Covid-19 Update

Debate between Lord Mackenzie of Framwellgate and Lord Bethell

Thursday 8th July 2021 Lords Chamber

[Lord Bethell (Con)]

My Lords, on lateral flow tests, I said that I did not recognise the press reports that the noble Baroness mentioned, and I still do not. On shielding, I completely agree with noble Lord. Some 1.5 million patients are identified as CEV-equivalent through the new QCovid model, and they have been added to the shielding patient list, with 820,000 who had not previously been invited as part of the JCVI cohorts 1 to 4 given priority access to vaccines. Overall, 3.8 million—I think I said 3.5 million earlier—individuals are on the shielded patient list, and we continue to maintain that through the NHS. We will look at the QCovid model and see if we can apply mix-and-match vaccines, booster shots and third shots to that model, and if we can bring together a new risk assessment for those who are vulnerable. That list could therefore be applied to any future shielding or protection that may be needed.

[Lord Mackenzie of Framwellgate (Non-Afl) [V]]

My Lords, I ask the noble Lord the Minister, in his usual courteous and helpful manner at the Dispatch Box, to provide answers to points raised yesterday with the Prime Minister in another place. In his usual way, the Prime Minister answered by asking yet another question, which of course earned another rebuke from the Speaker. If infections are allowed to rise, perhaps to 100,000 per day, how much are hospital admissions likely to increase and how many deaths may result? Why are the changes regarding isolation not taking effect until 16 August, with all the disruption to businesses in the interim?

[Lord Bethell (Con)]

The bottom line is that we believe that any rise in the infection rate will not have an impact on hospitalisation in a way that will disrupt the NHS. This is something that we have worked on with NHS colleagues, the clinical directors, the CMO’s office and the JBC, and we have taken into account a large variety of advice, including from SAGE. At the end of the day, it is our belief that, despite the rise of a third wave, hospitalisation rates will be manageable.

Covid-19 Update

Debate between Lord Mackenzie of Framwellgate and Lord Bethell

Tuesday 15th June 2021 Lords Chamber

[Lord Bethell (Con)]

Yes, we have.

[Lord Mackenzie of Framwellgate (Non-Afl) [V]]

My Lords, in this pandemic, as always, the difficult judgment that has to be made is between lives and livelihoods. Decisions have been taken to protect lives by retaining the existing measures for a further month. The Minister will no doubt appreciate that I and other noble Lords have been extensively lobbied by musicians, independent workers in the hospitality and entertainment sectors, who have fallen through the cracks with no support. Does he not agree that it is reasonable to argue that an equitable balance now would be to provide targeted financial support to those self-employed and freelance workers who have not had a fair deal throughout this crisis?

[Lord Bethell (Con)]

My Lords, having worked in the music industry for 15 years, I absolutely identify with the challenge he describes. However, I remind him that we have been emphatically forthcoming in trying to support workers through this difficult pandemic. We have provided £70 billion for the furlough scheme and £33 billion for the self-employment income support scheme, which would touch many of the musicians to whom he refers. We have stepped forward financially in a very big way and will continue to do so until the end of this awful situation.

Covid-19 Update

Debate between Lord Mackenzie of Framwellgate and Lord Bethell

Tuesday 8th June 2021 Lords Chamber

[Lord Bethell (Con)]

My Lords, I completely understand my noble friend’s concerns, but I do not accept that we have done nothing. It is quite wrong to suggest that the NHS has done nothing but Covid. In fact, I am incredibly impressed by how well services have been maintained during an extremely difficult period. Were he to join clinicians in the NHS or the department, he would know that there is a laser-like focus on catching up. I remind him that there were 1.86 million urgent referrals and over 470,000 people receiving cancer treatment between March 2020 and January 2021—that is not doing nothing. An extra £1 billion is being used to boost diagnosis and treatment across all areas of elective care. On 25 March, NHS England published its 2021-22 priorities and operational planning guidance, and there is a Minister-led group under Minister Ed Argar, which is absolutely focused on the restart in cancer care in particular. I reassure my noble friend that there is a focus on this, and we are doing everything we can to get through the incredibly important backlog of work that needs to be done.

[Lord Mackenzie of Framwellgate (Non-Afl) [V]]

My Lords, the Statement confirms that a continued increase in vaccinations is essential to defeat the new delta variant, which has now become dominant. I believe it is the six-month anniversary of the first vaccination, so I congratulate the noble Lord on the progress so far. Has he considered consulting behavioural scientists about what incentives might create a greater vaccine take-up, as has happened to some extent in the United States? Also, there are still many vaccine sceptics out there who are influenced by conspiracy and other ridiculous scare stories propagated deliberately on social media. Can the noble Lord reinforce the Government’s message with a campaign to vaccinate for victory on the very same platforms that are carrying the negative messages?

[Lord Bethell (Con)]

My Lords, I am grateful for the noble Lord’s comments. Yes, we are engaged with behavioural scientists, but I reassure him that lotteries for vaccines are not on the cards. Taking vaccines into communities has proved an extremely effective measure. I led a call with council leaders in the north-west—from Lancashire and Greater Manchester—and there I heard about the effective use of small mobile units and tents to bring vaccination teams into either religious or community settings to make it easier to get a vaccine. That simple measure appears to be a really winning formula, and one that we are investing in in a very big way.

Covid-19: Update

Debate between Lord Mackenzie of Framwellgate and Lord Bethell

Tuesday 20th April 2021 Lords Chamber

[Lord Bethell (Con)]

My noble friend is quite wrong if he is seeking to imply that there is any doubt about lockdowns working. Lockdowns work incredibly well because they put space between people. The science behind lockdowns is very simple and incontrovertible. That is the learning of the last year, and those who seek to cast doubt on it, time and again, session after session, do us no favours at all. We are at a moment in the cycle of the disease when the weight is being lifted by the lockdown and by the vaccine—it is somewhere between the two. I cannot call it, and Sir Simon Stevens and the Prime Minister cannot call it—it is somewhere between the two. But we should be in no doubt: if there is a variant of concern that makes landfall in the UK and threatens the success of the vaccine, we will be back in lockdown. We should be extremely careful to avoid that eventuality.

[Lord Mackenzie of Framwellgate (Non-Afl) [V]]

My Lords, I join the Minister in thanking all those involved in the vaccination programme. I was surprised that the Secretary of State in another place did not mention in his Statement the important topic of Covid passports. It is reported that Michael Gove, who is in charge of the Whitehall study into their use, is visiting Israel and is a big fan of its use of the “green pass” scheme for entry to venues including gyms, swimming pools, restaurants, theatres, cinemas and the like. Putting to one side whether such a system would be discriminatory, can the Minister explain whether it would include, as well as evidence of vaccination, recent proof of a test or of having had Covid recently? Also, does the vaccination, or recovery from Covid, nullify the chance of reinfection and therefore of becoming a vector?

[Lord Bethell (Con)]

My Lords, the Cabinet Office is reviewing whether Covid status certification could play a role in reopening our economy, reducing restrictions on social contact and improving safety. That work is under way. The noble Lord refers to the importance of social justice and civic rights, and he is entirely right to do so; those are exactly the kinds of issues that the Cabinet Office is weighing up. We need to look at everything that the technical toolkit can provide us with to fight this virus and any others that may emerge from the back of the bat cave. We are trying to avoid the kind of social, health and economic impacts that these 21st-century pandemics have on our country. Technology such as Covid certificates can provide an important defence mechanism.

Covid Contracts: Judicial Review

Debate between Lord Mackenzie of Framwellgate and Lord Bethell

Monday 1st March 2021 Lords Chamber

[Lord Bethell (Con)]

I am enormously grateful for the colourful character of that question. However, the noble Lord makes a serious point. We do respect the law, which is why we have published the contracts. The case found that we had published them 17 days late. Any reasonable person faced with a huge pandemic would think that a 17-day delay is a perfectly reasonable price to pay for saving lives. The noble Lord asked me about the price we are willing to pay and the reasons for standing out on this: saving lives is what this delay was about.

[Lord Mackenzie of Framwellgate (Non-Afl) [V]]

My Lords, at the beginning of this pandemic, I—like many Members of this House, I suspect—was approached by various suppliers and manufacturers asking how they could assist in supplying, or even making, PPE, ventilators and the like. Indeed, an appeal was made by the Health Secretary to this end. Of course, the difficulty was knowing who to contact. To assist in a similar future crisis, would the Government consider providing a direct hotline to deal efficiently with a large number of calls from people responding with help—rather like what Crimestoppers provides for police appeals?

Covid-19

Debate between Lord Mackenzie of Framwellgate and Lord Bethell

Thursday 11th February 2021 Lords Chamber

[Lord Bethell (Con)]

My Lords, I think I have made the point reasonably clearly, but I am happy to make it again: it is up to the courts to decide how long people go to prison for and it is up to Parliament to decide on Acts. The Act is very clear; it was made in 2006, and it is up to the Crown Court to decide for how long someone goes to prison. It is unfortunate that my noble friend described the Secretary of State in those terms. It is the kind of language that does him no credit. These are extremely important measures. They are devised to protect the country and the vaccine from the very serious threat of mutations of the disease, and they are enormously supported by the public.

[Lord Mackenzie of Framwellgate (Non-Afl) [V]]

My Lords, I welcome the tightening of controls to prevent the introduction and spread of new variants of the virus. Will the Minister say whether the policy deals with international travellers who have a stopover for a connecting flight in, say, eight hours or even overnight? Will the road map that the Prime Minister will roll out on 22 February include a flight plan showing how and when the quarantine controls might be lifted, as they are extremely damaging to the travel and holiday sector and to the mental health of the nation, to which the Minister has already referred? Finally, has the Minister yet booked his summer holiday?

[Lord Bethell (Con)]

My Lords, the arrangements for those changing planes in British airports are spelled out in considerable detail. We are not encouraging people to overnight when changing planes. If they overnight, they will be invited to spend 10 days in hotel quarantine, which I think will be a suitable incentive for those who might be thinking of such a travel plan. Those who remain airside will be able to change planes. Those who land in, say, England and are going to end up in Scotland will quarantine in England, and those who fly into Scotland to enter England will quarantine in Scotland. These are the kinds of provisions that we are putting in place to ensure that the quarantine is as effective as possible.

Covid-19 Update

Debate between Lord Mackenzie of Framwellgate and Lord Bethell

Tuesday 15th December 2020 Lords Chamber

[Lord Bethell (Con) [V]]

My Lords, we always seek to give the public as much notice as possible. But I accept that one of the most frustrating aspects of this pandemic has been that the virus does not behave as predicted, and that the response to restrictions and policies by the public has not always turned out exactly as we planned. It is therefore sometimes true that our policies need to change at short notice. This is incredibly challenging for the public—I do not duck that point in any way—and I am extremely grateful to the public for their forbearance under the circumstances.

[Lord Mackenzie of Framwellgate (Non-Afl) [V]]

My Lords, I can fully understand the necessity for additional measures announced by the Health Secretary in another place yesterday in light of the statistics. It is not just Covid deaths likely to increase but, of course, the deaths from diagnostics not being carried out on potential cancer and stroke patients—not to mention the pain and misery being inflicted on patients who have to postpone elective life-altering surgery. Is there not now a powerful case for the Government to consider reversing the superspreader travel festivities bonanza during the five days of Christmas which, as night follows day, will inevitably lead to more infections, hospital admissions and deaths, as has happened in America following Thanksgiving?

Finally, having heard the Minister’s considered responses this evening, am I right to feel a little more optimistic?

[Lord Bethell (Con) [V]]

My Lords, the noble Lord, Lord Mackenzie, makes a powerful case. There is undoubtedly a dilemma about what we should do in the approach to Christmas. The country does deserve a break, because it has done so much this year to contain the virus, and yet the consequences of too much social mingling are harsh, as he rightly describes. I reassure him that we have done a huge amount to restart elective surgery and other diagnostics and to get the NHS working as hard as we possibly can. It is our objective to ensure that the non-Covid death rate is not affected by the Covid response.

Covid-19 Update

Debate between Lord Mackenzie of Framwellgate and Lord Bethell

Monday 30th November 2020 Lords Chamber

[Lord Bethell (Con)]

The noble and gallant Lord makes a fair point. We looked at the very scenario that he describes, but ultimately our priorities are to save life, protect the NHS and keep schools and the economy going. The best way of doing that is to prioritise the elderly because there is a direct correlation between illness from Covid and age. The best way in which we can protect society and the economy is to ensure that those who are oldest get the vaccine first.

[Lord Mackenzie of Framwellgate (Non-Afl) [V]]

My Lords, clear messaging by the Government in relation to Covid is crucial. Can the Minister make it clear that three households meeting over five days in one house at Christmas is not compulsory and that it is perfectly acceptable to take the view that it is not worth the risk? Given that a few weeks ago mixing of households was the demon in the piece, does he agree that having Christmas lunch with five others in a Covid-secure restaurant would be far safer than doing so in an excitable family home with minimum PPE security? Plus, of course, it would bring an important additional benefit to the economy.

[Lord Bethell (Con)]

I am grateful to the noble Lord for what I think was his broad point. I did not quite understand the exact scenario in the restaurant that he described, but I think that he was alluding to the difficult but important decision that every family has to make. He is entirely right: we do not all have to go mad over Christmas and see as many people as we can. Some people will make the quite sensible decision to show restraint and to share the holiday with those they love but not necessarily to travel or see a very large number of people. I salute those people and encourage that kind of attitude.

Covid-19 Update

Debate between Lord Mackenzie of Framwellgate and Lord Bethell

Thursday 12th November 2020 Lords Chamber

[Lord Bethell (Con)]

I greatly thank the people of Leicester for their patience with the lockdown and with the very large number of measures that have been put in place there. The noble Lord is aware that some communities live and work very close to each other, and the transmission of the disease is affected by a very large number of factors. I cannot explain to him exactly why the infection rates are so high in Leicester today, but I absolutely applaud all those who have been working hard in that city to keep the epidemic at bay.

[Lord Mackenzie of Framwellgate (Non-Afl) [V]]

My Lords, following on from the last question, recent evidence shows that the north of England has been affected hardest by Covid-19 in terms of infections and deaths, caused mainly in hospitality settings. Compliant citizens are upset by the minority who flout the law. When the lockdown ends on 2 December, restrictions such as wearing masks and distancing will be only as effective as the public’s compliance. As the police cannot be in every pub, shop or restaurant, is it not time for the enforcement of such measures to be done by the venue itself, with the ultimate sanction of immediate closure by the police or local authority for wilful non-compliance?

[Lord Bethell (Con)]

The noble Lord is completely reasonable in his concerns but that is not the approach we are taking at the moment. Actually, public support for the lockdown measures—the wearing of masks, social distancing and restrictions on travel—has been amazing. Lockdown has been largely by consent and extremely well supported by the public in their behaviour. We are extremely proud that in Britain we do not need the Army on the street with their guns or the police fining people on the street, as they do in other countries. I pay tribute to the British public for the way in which they have gone along with those measures. The noble Lord makes the point that some people have been in breach of the rules and there have been prosecutions and fines. However, they have been minimal and have had their effect. We will continue to operate at the kind of level at which we have been operating to date.

Covid-19 Update

Debate between Lord Mackenzie of Framwellgate and Lord Bethell

Tuesday 6th October 2020 Lords Chamber

[Lord Bethell (Con)]

I hear my noble friend’s frustration, and he is right to call for hope. We all want some hope—we are all feeling exhausted by Covid. But it is ironic that my noble friend mentions the low level of deaths as though that were a bad thing. To me, that number is a source of huge pride, because it shows that we have kept a lid on Covid—our NHS is improving the treatment of people who have Covid and we are winning the battle against Covid. I celebrate that.

[Lord Mackenzie of Framwellgate (Non-Afl) [V]]

My Lords, it is increasingly apparent that the key to successful test, track and trace is the provision of a speedy test result, without which the whole process is delayed. Sir Paul Nurse of the Crick Institute makes the case for locally based laboratories to do this more efficiently. A similar argument applies to using the skills of local authorities to track and trace contacts. Will the Government reconsider their obsession with a centralised, world-beating system?

[Lord Bethell (Con)]

I completely endorse the views of Sir Paul Nurse on this and on all matters, wherever I can. The noble Lord is entirely right: speed is critical, which is why we have put major laboratories in regions up and down the country. There are nearly a dozen of them now; they are paired with the pathology networks of the NHS, and our tracking and tracing system works closely with local government. When the large call centre-based tracking and tracing has gaps or when local teams can supplement, augment or complement the work done by the major teams, we seek those opportunities wherever we can.

Covid-19 Update

Debate between Lord Mackenzie of Framwellgate and Lord Bethell

Monday 14th September 2020 Lords Chamber

[Lord Bethell (Con)]

My Lords, I completely endorse my noble friend’s comments on raves, but the effectiveness of these measures is reliant not just on police implementation but the compliance of the British public. While I understand his point on mandation and police action, it is really the personal decisions and social pressure of the British public that will make these work, and I cannot help but pay tribute to them for their sensible approach to Covid to date; that is where our trust really lies.

[Lord Mackenzie of Framwellgate (Non-Afl) [V]]

My Lords, following on from the previous question, effective policing requires the consent of those being policed, and those enforcing it need good training and interpersonal skills. Covid marshals—when they are actually implemented—could well face some resistance from those who have had enough of being told what to do. Will marshals have the power to issue fixed penalties, and does the noble Lord agree that friction with them could cause breaches of the peace and place even more demands on the police themselves?

[Lord Bethell (Con)]

My Lords, I do not know the precise legal powers of the marshals, but I remind the House that city centres and public areas frequently have civilian marshals of one kind or another to help guide public gatherings. This is a not uncommon aspect of city and public life, and I have an enormous amount of faith in the good sense of the British public to go along as requested without legal mandation.

Covid-19: Rise of Positive Tests

Debate between Lord Mackenzie of Framwellgate and Lord Bethell

Wednesday 9th September 2020 Lords Chamber

[Lord Bethell (Con)]

The use of different languages for promoting all aspects of our Covid response is critical. We have massively increased the number, accuracy and stylistic resonance of our marketing materials in order to reach all audiences. I very much welcome the noble Baroness’s remarks.

[Lord Mackenzie of Framwellgate (Non-Afl) [V]]

My Lords, many law-abiding people are offended by the organisation of raves in blatant contravention of the rules on numbers and social distancing. What assessment have the Government made of the use of intelligence by the police to stop people travelling long distances to attend such illegal gatherings?

Covid-19

Debate between Lord Mackenzie of Framwellgate and Lord Bethell

Thursday 3rd September 2020 Lords Chamber

[Lord Bethell (Con)]

I thank the noble Baroness, Lady Verma, for her comments. What happened in Leicester has informed our response to the epidemic in many ways, including a much greater emphasis on languages. Many of the publications and technologies that we are rolling out in preparation for the second wave will use a hugely increased number of languages, so that we reach those communities which might otherwise have been overlooked.

In answer to the overall question put by the noble Baroness, I would place massive emphasis on our preparations for the flu vaccine. If we can spare the NHS the pressure of the annual flood of flu infections, we will do the country a huge favour. If we can spare patients the impact of flu that runs down their immunity and leaves them vulnerable to Covid, we will do them a huge favour. If we can get flu vaccine take-up higher, that will be a huge benefit for the system and the country.

[Lord Mackenzie of Framwellgate (Non-Afl) [V]]

My Lords, can the Minister advise the House whether self-isolation—in any setting—is enforceable, and if so, by whom? If it is not a legal requirement, is the moral obligation to isolate sufficient in such a serious public health crisis?

[Lord Bethell (Con)]

My Lords, we have limited powers to isolate individuals under the very initial regulations that were published, I think, in March. Our overall approach, however, has been a trust-based system. I pay tribute to the British public, who, on the whole, have gone along with this approach hugely, and it is a tribute to the British way of doing things that we have not been using the police or fines like some other countries have. As the second wave approaches, we must acknowledge that there is more social exhaustion with the disciplines of isolation, quarantine, hygiene and social distancing, and assess whether that approach will last the course. That review is going on now and in the near future we will be putting in place the measures we think are necessary and proportionate.

Social Distancing: Two-metre Rule

Debate between Lord Mackenzie of Framwellgate and Lord Bethell

Tuesday 16th June 2020 Lords Chamber

[Lord Bethell [V]]

The noble Baroness is entirely right. The kind of differential shielding that she suggests may well play an important role in what we do going ahead. We must do our utmost to protect those who are shielded. However, we are also aware of the challenge of having confusing regulations. That is why we are currently holding the line. We are aware of the effects on the economy, and that is why a review is on the horizon, but until then we are focused on reducing the prevalence rate and protecting those who are most vulnerable.

[Lord Mackenzie of Framwellgate (Non-Afl) [V]]

My Lords, most people in my area of Durham appreciate Dominic Cummings for putting Barnard Castle on the tourism map—for the wrong reasons—but does the Minister accept that the prime ministerial adviser’s breach of the self-isolation rules, with the hypocritical support of members of the Cabinet, was a major cause of the loss of faith in the Government’s credibility regarding continued acceptance of the distancing rules in England?

[Lord Bethell [V]]

My Lords, I pay tribute to the British public, who have remained sensible and thoughtful to others, have largely borne the cost of social distancing and have abided by the rules of the lockdown. I express gratitude to all members of the public who have gone along with this incredibly impactful regime—a regime that continues to have a huge amount of support among the broader general public.

Covid-19: Government Response

Debate between Lord Mackenzie of Framwellgate and Lord Bethell

Wednesday 6th May 2020 Lords Chamber

[Lord Bethell]

The right reverend Prelate is entirely right to focus on care homes. It is an awful aspect of this disease that it attacks the most vulnerable who live in enclosed environments such as care homes. They have been an absolute priority for the Government. One aspect of our response is to massively increase testing in care homes. The increased capacity that we announced last week has been shifted massively towards care home testing. We are using mobile units and satellite drop-offs to increase the screening of patients and care home workers.

[Lord Mackenzie of Framwellgate (Non-Afl)]

My Lords, I was contacted for help by a manufacturer, Thomas Olsen, who was responding to an appeal on television by the Health and Social Care Secretary, Matt Hancock, for ventilators to be made at scale by British companies. With my assistance, and after several attempts, we came up against a brick wall. Over a month later he discovered by chance that sufficient ventilators had been sourced, yet no message was sent down to all those working hard to produce them. Will the Minister ensure, first, that when such an appeal is made in future a single contact point is provided, rather as with Crimestoppers, so that there is no doubt how to get in touch and, secondly, that when the appeal is fulfilled the responders are given the courtesy of being stood down?

[Lord Bethell]

I completely acknowledge the situation and the testimony of the noble Lord. The response by British companies to the ventilator challenge was incredible and, at times, overwhelming. No discourtesy was meant to the firm that he mentioned and I completely take on board his comments about the importance of courtesy, respect and a proper feedback mechanism in such circumstances.