Health Protection (Coronavirus, Restrictions) (All Tiers) (England) (Amendment) Regulations 2021 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
(3 years, 6 months ago)
Grand CommitteeMy Lords, these regulations once again are being hurried because of their expiry date, before the Prime Minister addresses Parliament and the country on 22 February with his route map out of lockdown. I ask the Minister: what evaluation have the Government done of the tiered system and the total lockdown? Do they think that the slow decline to around 15,000 cases per day and just under 9,000 deaths per week means that it is safe to consider easing lockdown next month?
We note that the regulations make minor changes to the tiers legislation, including on elite sports competitions, the exemption to leave home to collect goods ordered via click and collect and from libraries, cafes and canteens in post-16 education centres being open, and marriages and conversions under marriage being permitted. I do not believe that these are contentious. But, as my noble friend Lord Scriven said, it is the bigger, more strategic approach to what needs to happen to unlock the “stay at home” orders that must be considered.
As my noble friend Lady Walmsley outlined, too many people still think that vaccines alone are the answer, but in the light of the spread and strength of the new variants, can the Minister say how the surge testing in the postcodes announced last week is proceeding? Are there effective results in further isolating both the South African and UK variants? Are there any indications yet about the spread of these variants that might affect the easing of lockdown?
For 11 months, we from these Benches have urged the Government to run an effective test, trace and isolate system. The need for that will be even more important as part of the route map out of lockdown, so I echo my noble friend Lady Barker’s concerns that the Secretary of State is reducing or curtailing some contracts with tracing firms, which have summarily sacked their staff. On Friday, Sitel—one of the contractors—said:
“At this point in time as a business we need to reduce the number of agents because we have done our jobs.”
But while there is some reduction in case numbers, the daily level, at around 15,000, is substantially higher than the 1,000 a day when the first lockdown was lifted last year. As the Minister said, the numbers in hospital and number of deaths remain too high.
Does this mean that the Minister no longer believes that test and trace is an essential tool? Perhaps it means that, at long last, local test and trace teams, which have always had a much better success rate at contacting people and persuading them to isolate, will be increased. Can the Minister please explain what is going on?
Last week, in a reply to my noble friend Lord Scriven, the Minister said that 86% of contacts were now being traced, appearing to show a substantial improvement. However, “More or Less”, the Radio 4 programme, reported last week that if a tracer tells one person in a house of five that they must all isolate, that apparently now counts as five separate successes. Is this correct, and does it explain the rapid increase in tracing rates for call-centre companies such as Sitel? What arrangements are in place to give confidence that everyone in any household is self-isolating after they have been asked? Can the Minister say whether this higher level of success is connected to the new way that tracing data is assembled?
From these Benches, we have repeatedly listed the key steps needed for successful test, trace and isolation, especially the latter. Those self-isolating need to be paid their proper wages, as they are performing a civic duty. The Government’s sick pay levels are pathetic, with a theoretical, one-off £500 grant that hardly anyone can access because, local government tells us, the rules are too hard and complicated. Those with dependants, such as unpaid carers looking after disabled or elderly family members who are not allowed to be in the same room for their self-isolation as those they care for, may also need particular support.
As my noble friend Lady Tyler commented, there should be state-funded places in pandemic hotels for those who cannot effectively self-isolate at home, especially when there are many other family members living in a confined space. There should also be a proper care package of support for those isolating, as in Germany and Taiwan, with regular calls to check on mental health, and to ensure that food and pharmacy supplies are getting through. Most importantly, there should be consistent, strong, clear messaging to the public every day. That would provide confidence for those who currently have to choose between feeding their families or self-isolating.
Finally, as we approach 31 March, when the emergency pandemic legislation expires, I echo the comments of my colleagues on the broader issues relating to these almost daily Covid SIs. The Government took to themselves extraordinary Henry VIII powers on the understanding that SIs were to be brought to Parliament in a timely fashion for debate. They are not. Far too often they are enacted weeks ahead of when the Commons debates them, and we have to wait a number of days before they then come to the Lords. The Government must start consultation on the renewal of these powers with both Parliament and the wider public as soon as possible. When will this happen?