(3 years, 9 months ago)
Lords ChamberTo ask Her Majesty’s Government what assessment they have made of (1) the level of food-related crime, and (2) the resources available to address such crime.
My Lords, food crime is of rising importance to the public, our trade, our farmers and our climate. That is why the Food Standards Agency constituted the National Food Crime Unit in 2014; why the National Food Crime Unit published its assessment in September; and why Ministers have a dialogue with the NFCU, industry and the police about increasing its powers.
My Lords, does the Minister accept that the National Food Crime Unit is operating against organised crime with its hands tied? Investigations are being hampered. Does the Minister agree that investigation powers should be strengthened to include powers to collect the necessary evidence to a higher standard? In other words, will the Government agree that the Police and Criminal Evidence Act powers should be granted to the National Food Crime Unit? The National Police Chiefs’ Council agrees to this to remove the burden from local police forces, which actually agree that food crime is not a high priority.
The noble Lord entirely has a point. I completely agree with him that the National Food Crime Unit has a formidable task ahead of it and that its investigatory powers could be enhanced and its impact improved. That is the view of the Government, industry and the police, and that is why we are committed to the dialogue, first suggested by the Kenworthy review, on the enhancement to which the noble Lord refers.
(3 years, 10 months ago)
Lords ChamberMy Lords, I am enormously grateful for the noble Lord’s legal insight and will leave it to the courts to decide whether he is right or wrong.
My Lords, I endorse what the noble Viscount, Lord Waverley, said, but I would also say that the Minister’s private office must have had an interesting time supporting him in the last few months. I have two very brief points, and I am sorry that they are detailed. Can he tell us how the rich and famous returning home in private aircraft and landing at one of these five airports will be treated? Will they be treated like anybody else? Secondly, while children under 11 are not covered, can he explain how unaccompanied children over 11 will be dealt with in quarantine and what safeguarding facilities and procedures have been put in place?
My Lords, we have only one package in hotel quarantine; there is no VIP suite, so those arriving in their Learjets at Farnborough will have to check in with all the rest of us. As for the children, the noble Lord raises an important point. I know that the issue has been discussed and that provisions have been put in place, but I am afraid I do not have the details to hand. I would be glad to write to him with them in due course.
(3 years, 11 months ago)
Lords ChamberMy Lords, I cannot look into the future with that much clarity, but the noble Baroness raises a possibility that surely must be accounted for. It is possible that this kind of coronavirus may mutate; it may need to be managed, as we do other flus. It is too early to make that call but that is the kind of thinking that goes into the development of the NIHP—the new National Institute for Health Protection.
My Lords, I declare an interest as someone who is shielding. I too congratulate everybody involved in the vaccine project. The Minister alluded to the targets; I have to assume that we are going to vaccinate 350,000 today, so that we can maintain the target. That is really important. On the rural aspect, I live in Shropshire. Those who run Shropshire live in the north and tend to forget south Shropshire, so the issue of rural vaccination is pretty crucial. But can I make one final point relating to the point that my noble friend Lord Winston raised earlier on? I am in a position to ask the Minister a question today only because I gave my informed consent on three or four occasions in the last 12 months. I did not look on that as a specific performance contract by the NHS; I looked on it as allowing the NHS to do things to my body to help me survive. If they come along and change their opinion about the way they want you to survive, we should go along with their advice.
The noble Lord makes the point extremely well, and I agree.
(4 years ago)
Lords ChamberTo ask Her Majesty’s Government what assessment they have made of the publication by the Office for National Statistics National life tables—life expectancy in the UK: 2017 to 2019, published on 24 September.
My Lords, life expectancy is at its highest level ever, but we have seen improvements stall and we expect to see adverse impacts from Covid on life expectancy data in the future. Covid has shone a light on the differences in health outcomes between communities; that is why the Government remain committed to levelling up health outcomes so that everyone can enjoy a long and healthy life.
My Lords, my Question has nothing to do with Covid. What are the reasons life expectancy improvements have slowed in comparison to the previous decade? The flatlining in the ONS statistics, at figure 1, is a worry because it is a trend of 10 years, and the Marmot review in February said that this had not happened since the year 1900. For women in the most deprived areas, life expectancy actually fell between 2010 and 2018, so why has there been no national health inequality strategy since 2010? Why has that disappeared off the face of our policy-making? When does the Minister expect the flatline to go back up again?
My Lords, the noble Lord is entirely right that this stalling of the life expectancy curve is extremely worrying, and he is right to emphasise the disappointing results in deprived communities, where, as he says, we are going backwards instead of forwards. Covid has shown how that has a huge impact on the resilience of the nation’s public health. The Government are committed to this agenda—we published a prevention Green Paper and we are committed to building a strategy out of that Green Paper, and since then we have done work on better health, on obesity and on other areas of life expectancy—but I agree with him that more can and should be done.
(4 years ago)
Lords ChamberThe noble Baroness will probably have noticed earlier today the recent publication of test and trace figures, which showed a dramatic improvement in both the tracing numbers and the testing turnaround numbers. We still have far to go, and improvements are needed, but this is an extremely encouraging set of figures, which demonstrate that our focus on getting this important service right is undiminished.
In relation to getting the vaccine to poorer communities, the noble Baroness is entirely right: there are communities where the Government are not trusted as much as they are elsewhere and where there is suspicion of the vaccine. We are working extremely hard at the department, in the NHS and with Cabinet Office colleagues to reach out to community leaders and think of thoughtful and creative ways of ensuring that the vaccine penetration among these communities is strong and that we have built the confidence and belief necessary for people to step up and take the vaccine as they should.
My Lords, I echo my noble friend Lord Liddle in applauding the Minister on his approach and attitude. Is it not worth celebrating the involvement and success of Turkey, Germany and Belgium in getting this vaccine to the UK? We did not order all the vaccines so early. During the next few weeks, the Health Secretary has to be the most trusted voice of Government as he rightly seeks to persuade people to take the vaccine. How can he perform this role when he has uttered a string of untruths? The latest is that the medicines regulator could only work fast because of Brexit. This is untrue and everybody knows it. I hope this problem of trust can be restored because the advice given by the Secretary of State will be crucial to the take-up of the vaccine.
I am slightly surprised by the tone of the noble Lord’s question. If there were ever a moment when my right honourable friend the Secretary of State for Health deserved a bit of praise and a thank you, today would be that day. That ad hominem attack was beside the point. On his serious point about trust in the vaccine, it would not be helpful for politicians to lead the charge. Our approach is to put science and the NHS at the forefront of our communications. They are truly engaged with both the expertise and the communities that need to take the vaccine.
(4 years, 1 month ago)
Lords ChamberMy Lords, I am extremely grateful to the noble Baroness for giving me the opportunity to set the record straight. It is worth sharing with the House that the emails to which she referred were sent after George Pascoe-Watson left his role as an adviser to the department. With the greatest respect to Portland and its chairman, the emails contained nothing more than the kind of speculation that one might find in any national newspaper. Therefore, at this stage, I thank those who have served as advisers to me and the department.
My Lords, given the disclosures in the Sunday Times about the Minister’s three telephone calls with suppliers and lobbyists at the same time, I am surprised that he has not recused himself. Has he complained about the newspaper placing him—the Minister —at the centre of the web of the Covid chumocracy? Does he agree with the chair of the Committee on Standards in Public Life, the noble Lord, Lord Evans, that too many in public life are disregarding the norms, ethics and propriety that have led to Portland Communications being secretly involved in government and then going off to make money?
I am grateful to the noble Lord for highlighting three calls to suppliers. I should like to reassure him that those were absolutely exceptional times, when our supply chains had broken down and we were competing with other Governments for extremely scarce resources. I personally did not make three supplier calls; rather, I made 300. I put out literally hundreds of calls on behalf of the Government to try to find the medicines, supplies, diagnostics, PPE and all manner of medical requirements needed for this country. I could have done that only with the help of the networks, energy, skills and support of those who stepped forward to help us at our time of need. I repeat, I am extremely grateful for that support. It does not warrant a place on the front page of the Sunday Times but the lack of follow-up from that newspaper article speaks for itself.
(4 years, 1 month ago)
Lords ChamberI 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.
In the fourth paragraph of the Statement, the Secretary of State boasts that over 10 million people were tested at least once through NHS Test and Trace. The figure for the latest week, published by the Minister’s department today, is 10,800,031—a rise of 613,000 last week, or 87,600 a day. The week before, it was 88,200 a day, and the week before that it was 95,153 a day. Why are we going backwards in testing people at least once through NHS Test and Trace?
My Lords, the capacity that we have in track and trace is growing dramatically; the number of tests we have taken is going up. It is true that testing demand does fluctuate. There was a moment when universities had a very large outbreak and there was a huge amount of demand from universities, and there may well be other reasons why testing demand goes up in the future. But I reassure the noble Lord that the capacity, speed and accuracy of testing in this country are making huge progress on a day-by-day basis, and I pay tribute to those involved in the project.
(4 years, 1 month ago)
Lords ChamberThe noble Lord makes a very good point. We do publish data on excess deaths, which is available on the PHE website, but he is entirely right: we are deeply concerned not just about the Covid deaths but the impact of Covid on others who may be seeking to access the healthcare system. That is why we made the very hard and tough decision to lock down before the NHS was put under too much pressure, and it is why we have made the commitment to keep the NHS open during this lockdown in order to manage down that excess deaths figure to which he refers.
My Lords, given the leak, there must have been an element of rush for the Saturday press conference: 4 pm became 7 pm; I suspect a degree of panic. The leaker—and Gove, Hancock and Cummings must be suspects—is the cause of this. The refusal to accept supplementary questions at the press conference also contributed, because no sources were given, and the small print showed that the information was from early October. Therefore, in future, please could we have a Spiegelhalter kitemark on graphs at press conferences?
We all respect the word of Professor Spiegelhalter, who is a great man, but we have instead the Office for National Statistics and the publication of the graphs and the data behind them. I would be glad to send to the noble Lord a link, both to the slides and the data behind them, so that he can check them out for himself.
(4 years, 1 month ago)
Lords ChamberMy Lords, at Prime Minister’s Questions today, the Prime Minister refused on more than one occasion to say what the Government are going to do with the time the next four weeks gives them. Can the Minister, in winding up, tell us, please?
Will a system for visitors to care homes be implemented? It should be really simple to designate one family member as a key visitor who can be tested like care workers. Will the Serco test and trace be fixed and then handed on to local authorities? The clinical director of the NHS, in his Q&A this afternoon, made it crystal clear that it is not an NHS test and trace.
We have lost a lot of time since the SAGE advice on 21 September. The tier system was not working as planned, so we now have lockdown longer and harder as a result. How can this be avoided again in the future? This is the second lockdown, later than it should have been to be effective and save lives. Surely, we cannot contemplate a third time—so what is the strategy to avoid this?
There are some 11,000 people today in hospital with Covid. We need these regulations to keep within capacity and so keep elective services going, unlike in the spring. I understand that the capacity for Covid is about 20,000, and it reached 17,000 in the spring. That still allows us to do other work, which is absolutely crucial. But compared to many OECD countries, our health capacity is not that good, measured by population against doctors, nurses, beds and intensive care units—and that is before we get to equipment such as scanners. Is anybody in government thinking about increasing our overall capacity?
My final point is that almost exactly a year ago, without warning or planning, I occupied an intensive care unit bed for two weeks while the NHS worked to stop me going over to the dark side. This was followed by another three weeks in the hands of the NHS. I want anybody in the same position as I found myself in to have the same chances of the NHS helping and saving them. This will not happen if Covid gets completely out of control and all the beds are taken. For that reason—to keep within our capacity—I have no hesitation in supporting these regulations.
(4 years, 1 month ago)
Lords ChamberMy Lords, the message was “clarity”; that is a joke. There are no less than five ways to calculate the period of time for self-isolation in the regulations: at Regulation 3(3)(a), Regulation 3(3)(b), Regulation 3(4)(a)i, Regulation 3(4)(a)ii and Regulation 3(4)(b). Who makes the calculation? If you slip up, potentially more than once, as the Minister indicated, there could be a fine of up to £10,000. This is completely unacceptable.
Why is there no mention of exercise as a reason for leaving the place of self-isolation? Exercise is a requirement to maintain physical and mental health. You cannot just isolate away if there is no prospect of exercise at all. Are the BMA and SAGE fully on board with this aspect of the regulations?
I do not accept that the police should be involved in the first place. Environmental health officers are perfectly capable and would have more trust in the locality if they were tasked with this role. In effect, the Government are starting to lose the trust of the people. I repeat: who makes the calculation of the time period for self-isolation?