NHS in such a large project, though we are enormously grateful for their particular contribution. One lesson of the pandemic has been the remarkable return to work of former NHS workers and the early graduation of some trainees. We should and will look at the use of volunteers in the NHS in months to come.
Lord Loomba (CB) [V]
My Lords, the Government’s action plan for the rollout of the vaccine is commendable, with over 2.5 million doses given to date. One issue now appearing is that there are a good many no-shows at vaccine hubs. In an effort not to waste the vaccine, which has a short shelf life, administrators are finding as many people in close proximity as possible to give the unused doses to. While not wasting valuable doses is admirable, does the Minister agree that some back-up system should be in place to ensure that those who need it most are able to get it first when there are so many no-shows daily? Secondly, does he agree that parliamentarians in both Houses should be on a priority list for vaccination?
Lord Bethell (Con)
My Lords, no-shows are being managed extremely effectively under the current arrangements. We are extremely grateful to the British public for their perseverance.
Covid-19 Update
Lord Loomba Excerpts(3 years, 5 months ago)
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Lord Bethell (Con)
I am afraid I am not familiar with the report to which the noble Lord refers. I am glad to undertake to write with an answer to that question.
Lord Loomba (CB) [V]
My Lords, it is very good news that there is now a potential vaccine that shows prospects of good efficacy. The Health Minister showed MPs in the other place that mass rollout of the vaccine would be ready to start from as early as the beginning of December, and we have placed an order for 40 million jabs. Given that the vaccine is still not approved as 100% safe or approved by the authorities, can the Minister give more information on the reality of how long it is likely to be before a safe rollout takes place?
Lord Bethell (Con)
My Lords, I am afraid I cannot offer a firm schedule or confirmed dates for the rollout because they depend on the independent judgment of the MHRA, the CMO and the JCVI. These important decisions are out of our grasp, but it is clear that the progress made by Pfizer, AstraZeneca and other companies in the vaccine’s pipeline has been dramatically quicker than had initially been expected. We are making preparations to have the NHS ready for the beginning of December in case a vaccine is available by then.
Health Protection (Coronavirus, Restrictions) (Self-Isolation) (England) Regulations 2020
Lord Loomba Excerpts(3 years, 6 months ago)
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Lord Loomba (CB) [V]
My Lords, the Secondary Legislation Scrutiny Committee has drawn these regulations to the attention of the House due to their potentially discriminatory nature. This is because the regulations do not apply to people who use the NHS app. The committee believes—and I agree—that the elderly and the poor are less likely to use the NHS app, as it only works on newer, more sophisticated phones, and therefore they are more likely to be contacted by the normal test and trace team. This means that there is the potential for more poorer or elderly people to end up being fined than people who are informed by the app but who do not go on to get a test.
My second point is that a swathe of coronavirus regulations is coming into force, amid numerous reports of the public being confused and not understanding what is the law and what is guidance, and what applies to them in their situation. With these regulations, we have another instance of the potential to confuse, precisely because these regulations mandate people to self-isolate if they are told to do so by NHS Test and Trace team or by an official, but not if they are informed by the NHS app.
Health Protection (Coronavirus, Wearing of Face Coverings in a Relevant Place and on Public Transport) (England) (Amendment) (No. 2) Regulations 2020
Lord Loomba Excerpts(3 years, 6 months ago)
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Lord Loomba (CB) [V]
My Lords, I would like to make two points about today’s regulations. The first is regarding the wearing of face masks and the second concerns the amount of legislation being created to deal with the pandemic.
As a country, we were slow to adopt the wearing of face coverings, and there was a huge debate in the early days of the pandemic about the merits or demerits of their protective qualities. This was at a time when PPE was in short supply, and it was generally agreed that NHS and other front-line workers were left vulnerable without the correct PPE, which included wearing masks for complete protection. It is therefore a mystery as to why it did not make sense to endorse the wearing of face masks by the general public in the beginning, given that there was so much evidence of their protective benefits from their use by front-line workers. Perhaps the Minister would like to say why such an oversight took place.
My second point, which has also been noted by the Lords Secondary Legislation Scrutiny Committee, concerns the number of statutory instruments dealing with issues relating to the pandemic. For example, we had two original face covering regulations, which were subsequently amended by three further instruments. Today’s instruments add a further three amendments to the original two, making six in total.
One of today’s instruments includes taxis and private hire vehicles in the definition of public transport in order to make it compulsory for passengers to wear a face mask when using them. That it was not considered necessary to include this form of transport in the beginning means we need a further instrument to deal with the issue. Not only does that add to the legislative burden; it links to my first point about adopting the wearing of masks earlier in the pandemic: not having that regulation may have contributed to many more people being infected, as they were without face masks in a confined space. A second example is the provision that addresses the inadvertent omission from the original instrument of making it compulsory for bar staff to wear face masks.
While we are making fines for non-compliance stiffer, as here with the second regulation, we must make sure the law is accessible and easily understood by the public, or we are in danger of undermining the rule of law. I thoroughly endorse the committee’s view that the Government must take a more structured and, indeed, streamlined approach to the legislation in order to facilitate understanding and compliance, as no doubt the need for more legislation is unlikely to go away in the current situation.
The Deputy Speaker (Lord Palmer of Childs Hill) (LD)
I call the noble Baroness, Lady Uddin.
Health Protection (Coronavirus, Collection of Contact Details etc and Related Requirements) Regulations 2020
Lord Loomba Excerpts(3 years, 6 months ago)
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Lord Loomba (CB) [V]
My Lords, these regulations underpin the Government’s intent to ensure that transmission of the virus is halted by maintaining fully up-to-date information for the track and trace system on who has come into contact with a person who has tested positive for Covid-19. This is an admirable aim, but some questions remain over the robustness of the overall system for tracking people and with regard to privacy.
First, on the catastrophic failure of the IT system that transfers the positive test result data over to the track and trace system, as case numbers began to rise far more than it could cope with, the system failed at the first hurdle due to the larger volumes. If this part of the track and trace system is also predicated on the same legacy Excel software as that of the positive-case data, it is entirely possible for that to fail too, causing many people not to be contacted early enough, or even at all, if a glitch goes unnoticed. Is this part of the tracing system underpinned by software in the same way as the positive-case data software? Are there any in-built warning signals to alert authorities if this system fails to deliver?
My second point is on the validity of any data stored, given the reports that some people are not leaving their correct details with venues. What is happening to follow this through in order to ensure that people are properly traced? Also, given that some venues are not asking for information directly but leaving it up to customers to comply, the system does not appear robust enough. If a venue does not store that data, there is no way in which the Government are going to know that a person has been there, unless they are a positive case, in order to find the business guilty of failing in its legal duty.
My third point is on privacy. While the Government require venues to keep information only for 21 days, what measures are in place to protect citizens from data loss and breaches of privacy, so that they can have faith in using the system?
Covid-19: Adult Social Care Complaints
Lord Loomba Excerpts(3 years, 6 months ago)
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Lord Bethell (Con)
Last week, the Local Government and Social Care Ombudsman indicated that it had had around 100 Covid-related complaints. The department is closely monitoring the situation, including through our normal safeguarding networks. The ombudsman has confirmed that the current level of complaints is no higher than normal. We will be making sure that there is no backlog that ticks up this number.
Lord Loomba (CB) [V]
My Lords, with families now reluctant to send their loved ones into care and opting to look after them themselves, what measures are the Government taking to support the sector and ensure that existing residents are not traumatised by being forced to move home due to financial pressures forcing the closure of their current care homes?
Lord Bethell (Con)
No one should be under any pressure, financial or otherwise, to move unless they are absolutely determined to. I emphasise that anyone who has a complaint should complain either to the ombudsman or through the CQC and Healthwatch system. To encourage knowledge of and access to that complaints procedure, we have launched the “Because we all care” campaign, which is encouraging people to use the NHS and social care feedback systems in a way that captures the learnings from Covid during this difficult time.