Health Protection (Coronavirus, Restrictions) (England) (Amendment) (No. 3) Regulations 2020 Debate
Full Debate: Read Full DebateBaroness Brinton
Main Page: Baroness Brinton (Liberal Democrat - Life peer)Department Debates - View all Baroness Brinton's debates with the Department of Health and Social Care
(4 years, 4 months ago)
Lords ChamberMy Lords, from the Liberal Democrat Benches, I start by paying our respects to the families and friends of the bereaved. I give our thanks to all those who continue to fight coronavirus on the front line and behind the scenes. The publicity may be reducing, but we know that the battle goes on.
The two regulations in front of us set the scene for the continuing slow lifting of the lockdown. I echo the points made by my noble friends Lord Scriven and Lord Purvis: having sight of regulations in advance and debating them—with clearer, smarter guidance that does not confuse—should be possible now. I want to ask the Minister two questions as we prepare for recess at the end of July. First, some regulations will expire after 28 days. What plans are there to cover such renewals, should they be necessary after we rise on 29 July?
Secondly, these regulations were designed for the short term. What arrangements will be made should there need to be a major change to regulations—for example, a second national lockdown? I hope that in those circumstances, Parliament would be recalled to debate such a serious matter. I see that Israel is already in the middle of a second wave after lifting lockdown too early. The most effective way to manage and stop any second wave, whether local or national, is to have in place a full and effective “test, trace and isolate” programme to keep people safe, as well as transparent communications with the public. Their co-operation is vital to reducing transmission.
The Minister and the noble Baroness, Lady Harding, have both said repeatedly that a full “test and trace” system will not be in place until autumn and that the app will possibly not be ready until winter. The weekly Test and Trace figures released this morning demonstrate that nationally, the Government failed to contact one in three of those who tested positive with Covid-19, down from 75% last week. For the noble Lord, Lord Naseby, who is concerned about leaving names in restaurants, only 81% of contacts were actually reached, down from 90% last week.
The BBC’s dramatisation last week of the Salisbury poisonings made clear to everyone how important local tracing is. Experienced tracers long before the pandemic, our directors of public health and their teams are our unsung heroes. There are currently some outbreaks in England, in Kirklees and Leicester, that they are dealing with. However, local authorities are still reporting that they are not being given the full data from Public Health England to do their job on the ground. I have asked the Minister on three occasions when local authorities and directors of public health will get the full data they need at a local level. I ask again: when will they get that full data? If there is no answer today, can he please write to me and other Peers taking part to explain exactly what the data issue is?
There also remains the issue of the powers of a local authority to lock down. They are currently very limited—usually up to one building or one organisation only—and the Secretary of State’s answer a few days ago at a national press conference was that he would be the person to make every single decision. If we have hundreds of localised outbreaks, which would not be unusual, surely the local team, led by the director of public health and the local authority, should have the power to make that decision—after consulting Public Health England and Ministers in the Department of Health and Social Care, obviously.
Effective lifting of lockdown remains important for our care sector. It is good that cases in care homes and among those cared for at home have now reduced but, unlike the NHS, care sector staff are still not entitled to routine weekly testing. Every time I ask the Minister this question, I am told that they can have a test if they are symptomatic—but this is not the rule for NHS staff. If the Government truly believe they have put a ring of protection around our care sector, they need to act now. When will regular testing for front-line care sector staff be made available to keep them and their patients as safe as those in hospitals?
Extra care staff, defined as those who work in patients’ homes and the non-elderly sector, are still not able to access testing through the testing portal. Can the Minister please have this error—I hope it is an error—remedied as soon as possible? Yesterday, care homes had still not received specific guidance on how they should manage the change in shielding guidance. When will that arrive?
The Chancellor of the Exchequer granted a VAT exemption on PPE to the care sector until the end of July. It is common knowledge that care homes and care companies are struggling with many extra costs. PPE is still around four times more expensive, and they have reduced income as a result of the pandemic. With many of their residents shielding, they must continue to take special care. Can the Minister ask the Chancellor for an urgent extension of this exemption for a further three months?
I recognise that I have asked a lot of questions. Will the Minister please write to me with answers to any questions he cannot answer today? I support the regulations.