(3 years, 4 months ago)
Lords ChamberMy Lords, as I mentioned earlier, we take the threat of the vaccine-evading beta variant extremely seriously indeed, therefore we are extremely cautious about travel to areas with a high prevalence of that variant.
My noble friend just stated in a previous answer that that Her Majesty’s Government aim to recognise the certificates of those who have been double vaccinated in other countries, notably the US and the EU. Surely, if we want other countries to recognise our own NHS certificates, it should be reciprocal. Can he give me any idea when this might happen?
[Inaudible]—are engaging with a range of international partners, including the EU and the US, on mutual recognition. Ministers have agreed to begin the formal process of reaching a technical agreement with the EU on mutual recognition of vaccine certificates. This would allow the digital verification of vaccine certificates between the UK and the EU. We believe that this process could be complete within a month, pending the Commission’s acceptance of our application.
(3 years, 6 months ago)
Lords ChamberI am enormously grateful to the noble Baroness for that creative and thoughtful question. The good news is that the number of absconding residents from managed quarantine is minimal; it can be counted on one hand and many of them have been retrieved. The bad news is that the positivity rate in managed quarantine is far too high. I do not have the precise number in front of me and do not want to guess at it, but it is clearly true that far too many people are getting on planes when they are infected and far too many people are catching the disease on their travels. When we think of how to manage any vaccine-evading and highly transmissible variants, we have to look to the red list for secure protection for this country. She asked another question I cannot remember, but I will be glad to write to her about it.
I was genuinely excited to be able to attend a Saracens rugby match last night, and I notice from my noble friend’s Twitter feed that he too was out last night enjoying a thoroughly well-deserved visit to Sadler’s Wells. My sincere thanks go to all those who have made this step to normality possible, particularly my noble friend. However, like others, I have concerns about the entry arrangements at airports. While I fully understand the difficulties of segregation and that international travel should be strongly discouraged, does he agree that more should be done to prevent passengers arriving from red, amber and green countries mixing—particularly at airport border entry points with those from red countries, where, as he has just said, there is obviously a high degree of infection?
My Lords, I enjoyed the contemporary dance at Sadler’s Wells, which really lifted my heart, but I rather wish I had been at Saracens for that thumping victory and to see my favourite team doing so well after a difficult year. I very clearly hear the concerns of noble Lords about social mixing of amber and red route passengers at airports, and one reads about it in the papers. I reassure noble Lords that the amount of segregation in place in the airports is the focus of both Border Force and the Home Office. We are absolutely doing our best. We are looking at red list terminals, but the practicalities of that when there is a relatively low level of flights are very challenging indeed. I reiterate my point that if you are travelling you are putting yourself at risk, and there is no way we can pretend otherwise. If you are travelling, you should isolate yourself for a substantial amount of time when you touch down in the UK. This question of mingling in airports is, to some extent, a red herring.
(3 years, 9 months ago)
Lords ChamberMy 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.
My Lords, I completely endorse the praise for my noble friend and, indeed, his private office. I fully support the measures the Government are introducing, and I look forward to discussing them in detail in due course. Would it be possible to consider the confiscation of a passport, at least for UK nationals, for a flagrant and dangerous contravention of the quarantine regulations, perhaps particularly by those who think they can afford the fines, as he mentioned earlier? I seem to recall that we were able to do this for football hooligans.
My Lords, I am grateful to my noble friend for that suggestion and I will take it back to the department. I have not heard it suggested. It is not currently in our plans at the moment, but let me try to understand it a little better.
(3 years, 10 months ago)
Lords ChamberThe noble Baroness is right that we have the vaccine today but that does not mean that we will not need to be testing, distancing and washing tomorrow. In fact, there will be a very large number of people—tens of millions—who will not be vaccinated through the summer but who could still catch the disease. We have to make provisions for our public health to protect those people in the workplace, in society and in their homes. The plan is very clear—it is the plan that we have already. However, the noble Baroness is right that we have to be focused on it and ensure it is kept up to date and deployed with energy and enthusiasm.
I thank my noble friend for his assiduous and clear briefing to the House. Can he thank those who have already delivered vaccines to our overseas territories? Perhaps in due course he can let me have details of what has been delivered to individual OTs and the plans for the coming weeks.
(3 years, 10 months ago)
Lords ChamberMy Lords, my noble friend rightly underlines that new variants are appearing not just here but anywhere in the world. Can he explain the process for notifying such variants worldwide and say how any assessment of their characteristics is passed on?
My noble friend asks a very challenging question. The honest truth is that we have to look at the systems whereby that data is exchanged. CMOs around the world have extremely regular contact with each other, and a lot of the data is exchanged through the formal links of the scientific community. But I think that there is a case for more structured intergovernmental exchange of data about the new variants, because this will be the major challenge of the year ahead.
(3 years, 11 months ago)
Lords ChamberI massively congratulate the noble and gallant Lord on his vaccination this morning. I am extremely proud of that moment and glad that he has taken a step towards safety. It is a fantastic piece of news, which we should all celebrate.
On the noble and gallant Lord’s question on the variant, there are dozens—possibly hundreds—of variants, some of which are minimal and insignificant. The one that has been thrown up in Kent is being singled out only because it correlates with an increase in transmissions in Kent. It is not certain whether this is because of the variant or because of behaviours in Kent, but naturally we are worried about it. I am not a biologist, but I am assured by the biologists that the new variant does not seem to show any attributes that would mean that it could escape the vaccine. Naturally, we are looking at it very closely and hope to have an answer to his question shortly.
My Lords, the Government are between a rock and a hard place with regard to the Christmas arrangements. If it is decided that circumstances now dictate a change, does my noble friend agree that it is imperative that the public are given as much notice as possible of any changes?
(3 years, 12 months ago)
Lords ChamberMy Lords, I regret enormously that the noble Lord feels that we have, in any way, avoided the facts. We are absolutely committed to learning the lessons of Covid, which will be profound. I note that my right honourable friend the Secretary of State was in front of the House of Commons Select Committee on health for two and a half hours yesterday, answering exactly those questions. It was an illuminating and important discussion and I very much hope that this House will have an opportunity to do the same.
My noble friend is, I am sure, aware of the frustrations that the House has just heard. Here is a question to which I do not expect an answer, perhaps, at the moment. How many officials are actually involved in having to provide these answers? Does my noble friend agree that accuracy of responses is more important than speed?
My Lords, before the pandemic the parliamentary affairs team was made up of nine people; it has grown to 15. The ministerial correspondence and public inquiries team has grown from 51 people to 111. I think the noble Lord would agree that, at a time when we are trying to deal with test and trace along with programmes on therapeutics, restart, seasonal flu, PPE and vaccines, having 111 people working on correspondence seems the outer limit of what would be proportionate.
(4 years, 2 months ago)
Lords ChamberMy Lords, the user cases for different tests are being drafted and interrogated as we speak. The user case, for example, of an anaesthetist going into a delicate operation would be very different from the asymptomatic testing of a large school, or of people thinking about going to the pub in the evening. Matching the tests with the user cases is an important and necessary step. Once that is agreed with all relevant scientific committees, we will publish those user cases so that manufacturers can make the tests according to the required dimensions and specifications.
My Lords, I am sure my noble friend will agree that at this serious and critical moment it is imperative that all the rules are observed. It is, however, important that the rules are seen to be practical and workable. I urge my noble friend, therefore, to reconsider in the near future the current decision to include children under 12 in the rule of six. Will the Minister also confirm that no woman will have to give birth alone?
My Lords, the rule of six treatment of children under 12 is extremely heartbreaking. I have three children under 12 and I find it very awkward. The CMO’s view, however, is crystal clear: children, whether under 12 or not, can be vectors of infection, and if a whole generation of children is infected with the disease it will roll through the generations to those who are older or vulnerable, as sure as night follows day. For that reason, we are holding the rule as it is.
(4 years, 5 months ago)
Lords ChamberI entirely support the observations of the right reverend Prelate. I have already said that retention is incredibly important. The culture in which nurses work is vital to achieving the kind of retention objectives we have in mind. That is why we are working on a people plan for the NHS. One thing we have learned from Covid is that when you give professionals the scope to deliver their best professional results, you get the best out of them. That is something we want to apply in the NHS people plan.
I was pleased to hear my noble friend announce the additional funding for nursing students, but will he give serious consideration to reviewing funding considerations for all nursing students in England, perhaps with a view for the Government to cover tuition fees for future students as long as they stay in the NHS for a period of years?
We have made a clear, well-defined and thoughtful new funding package for nurses. We would like to see how that is applied and what the response is. Once we have done our review, we will look at alternatives or potential supplements.
(4 years, 6 months ago)
Lords ChamberMy Lords, it is entirely right that test and trace does not need a digital app to be effective. I reassure the House that prevalence levels are reducing across the country, as is the infection rate. It is only because prevalence and infection are reducing to manageable levels that we can even consider reducing the lockdown and maintaining pressure on infection through test and trace. The app brings many benefits of being able to automate millions of transactions a day, but it is not intrinsically necessary, and we believe that it would benefit from being introduced later, rather than earlier, than human-based tracing mechanisms.
My Lords, what discussions has my noble friend’s department had with other Governments around the world, and what lessons can be drawn from their experience of such apps?
My Lords, we are in discussions with many other Governments—those in the east, which have a tradition of these apps, and fellow travellers like ourselves. It is a highly technical and difficult area; Britain is leading the way in many ways and we have learned an enormous amount. I have personally spoken to the Taiwanese Government, who have taught me an enormous amount, and those conversations continue regularly.
(4 years, 7 months ago)
Lords ChamberI reassure my noble friend Lady Altmann that we are making this a massive priority. It has huge advantages over other therapeutics because it is plasma and can therefore have an accelerated regulatory advance. I signed for procurement of £20 million-worth of fractionating machines last week to help the blood transplant service create the hyperplasma to which she alludes.
The Statement rightly reinforces the message that non-Covid NHS services are open for patients. Would my noble friend agree that it is important to give parents confidence that essential vaccinations, especially MMR, should not be ignored and that they should speak to their GP for further advice and support?