Covid-19: Care Homes
Lord Scriven Excerpts(3 years, 6 months ago)
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Lord Scriven
To ask Her Majesty’s Government (1) on what date, and (2) in which policy document, testing for COVID-19 was offered as a matter of policy to those leaving hospitals and going to care homes.
The Parliamentary Under-Secretary of State, Department of Health and Social Care (Lord Bethell) (Con)
My Lords, the Covid-19 hospital discharge service requirements were published on 19 March 2020. They stipulated that patients’ Covid-19 test results, negative or positive, should be included in their discharge documents. On 15 April, we built on this with the adult social care action plan, including a policy of testing all patients prior to discharge to a care home. I remind noble Lords that the WHO acknowledged the threat of asymptomatic transmission on 9 July 2020.
Lord Scriven (LD)
My Lords, last week the Secretary of State said that a policy of testing patients going to care homes was brought in
“as soon as we had those tests available”.
That was in mid-April 2020, and more than 500,000 tests were carried out to mid-April 2020. Only 25,000 would have been required to test all patients being discharged to care homes. Can the Minister explain these figures and the contradiction in the Secretary of State’s statement that they highlight?
Lord Bethell (Con)
My Lords, I do not quite understand the noble Lord’s figures. As of 14 March 2020, the seven-day rolling average showed that there were 51,741 discharges a day from hospital, of which 1,123 were from hospitals specifically to care homes. That was at a moment when our testing capacity was 3,000 a day. A month later, on 15 April, the rolling average was 22,000, of which 548 were discharges from hospitals specifically to care homes. By that date, the testing capacity was 38,766.
Health Protection (Coronavirus, Restrictions) (Steps and Other Provisions) (England) (Amendment) (No. 2) Regulations 2021
Lord Scriven Excerpts(3 years, 6 months ago)
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Lord Scriven (LD)
My Lords, here we are again, discussing emergency regulations because of incompetence and lack of speed by government. It is appalling that the Government did not take the correct decision to put India on the red travel list in early April, at the same time as Bangladesh. Yesterday, the Minister said that I should stand in his shoes about that decision. I note that, time after time, both the noble Lord and the Secretary of State gave the reason for Bangladesh but not India going on the red list as the positivity rate.
The data that I am about to read were on the Minister’s desk when the decision was made. In the two weeks leading up to Bangladesh going on the list, its positivity rate—based on the Government’s own test and trace data—was 3.7%. India’s positivity rate was 5.1%. You do not have to be a genius to work out that India’s positivity rate was higher than Bangladesh’s. Can the Minister explain why, when India had a higher positivity rate than Bangladesh, based on the Government’s own test and trace data, Bangladesh was put on the red list and India was not.
That catastrophic mistake by government meant that, rather than just under 40 seeded cases of the delta variant being in the UK on 2 April, it went up to nearly 1,000 seeded cases by the time that India was put on the red list. Public health research shows that, if India had been put on the red list at the same time as Bangladesh, it would have given four to seven weeks’ grace before we started hitting the surge levels of the delta variant that we are seeing now. That would have meant that everybody over 40 could have received a second dose—in four weeks—or everyone over 30—in seven weeks—and all adults would have had a single dose of the vaccine. The Government were driven by a date: a date for the Prime Minister to visit India to look for a trade deal. A consequence of Ministers not following the data is that trade in this country is now suppressed for four weeks. This is a disgraceful abdication of following the data and keeping our country safe. The country deserves far better than this. It is clear that the Minister and the Government made the wrong call.
We will have to live with the virus as it becomes endemic, and take measures to support this. One area where change is required is self-isolation. Evidence is overwhelming that the biggest impediment to people self-isolating, or even taking a test, is practical support and financial security for the whole period of isolation. We do not need pilots to re-prove this; action from the Government is required now. A self-isolation system that gives individuals both the practical and financial support to isolate for the full period will be essential to minimise future local lockdowns. Despite repeated requests from these Benches to pay people their full wages, the Government will still not do so. They need to address this now and not continue to ignore the data.
Covid-19 Update
Lord Scriven Excerpts(3 years, 6 months ago)
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Lord Bethell (Con)
My Lords, I am not sure whether I accept the characterisation presented by the noble Lord. We have worked incredibly hard to bring in a managed quarantine system that is a novel, new introduction into the UK. We have done extremely well in fighting off many of the variants that have come to our shores, including the Manaus variant, the South African variant and others. We have strong links with Pakistan, India and Bangladesh, which means there is a lot of traffic between our countries. I am not sure whether it would ever have been possible to prevent this variant making landfall in the UK at some point. But we have done an enormous amount in the UK to delay and prevent the arrival of these variants, and for that I am enormously grateful to those involved.
Lord Scriven (LD)
My Lords, following the data is the Government’s mantra. Using the Government’s own test and trace data, for the two weeks prior to Bangladesh going on the red list it had a positivity rate of 3.7%; India’s was 5.1%. Of all variants entering the UK, including the delta variant, more than 50% of cases came from India and fewer than 5% from Bangladesh. So if the Government were following the data on 2 April, why was Bangladesh put on the red list and not India?
Lord Bethell (Con)
The noble Lord is enjoying the benefit of hindsight very much indeed; we can all use the retrospectoscope. The data he refers to was not available to us at the time. We did not know that the variant now known as India 2 was a variant of concern. We did not know that it was going to be the most transmissible one. There were three variants in India; we did not know at that point which of them would present the most problems. It is extremely easy to sit here, look back and say that one person should have done this and another should have done that. I ask the noble Lord to try to sit in the seat of those who made the decisions at the time.
Covid-19: Proof of Vaccination
Lord Scriven Excerpts(3 years, 6 months ago)
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Lord Bethell (Con)
My Lords, we have engaged considerably with the sector on exactly these kinds of matters. GPs and pharmacies are briefed to help those with difficulties get this material. We are also conscious that some with autism may struggle to take a test and find the process of swabbing intimidating, so we are looking into workarounds for that.
Lord Scriven (LD)
My Lords, regardless of whether you hold a paper or digital record, personal health and data will be held on a central database. Can the Minister therefore inform us which government departments and private sector organisations will have access to the data on the central database?
Lord Bethell (Con)
My Lords, vaccine data is held in the vaccine database and in the patient’s record. We abide by the principle that the data is owned by the patient.
Health Protection (Coronavirus, Restrictions) (Steps and Other Provisions) (England) (Amendment) Regulations 2021
Lord Scriven Excerpts(3 years, 6 months ago)
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Lord Scriven (LD)
My Lords, if ever we wanted an example of the farce that parliamentary democracy has become, these regulations should be an example that is studied for years. The Government had known for months that the date of 21 June was coming, yet still they decided to use emergency legislation to get their own way. Then they laid these regulations on the day they were to become law—in fact, at 11 am. Then they had to redraft them because parts of them were wrong.
This is a pattern of behaviour by the Government, using whatever means they decide to push through emergency legislation on Covid and using the signature of a Minister’s pen as a substitute for detailed parliamentary scrutiny and amendment. Emergency legislation was required on some issues, but not on this issue. The House and the other place need to stop nodding through this kind of emergency legislation as a matter of course.
An example of the potential unintended consequences of these regulations is the expiry on 20 June of the Health Protection (Coronavirus, Restrictions) (Local Authority Enforcement Powers and Amendment) (England) Regulations 2020. I declare my interest as a vice-president of the Local Government Association. These are the regulations that give local authorities the power to enforce Covid restrictions and give fixed penalty notices for breaches. As we move to a situation in which local lockdowns will become more important if we see clusters of cases around new variants, what powers will exist to ensure that local authorities can make sure local restrictions will be adhered to? Or will we have the perverse situation of more knee-jerk emergency legislation every time we see a local outbreak so that local authorities can fulfil their duties? Will the Minister please clarify this issue?
The reason all this matters is that Covid-19 will be with us for years to come. It is moving into the endemic stage. Emergency legislation is not acceptable, or indeed desirable, for managing an endemic. The Government now need to bring forward legislation about how we live with Covid as an endemic and stop relying on such regulations. The endemic means we move away from binary extremes and have legislation that is much more subtle and nuanced about how we deal with the complex issues for freedoms, health and the economy and that finds a new balance in this Covid world—a way of trying to keep as much open as we can while keeping the virus circulation and harm as low as possible. We have done it before with other diseases.
Very sensitive issues will have to be addressed as to what level of death the country accepts, as we do with flu, before more serious public health restrictions are enacted. Issues of ventilation and how it affects building standards and building control are important if we are to see large parts of the economy remain open every time we have a new variant or local surges.
What are the new ways of working for education, to keep access to knowledge and learning open and ensure that young people have access to their education? Again, the endemic stage will require changes that will have legal implications about when, where and how education takes place. At what stage is government thinking on this? When will proposals be brought forward for the legal implications for health, the economy and our freedoms of living in the endemic stage of Covid?
It also has big implications for the effect of self-isolation, which is an issue that has yet again to be raised because of the total lack of support, both financial and practical, for many who cannot afford to isolate for the whole period. I note that the Minister agrees that the present system is not acceptable, and that is why local authorities are piloting, but we need a national system of people being paid their salary, as in other countries, so that they can afford to remain isolated for the total period. What percentage of people asked to self-isolate carry out the full period of isolation required? How do the Government measure that? If the Government will not bring forward full financial support, such as paying people their wages, when all the evidence now shows that it is a barrier to people self-isolating for the full period, why not?
After 16 months of the country living with Covid, it is time for the Government to stop treating it as purely a public health emergency. They must bring forward detailed plans and legislation that deal with the ongoing implications of Covid as an endemic. The longer the Government refuse to do this and continue to bring forward only emergency legislation, the more the country will suffer and not be equipped to live with the long-term effects of Covid.
Covid-19 Internal Review
Lord Scriven Excerpts(3 years, 7 months ago)
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Lord Bethell (Con)
My Lords, I absolutely agree with the noble Baroness that we are at a pivotal moment in the pandemic; matters are on a knife-edge. There is so much good news about the effect of the vaccine that we should celebrate, but there is enormous jeopardy in the threat posed by variants. That is why we are very much focused on dealing with the pandemic before us. The inquiry promised by the Prime Minister is for spring next year, and until then we will continue to be focused on today’s pandemic.
Lord Scriven (LD)
My Lords, Professor Andrew Hayward, a member of SAGE, this morning said that he thinks we are now at the start of the third wave and that more generalised measures will be needed. As an adviser to government is saying that we need to act and plan now, what generalised measures are the Government planning and when will they be announced, so that people and businesses do not have just 24 hours to plan?
Lord Bethell (Con)
My Lords, we are enormously grateful for the advice of SAGE, which, as the noble Lord will know, is a very large collection of scientists, many of whom have many different views. The JBC takes their advice into account, and we are absolutely monitoring the situation as closely as we possibly can. We celebrate the transparency with which the very large amount of surveillance data is handled and published for public analysis. Measures are in place on testing, therapeutics and social distancing, but the number one measure is the vaccine. The rollout of the vaccine is what will give this country the protection it needs.
Covid-19 Update
Lord Scriven Excerpts(3 years, 7 months ago)
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Baroness Thornton (Lab)
My Lords, I thank the Minister for being here to take this Statement. We keep meeting like this; it is over a year now. I wonder whether our relationship needs to move on.
The Covid variant first detected in India looks as though it has now seeded in 86 areas and is set to become the dominant strain in the UK within the next few days or weeks. Indeed, many experts think that it was a mistake for the Government to go ahead with the easing of lockdown restrictions implemented yesterday. I suppose that there must be increasing doubt about whether the further lifting of lockdown measures will be able to go ahead as planned next month. I will not ask the Minister to give any definitive answers on that because I absolutely accept that uncertainty is the name of the game. However, I quote one of the four tests that the Government set out for proceeding with the road map out of lockdown, which is if
“our assessment of the risks is not fundamentally changed by new Variants of Concern”—
in other words, if there are new variants of concern, that may be the issue. Is this still the case?
The Royal Statistical Society, which promotes the proper use of data, is concerned that the Government have failed to publish the information justifying their decision that stage 3 of lockdown easing should go ahead because the new variant threat has been met. Will the Government publish the framework for that decision and the data that fed into it so that people can be assured that the facts justify the policy? Can the Minister confirm reports in the Times that officials have drawn up plans for local lockdowns modelled on the tier 4 restrictions introduced last year, and that, under these measures, people will be advised to stay at home and non-essential shops and hospitality will be closed, if the new strain is not brought under control?
On Bolton and Bedford, I regret to say this, but it seemed that the Secretary of State reverted to a blame game yesterday, perhaps to deflect from the fact that the Government did not do enough to protect us from this new variant. He said that people infected by the new variant in hospitals in Bolton had refused or not taken up the vaccine and had chosen not to take the jab. I felt that was very unfair.
My honourable friend the MP for Bolton, Yasmin Qureshi, says that the vaccine is not easily accessible to some of the poorer and BAME communities in Bolton: for example, some people have to take three buses to get to the vaccine centre in the centre of the town. If you are not mobile and do not have flexibility in your working hours, or are a key worker and have caring responsibilities in a multigenerational household, you are not refusing the vaccine if you cannot get to it.
Turning to Bedford, the Secretary of State, Matt Hancock, has said that Bedford is now to be among the areas given surge testing, as the borough recorded the second highest rates of Covid-19 infection in the country, and that cases were doubling every five days. This comes after the MP, the mayor and the health chiefs all called on the Government to act quickly to prevent further spread of the variant in Bedford. For days they have felt ignored. They have felt that the Government wanted to recognise the new variant as a northern problem, which clearly is not the case because it is in Bedford. My honourable friend Mohammad Yasin MP said that, after a fair bit of dither and delay, he welcomes surge testing in Bedford.
Can the Minister tell us whether it is true that Bedford has no access to the Pfizer vaccine at the moment? This must limit a comprehensive vaccine campaign in that town; you cannot do a comprehensive vaccine campaign, especially if you are dealing with the under-40s, if you do not have two or three of the vaccines that are available. I am aware also that reports of many people choosing to delay their jab were about concerns over side effects and whether they would be available for work or might struggle to manage their responsibilities. So the Government must give resourcing and support on these issues and improve the flexibility, information and understanding at a local level.
The Minister is also aware that achieving the truly remarkable vaccine take-up among adults will still leave 20% of the wider population—our children—unvaccinated, meaning of course that the virus can still spread. So can he update the House on any plans to vaccinate the under-18s? It also remains unclear for how long vaccines prevent Covid-19. Initial studies suggest that it may be six months, or possibly longer. Well, those who were vaccinated in December are rapidly approaching that. So we need to know whether there will be declining protection from Covid and what assessment the Minister has made of this risk. Can he update the House on plans to roll out booster shots this autumn?
Finally, at this critical time when we need to work internationally, why are we the only G7 nation cutting our aid budget? How can the Government defend cutting our contribution to vital science and research projects? Given the Government’s total silence on President Biden’s support for the temporary lifting of patent protections to increase vaccine production, should we assume that the British Government do not agree with the President?
Lord Scriven (LD)
My Lords, I too thank the Minister for coming before the House to deal with this Statement, and also for his work ethic in dealing with Covid-19 over the last 14 months.
From these Benches, we have always said that we will support whatever is proportionate and follows evidence to keep people safe. The more that you delve into the Government’s reason for not including India on the red list at the same time as Pakistan and Bangladesh, the more it feels like a big ball of candyfloss that initially seems tempting but disintegrates on touch. Yesterday, both the Minister and the Secretary of State said that India was not put on the red list at the same time as Pakistan and Bangladesh because of the positivity rate.
Looking at the figures for the two weeks before Bangladesh and Pakistan were put on the red list, the positivity rate for India was 5.1%. For Pakistan, it was slightly higher at 6.2%, yet for Bangladesh it was lower, at 3.7%. The same data—the Government’s test and trace data—shows that in the same two-week period, 50% of all new variants entering the UK, including those of concern, were from India: the largest country by far. Therefore, variants of concern and positivity rates show India to be on a par with, or ahead of, Bangladesh and Pakistan. So what data were the Government actually using, if it was not their own test and trace data? Can the Minister place on the record that data and the raw data which made him, and the Secretary of State, say that India’s positivity rate was three times higher?
Another area of concern is people entering the UK being huddled together at the border with people entering from red-list countries. One needs only to look at the significant Twitter feeds from yesterday of people arriving from green or amber countries, who were spending up to four hours in queues to get over the UK border and having to stand next to and mingle with people entering from red-list countries. Heathrow and Manchester Airports were responding that, despite asking the Government for more border staff to deal with the issue, none had been forthcoming.
This was planned. We knew that international travel was allowed and the Government knew that the traffic-light system was being introduced, so why have the Government not carried out the wishes of the airport operators to ensure that more border staff and more guidance are available to segregate those entering from red-list countries? This is a clear public health crisis at our border, and the Government have not, to date, solved it. So, as a matter of urgency, when will this public health breach right at our borders be solved?
Finally, as variants of concern continue to enter the country and replicate at speed, “isolate, isolate, isolate” becomes vital. Yesterday, the Secretary of State in another place indicated to Munira Wilson MP that the Government were worried that isolation might not be as robust as required, and that some pilots were taking place. Can the Minister outline where they are, what the parameters of the pilots are and when the results will be made public? Also, overwhelming evidence now shows that people on lower salaries must be paid their full wages and given support to ensure that they can comply with full isolation requirements. Will the Government now look at this as a matter of urgency?
The Parliamentary Under-Secretary of State, Department of Health and Social Care (Lord Bethell) (Con)
My Lords, I am enormously grateful for the very detailed and thorough questions from the noble Baroness and the noble Lord, and I am also appreciative of and touched by their kind comments.
The noble Baroness asked about the Indian variant and the uptake of the vaccines. I reassure her that we are doing absolutely everything that we can to ensure that there is a thorough uptake of the vaccine among all communities. She spoke touchingly about the feeling of blame associated with those in hospital who people hear have not taken the vaccine. I hear her comments, but there is no attribution of blame meant in this. It is a simple statement of fact that if you do not take the vaccine that is offered to you, or if you do not take two doses, and you then expose yourself to the virus, that is putting yourself in substantial danger, and it is a clinical observation that many of those who have ended up in hospital with severe disease are those who have not had the vaccine, even though they may have been offered it.
The noble Baroness asked about accessibility. She is entirely right that there are some people to whom we as a healthcare system have not made ourselves accessible enough. During this pandemic we have moved on from using the phrase “hard to reach” and we now think of it in terms of people who find us “hard to access”. She makes a perfectly reasonable observation in that respect, but I reassure her that we have absolutely bent over backwards to do everything we can to put the vaccine in front of all groups in the country, particularly those in areas such as Bolton, which we recognise have in the past been places where we have not got our message across.
I personally am hugely touched by the videos I have seen of people now queueing to have the vaccine. I applaud all community leaders and those who work with communities in Bolton, who have clearly mobilised a huge amount of public sentiment behind the vaccine programme. We are seeing a transformation in the penetration rates among some very important communities.
There is more that we can do. I am open to any suggestions from noble Lords on how we can do better, but I would like to reassure noble Lords that we have strained every sinew in trying to achieve vaccine equity across all groups in the country. That is true not only in Bolton but in Bedford, and I am disturbed to hear that people in Bedford feel they may have somehow been overlooked. I do not believe that is the view of the Vicky Head in Bedford, the DPH, and we have worked extremely closely with her. I assure the noble Baroness that cluster 2, linked to 12 cases in Bedford, was targeted immediately. An MTU went to the community on 8 May, and two community sites were opened up on 10 May. We have absolutely prioritised Bedford, as we have Sefton, Leicester, Nottingham and London—all areas where clusters have broken out. There is absolutely no question of prioritising one area over another. On the availability of the Pfizer vaccine in Bedford, that is news to me. I will be glad to look into that and to write to the noble Baroness accordingly.
On children, as noble Lords will be aware, this is an area in which some of the vaccine companies are making considerable progress in their clinical trials. None is categoric yet. It is too early to have agreed policy in this area, but the noble Baroness makes a very good point. Opening up the Covid vaccine, as we have with the flu vaccine, means that not only are children with some kind of vulnerability, particularly to long Covid, put into a safe place but that the transmissibility of that important age group can be reduced.
I am afraid we cannot know for certain the long-term effect of the vaccine until time has passed, but the CMO’s view is that the indications on the body’s immune system are extremely strong. At this moment it seems the vaccine is working, and our confidence is at a reasonably high point, but we remain vigilant. VoCs could emerge that either reduce the effectiveness of the vaccine or, for instance, effect some kind of decline in protection from the vaccine. That is why we have put in place contingent plans for boosters in the autumn. Those boosters might be of the existing suite of vaccines that are proving extremely effective. We are also looking for VoC vaccines that may be used to supplement the range of immune responses so that they cover any new mutations or variants that may emerge.
I cannot immediately recognise from the Bench the data the noble Lord, Lord Scriven, gave on the India VoCs. I wonder whether it was data that emerged after we made the decisions, because a lot of the sequencing data is retrospective; it takes between a week and 10 days to emerge from the Sanger Institute. That is one of the difficulties in making these decisions, which sometimes seem so clear-cut in retrospect. When you have the data available to you on the day, the decisions are not necessarily quite so apparent.
I do not really recognise the criticisms the noble Lord makes of the red list system. The red list system we have in the UK is an incredibly important shield and is proving extremely effective. Segregation is unbelievably difficult during travel. It is very difficult to segregate amber list and red list passengers on a plane, train or ferry. Within an airport it is very difficult to segregate people, because of the physical proximity. That is why travelling is dangerous, why we tell people not to travel and why, when people do travel, we tell them to isolate. Travelling is dangerous, and that is not news to us or to the people who get on those planes in the first place. The ultimate sanction here is that, particularly as we go into the summer, we tell people: travelling is not for this year. Please stay in this country.
On the isolation pilots the noble Lord referred to, we are running a large amount of work on pilots for isolation generally. If he would like to write to me about the particular pilots he was referring to, I will be glad to give him an update. I am afraid I am not quite clear at this stage which ones he is referring to.
Health Protection (Coronavirus, Restrictions) (Steps and Local Authority Enforcement Powers) (England) (Amendment) Regulations 2021
Lord Scriven Excerpts(3 years, 7 months ago)
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Lord Scriven (LD)
My Lords, these regulations were laid on 7 April. It is ironic that we are discussing them today, as we start moving to step 3. If they had been discussed earlier, the facts on 9 April might have been raised to help us keep all local areas safer. On 9 April, Bangladesh had the South African variant but not the Brazilian variant but was put on the travel red list. Pakistan had neither the South African nor the Brazilian variant on that day but was put on the red list. India had both the South African and Brazilian variants and the emerging Indian variant but was not put on the red list. On 9 April, cases per 100 million on a seven-day rolling average were 21 in Pakistan, which was put on the red list, and 43 in Bangladesh, which was put on the red list. India had 84 cases per million—four times as many as Pakistan—but was not put on the travel red list.
Why, with more cases per million and with both the Brazilian and South African variants present, and the emerging Indian variant, was India left off the red list on 9 April? If the Government had followed the data, it would have been put on the red list. However, the Government were following a date—24 April—so that the Prime Minister could go on a trade mission. Dates, not data, yet again, will cause problems for individuals, families and businesses. In the period between 9 April and putting India on the red list, 900 people a day entered the country—nearly 20,000 people. They could have been carrying the South African, Brazilian or new Indian variants.
One can only assume that this was yet another abject failure of government to act with speed and good judgment to secure the nation’s borders and keep people safer. When trade deal trips trump the public health and safety of individuals and businesses, you have to ask when a government Minister will take responsibility and resign. By not putting India on the red list and by following a date and not data, the Government have put businesses and individuals at risk of illness, death and bankruptcy. It is time now for an independent inquiry to learn lessons and to put in place secure border restrictions to ensure that people stay safe and what we see in Bolton is not replicated in any other community in this country.
Office for Health Promotion
Lord Scriven Excerpts(3 years, 7 months ago)
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Lord Bethell (Con)
My Lords, Covid has been an extremely important educational experience; we have backed off from using the idea of “hard to reach”. Instead, we try to be much more effective at making ourselves approachable for the kinds of people the noble Lord talks about. He is entirely right that the levelling-up agenda means nothing if it does not mean levelling up health outcomes; we are very focused on addressing the kind of health inequalities he refers to. That will be a central mission of the whole project.
Lord Scriven (LD)
My Lords, I declare my interest as a vice-president of the Local Government Association. The public health grant to local authorities is 20% lower per head in real terms than it was in 2015-16. Restoring spending per head to this level would require an extra investment of £1 billion. How can poor health prevention and promotion of well-being be achievable and sustainable with such reductions in local public health funds?
Lord Bethell (Con)
My Lords, local public health resources have made a huge contribution in the last year through Covid. I pay tribute to those in local public health who have contributed so much during the pandemic. The grant to local authorities is slightly beyond the scope of the Office for Health Promotion, but the noble Lord’s point is very well made.
Covid-19: Update
Lord Scriven Excerpts(3 years, 8 months ago)
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Lord Bethell (Con)
The noble Lord is right that the backlog is a grave issue, and we are fighting as hard as we can to address it. The big guns of the NHS are moving from Covid to addressing the backlog, but we should not overstate its threat either. Large parts of the NHS remained open all the way through Covid, and I pay tribute to those in the NHS who worked extremely hard to ensure that many elective procedures and much diagnosis continued. We do them and their reputations no favours if we imply that the NHS was in any way doing less than it should have done to work through Covid. But the noble Lord is right; this is a grave issue, and we take it extremely seriously.
Lord Scriven (LD)
My Lords, overwhelming evidence now exists that lower-paid people are less likely to take a test, self-isolate or isolate for the full period, due to not being able to afford to do so. What extra support will the Government now put in place to deal with this Achilles heel of the test, trace and isolate system?
Lord Bethell (Con)
My Lords, we put in place a considerable amount of support for those on low wages, including the furlough scheme, and a huge amount of economic support. It is true that those on low wages have wage pressure put on their lives, but we have statutory sick pay for those who are sick and out of work, and we have a huge amount of investment in local government and in charities, which also provide support for those who live in deprivation.