Health Protection (Coronavirus, Restrictions) (All Tiers) (England) Regulations 2020

Lord Shipley Excerpts
Tuesday 1st December 2020

(3 years, 5 months ago)

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Lord Shipley Portrait Lord Shipley (LD) [V]
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My Lords, a vaccine against Covid-19 is about to be rolled out to millions of people, so I was surprised by one or two of the arguments we heard this afternoon. I cannot, in particular, support the fatal amendment in the name of the noble Lord, Lord Robathan, because the consequence would be that England would have no restrictions at all after today. Having got this close to a vaccine, that would be irresponsible. I am doubtful too about the regret amendment in the name of the noble Baroness, Lady Neville-Rolfe, about which we have just heard. That is because restrictions are necessary to stop unnecessary deaths and pressures on the NHS this winter. She is right about the importance of impact assessments, however.

The R number may have gone under 1.0, and there may have been a drop in the level of new cases—about a third since the national lockdown began—but numbers are still far too high. In the week 15 to 21 November, the ONS estimated that 633,000 people in private households had the virus. That figure seems far too high.

My noble friends Lady Brinton and Lord Scriven said a number of things with which I strongly agree. There is a need for consistency of message. It is now time to do things differently, and we need an end to chopping and changing rules that the public cannot understand.

For me, this is all about the timing of the vaccine rollout. A lot of people are very frightened by the virus, want to get the vaccine as soon as they can, and are prepared to have their freedoms restricted a bit to achieve that. Those who object to restrictions during the pandemic should think carefully about the potential impact of no restrictions on other people. The fact that they themselves have not had coronavirus or, if they do get it, are not at significant risk from it, is secondary to the rights of other people, who may be more vulnerable, to be protected from it. We should add to that principle the very obvious fact that the winter period is when the NHS is busiest, so any action which knowingly weakens the ability of the NHS to cope with the virus in the winter and early spring would make things worse.

I cannot support the amendment tabled by the noble Lord, Lord Cormack, because the Christmas relaxation rules are actually quite strict, and a Christmas celebration would be good for many people’s morale. People will need to be sensible and avoid risks, but beating the virus still needs a degree of trust with the public.

What I have said so far should not be taken as support for the Government. This is because we need to know the strategy to roll out vaccines. We need a test, trace and isolate system that does not fail to make contact with 40% of close contacts. We need the full scientific evidence on which the tier system is based and a clearer exit route from a tier designation. I hope that the Minister might be able to commit to decisions on tiers and local rules being made jointly with local authorities, and that all decisions on tiers will be subject to parliamentary scrutiny.

I come to two further matters. First, community testing was supposed to be the way of moving out of tier 3, as in Liverpool, yet today we have heard that some areas may not get access to this testing until the end of January. Is that true? It does seem a long time.

Secondly, an improved package of financial support for retail, leisure and hospitality businesses is needed in the tier 3 areas—and I should say that I live in one of them. Many such businesses have one-third of their annual turnover in December. If they do not get more help, very many will not now survive. I suggest to the Minister that this should include a further payment holiday for business rates through 2021-22, with a one-off grant system based on rateable value to enable businesses to survive through the winter.

This week, we have heard that nearly one-third of England’s hospital trusts have now exceeded their first-wave peak. We owe it to NHS workers to reduce the stress placed on them over the winter period. The position that we are in today results from failures in the Government’s management of the pandemic over the last year, with constant changes to strategy and to lockdown rules, overcentralised structures and a tendency to act too late. That having been said, we must avoid another national lockdown in the new year. For that reason, further restrictions now are essential, and they do have broad public support.

Health Protection (Coronavirus, Restrictions) (No. 2) (England) (Amendment) (No. 5) Regulations 2020

Lord Shipley Excerpts
Tuesday 20th October 2020

(3 years, 6 months ago)

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Lord Shipley Portrait Lord Shipley (LD) [V]
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My Lords, first, I congratulate the noble Baroness, Lady Fox of Buckley, on her maiden speech.

Clearly, we are at a critical point in the spread of the pandemic. The public will accept tighter restrictions on what they can do, but they need to have confidence that the decisions being made on such further restrictions for their area—in my case, the north-east of England—are grounded on clear evidence that they can understand. The experience of the past few days, with different interpretations of local evidence for Greater Manchester, has demonstrated that need.

Yesterday, one newspaper’s front page said:

“Hospitals in north running out of beds, leak reveals.”


Why do we have to depend on leaks? The NHS nationally and the NHS locally, and directors of public health locally, have a duty to publish as much information as they reliably can as soon as they can. That rule should apply to advice from SAGE as well. This way, conflict and misunderstanding can be reduced, and public support increased for actions that may impact directly on them.

We need all agencies to share publicly their trend analyses and the facts on which they are basing their recommendations to politicians. I said a few days ago that I thought the Government should publish minutes of all meetings between Ministers and civil servants with mayors and council leaders. In view of the experience of recent days, it would certainly help if these discussions were properly recorded and published to reduce spinning and attempts to manage news. Not only would that be in the public interest, it would focus much greater attention on the impact of decisions and the justification in terms of their economic impact on people.

Health Protection (Coronavirus, Restrictions) (North East of England) Regulations 2020

Lord Shipley Excerpts
Monday 12th October 2020

(3 years, 6 months ago)

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Lord Shipley Portrait Lord Shipley (LD) [V]
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My Lords, I am grateful for the opportunity to speak on the north-east regulations. I fully understand that this is a very complex and fast-changing situation, and I hope that the Minister will take my suggestions as a constructive response to current circumstances. However, the House should be discussing these orders much nearer the date of decision, not nearly a month later. I am speaking this afternoon from Newcastle upon Tyne, and we shall learn later today what changes may be forthcoming for our area, and for others.

The regulations before us today derive from the initial decision on 17 September to introduce the greater social restrictions requested by the seven north-east councils when Newcastle had a rate of 70 cases per 100,000. There was then a further tightening of restrictions, announced by the Secretary of State on 28 September, apparently without proper consultation with those councils. Of course, even tighter rules are now expected.

I want to look at the issue of student testing. Over 2,500 students of the two universities in Newcastle have tested positive, significantly pushing up the local infection rate. We know that most of the students being tested had no symptoms. That makes me wonder whether university cities in the south and the Midlands have had such extensive testing of students without symptoms. Can the Minister give us any information on the evidence base being used to decide which tiers are appropriate to each area, given the apparent differences in the amount of testing?

In terms of process, I remain concerned by the consistent evidence that local testing and tracing leads to better, safer outcomes. England is simply too big to be run on the centralised model of recent months, and the debate over the last few days has confirmed this. To command public confidence in their decisions, the Government need to publish far more than they do. The evidence that limiting the opening of pubs and restaurants even more will result in lower transmission levels may well be accurate, but it should be published.

Our experience of the last few days tells us that meetings between local leaders, civil servants and Ministers should be formalised and minutes should be published. There has been too much claim and counterclaim that the public cannot understand, which can undermine their confidence in the decisions made.

The Government should use district postcodes for their decisions on which tier an area should be placed in. I have not understood why the whole of the north-east of England, from the Scottish border to the southern end of county Durham—some 80 miles—is treated as one area when the infection rates can vary so greatly. Nor have I understood why the 10 pm closure time for pubs and restaurants applies. The evidence suggests it could actually be increasing the rate of infection. Might it not be better to have staggered times of closure set locally?

On the continuation of furlough, the current proposals for financial support are just not enough. If things get worse and more businesses are forced to close, the financial support has to be greater. People’s incomes and their ability to pay bills depend on that level of support from the Government.

I accept it is clear that we are at a tipping point, and great care is needed. I know that local hospital admission rates here are rising, and that we must be careful to get decisions right. That means maximising engagement between decision-makers and sharing as much information as possible through public health structures, with the general public receiving better standards of messaging so they understand what they are being asked to do, what is compulsory and what is advisory.

The directors of public health for Newcastle and Gateshead have both said in recent days that the curve may be flattening. For that reason, the Government should heed advice from local political leaders to be very careful about unnecessary extensions to lockdown rules.

Finally, we need better clarity about review dates. The Minister has said that they are going to be fortnightly; they may need to be weekly.

Coronavirus Act 2020: Temporary Provisions

Lord Shipley Excerpts
Monday 28th September 2020

(3 years, 7 months ago)

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Lord Shipley Portrait Lord Shipley (LD) [V]
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My Lords, I too congratulate the noble Baroness, Lady Clark, and the noble and learned Lord, Lord Clarke, on their excellent maiden speeches.

As the Minister said in his letter last week, many of the powers used by Her Majesty’s Government relate to the Public Health (Control of Disease) Act 1984, but that does not change the basis of our debate today. The question before us is whether the Coronavirus Act 2020 should be extended further in its current form. My view is that to continue to remove effective parliamentary oversight of ministerial decision-making is wrong in principle and leads to poorer decisions. I say that not from a libertarian point of view but because emergency powers underpinned by centralised decision-making must be for genuine, short-term emergencies and must be temporary. I see no reason to continue to sideline our parliamentary democracy. Parliament can operate on fast timescales if it is necessary to do so.

The Government would be most unwise to think they should continue to manage the pandemic by decree. The Hansard Society has reported that in the last six months there have been 242 statutory instruments which effectively bypassed proper parliamentary scrutiny and debate. Given that the Government are extending powers to fine and restrict movement, I submit that it is essential for public confidence that Parliament has a role in making such decisions.

I mentioned the quality of decision-making. What lessons have the Government learned from the failures of their centralised approach to testing and tracing and what will change following the Statements last week? Could I also suggest that the Government take another look at their messaging and use of language? Persuading people is surely better than threatening them, and constant hyperbole in establishing policy risks non-delivery.

In terms of messaging, the Government need much greater clarity in their announcements. For example, last week I asked the Leader of the House why the military was to support the police, since the Government had also said they were committed to providing them with the extra funding they needed. The answer was that the military would backfill support for the police. What is backfilling? With what training and powers will it be done? It is one thing for the military to help the National Health Service with building hospitals and advising on logistics; it is another for it to replace the police. Matters such as this need much greater parliamentary scrutiny in advance. Parliament must be able to debate and agree decisions, not just scrutinise them after the event.

Covid-19: Social Care Services

Lord Shipley Excerpts
Thursday 23rd April 2020

(4 years ago)

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Lord Shipley Portrait Lord Shipley (LD)
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My Lords, I thank the noble Baroness, Lady Wheeler, for enabling us to hold this debate. I will concentrate on: emergency planning and procurement; the overall impact of government policies on the social care sector, which Age UK said last week was “an unfolding disaster”; and the lack of integration of health and social care. I declare that I am a vice-president of the Local Government Association.

Local government has mostly done a very good job in providing community leadership and supporting vulnerable people in this pandemic, but I am puzzled as to why our emergency and resilience planning generally has not worked well. It seems to result from the Government’s failure to plan effectively for a pandemic since 2016, despite advice which identified PPE shortages as a major risk; the lack of action in February to treat the pandemic as seriously as other countries were; and the Government’s policy of running a centralised procurement and distribution system, which has ended up with shortages of essential equipment.

I draw two lessons from this. First, a country of our size cannot be run out of Whitehall or its centralised agencies. We should learn from Germany, where more responsibility lies at regional and local level for procurement, and for testing, tracing and isolating. We need to be far more resilient as a country by manufacturing more ourselves. The international shortage of PPE has impacted directly on care homes, where deaths have soared.

The Government seem to have had no plan for the care sector. They should not have been surprised that PPE would be needed by so many organisations outside the NHS, nor should they have been surprised by the need to test; yet by Easter Monday only 505 social care workers had been tested, compared with 48,000 tests for NHS staff. As we have heard, the location of testing centres has meant that many on low incomes have had to travel unacceptably long distances for testing.

Despite the title the Department of Health and Social Care, the care sector seems the poor relation. We need a fully integrated National Health and Care Service. We have voluntary integration in only one-third of England. There are 430,000 residents in nursing and residential homes, with care fragmented between the public, private and not-for-profit sectors. The financial situation for many of those homes is dire, as we have heard. Reform of the financial structure of social care is urgently needed and it really is time for the Government to provide the necessary leadership to start to solve this huge problem. I am grateful for the opportunity to take part in this debate.

Queen’s Speech

Lord Shipley Excerpts
Thursday 9th January 2020

(4 years, 3 months ago)

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Lord Shipley Portrait Lord Shipley (LD)
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My Lords, the noble Lord, Lord Berkeley, made some very trenchant points, for which we should thank him.

The gracious Speech contained little to remedy the deep-seated problems affecting the delivery of public services, most of which relate to a lack of money. The Prime Minister’s stated aim is to unite the country and level it up. That is to be welcomed, but I hope the Government understand that it will need a great deal of hard work and a huge injection of cash which, in the context of borrowing constraints for current spending, seems unlikely to be forthcoming.

I remind the House that I am a vice-president of the Local Government Association. I welcome the inclusion of Bills relating to renters’ reform and ending no-fault evictions. I also welcome the building safety Bill and the fire safety Bill. However, I wonder about the proposed 30% discount for local people who are first-time buyers. It is clearly an attractive policy in principle, but it appears that it may be paid for by local councils through reducing the building of affordable and social homes for rent. That would not be a housing policy for a united country.

The fact is that many of the problems that are being faced by local communities that feel left behind will not be addressed by these Bills. The crisis of funding is stark and the cuts have gone too far. Since 2010, more than half of central government financial support to local government has been cut, effectively abolishing safety nets in the areas that need them most. Yet the Government have committed themselves to keeping taxes down with no increases promised in income tax, national insurance or VAT. Interestingly, council tax was not on that list, and I think we should conclude that the Government are intent on allowing council tax to rise above inflation over the period of this Parliament to help pay for the deficit in adult social care. Even the extra allocation just before Christmas did not meet the deficit forecast for next year.

We now learn that the reform of social care could take the whole of this Parliament, which means that we will have had almost 15 years of failure by the Conservative Party to decide upon a policy. I would ask the Minister where the fair funding review for local government is, where some of the decisions on the long-term future of business rates actually are, and what decisions are likely to be announced soon on the shared prosperity fund to replace lost European funding.

It is said that the Budget in March will be about an infrastructure revolution to help areas suffering poor connectivity and low private sector investment. I welcome that, but the Government should remember that towns that feel left behind have a preponderance of low-paid jobs and older populations as young people leave. Rebuilding local economies means that communities must be empowered. The decline caused by poor transport connections, low investment in education and low levels of skills in the face of large cuts to FE budgets has meant that access to better-paid jobs can be limited. In such areas, public spending can be high, but more often than not that reflects more spending by DWP and the NHS as they deal with the consequences of poor life chances.

We need to create a virtuous circle that is led by investment in FE, skills and schools, alongside a major commitment by the private sector to invest in areas that have been in decline, perhaps utilising local authority pension funds. We also need a change in Treasury rules so that infrastructure investment decisions do not relate just to national economic growth and thus government tax revenues, but to improvements in well-being in specific places.

Finally, the Government have promised to devolve decision-making in England, and that is welcome. Devolution in England will drive local prioritisation of investment rather than wish-listing locally and blaming Whitehall when not everything can be afforded. We need Whitehall’s role to be reversed from one of running England directly to one of empowering the constituent parts of England to make their own decisions on priorities. To that principle, we should add the right to raise specific local taxes.