Covid-19: Restrictions

Baroness Campbell of Surbiton Excerpts

Thursday 7th January 2021 Lords Chamber

[Lord Bethell (Con)]

My noble friend puts it well. I always welcome the challenge of noble Lords on any subject whatever, but I agree that underlying many of the objections to lockdown appears to be an assumption that some lives matter less than others. Whether you are asthmatic, diabetic, infirm or just old, I think that your life is worth just as much as everybody else’s. That is why I am extremely proud of the national effort to work together to protect those who are less advantaged and to protect our health service.

[Baroness Campbell of Surbiton (CB) [V]]

My Lords, thousands of people who are currently extremely vulnerable are now in greater danger from a lack of protection against the virus. Our care workers are more likely to come into contact with coronavirus, and requests for testing have escalated. Therefore, can the Minister please tell me when I and countless others who employ personal assistants can expect them to be vaccinated? Our workforce is not currently prioritised in the same way as care home workers and registered agency carers.

Covid-19: Vaccination Prioritisation

Baroness Campbell of Surbiton Excerpts

Wednesday 25th November 2020 Lords Chamber

Asked by

[Baroness Campbell of Surbiton]

To ask Her Majesty’s Government what plans they have to ensure that high-risk adults under the age of 65 are prioritised for access to any Covid-19 vaccination ahead of adults less at risk who are over the age of 65.

[The Parliamentary Under-Secretary of State, Department of Health and Social Care (Lord Bethell) (Con)]

My Lords, the Joint Committee on Vaccination and Immunisation has found that mortality increases exponentially with age and has published interim advice accordingly. An age-based programme captures many with underlying conditions. None the less, the sub-committee is reviewing evidence on clinical risk factors, including the clinically extremely vulnerable, and the committee will update its advice if necessary after review.

[Baroness Campbell of Surbiton (CB) [V]]

I thank the Minister for his Answer. As someone who has been shielding since early March, I celebrate those involved in producing the vaccines in such a short time. However, I am concerned to learn that those under 65 in the clinically high-risk categories have been given a lower priority for the vaccine, knowing that 59% of people who have died from the coronavirus have been high-risk disabled people. Can the Minister please provide the JCVI’s evidence that informed the Government’s decision that those in high-risk categories under 65 are less vulnerable to the virus? Disabled people tell me that they have not felt shielded or protected throughout this pandemic, and this priority decision seems to confirm that belief. I urge the Government to think again.

[Lord Bethell (Con)]

I reassure the noble Baroness that no final decisions have been made; this is only interim advice. I point out in particular that the behaviours of individual vaccines might be quite different for different groups of people. It is only when we have the final phase 3 data on the vaccines that we will be able to make the decisions that she alludes to. We are considering the extremely vulnerable carefully. As I mentioned, a review is under way to see whether clinical factors should play a greater role in prioritisation.

Coronavirus Act 2020: Temporary Provisions

Baroness Campbell of Surbiton Excerpts

Monday 28th September 2020 Lords Chamber

[Baroness Campbell of Surbiton (CB) [V]]

My Lords, I take this opportunity to repeat my urgent request that the easement powers in the Coronavirus Act be switched off now and not extended further. I and 30 other Members across the House wrote to the Secretary of State for Health and Social Care in the other place to make this request after hearing many worrying accounts of highly vulnerable individuals losing care and support when it was most needed.

Easement powers permit local authorities to reduce or withdraw care services normally protected by the Children and Families Act, the Mental Health Act and the Care Act. They were intended to be used only if local authorities were unable to comply with all their legal duties during the worst stages of the Covid-19 pandemic, and then only if the easement did not contravene individual human rights. After the powers took effect on 31 March, eight councils officially implemented easements and by July said they had stopped. According to Disability Rights UK’s latest joint statement with Liberty, seven councils have since returned to using the powers.

There is mounting evidence that disabled children, adults and older people are experiencing disproportionate stress and serious health risks as a direct result of decreased care and support services during this pandemic. A survey by Mencap found that seven out of 10 people with learning difficulties experienced a reduction in their support.

Over 60 disability charities have reported that significant numbers of disabled and older people had their care cut to the point where they were unable to cope with basic daily human needs—eating, washing and using the bathroom. This cohort is at most risk, not just from the virus but from lack of care and support. Grim data from the Office for National Statistics bore this out when it recently concluded that disabled people were twice as likely to die from Covid-19.

I am sure that many noble Lords watched the “Panorama” documentary highlighting the plight of severely disabled children and their parents who are driven to breaking point because their vital support services were put on hold or withdrawn altogether in the name of the pandemic. I could give countless other examples, but time at the moment prevents.

The latest report by the Joint Committee on Human Rights concluded:

“The Government must justify its reasoning for the continuation of the powers to trigger easements to social care provision, and they must only continue if absolutely necessary”.


I would argue that the continuation of the easement powers is neither necessary nor proportionate. I am sure that, with an urgent review of the evidence, the Government will see that if they truly want to protect their most vulnerable citizens, easement powers must cease. If not, we are condemning them to another six months of misery, and possibly death. This is not protecting our most vulnerable citizens.

Covid-19 Update

Baroness Campbell of Surbiton Excerpts

Thursday 10th September 2020 Lords Chamber

[Lord Bethell (Con)]

I completely recognise the problem identified by my noble friend. I reassure her that the expert sub-group NERVTAG is developing a predictive risk model to enable a more sophisticated approach to clinical risk and to identify more clearly those who need to shield. The model incorporates known relevant risk factors, such as age, sex, BMI and ethnicity. We are working at pace and will continue to engage patients, those on the shielding list, healthcare professionals and the voluntary sector as we embed this important insight into what we do.

[Baroness Campbell of Surbiton (CB) [V]]

My Lords, the Minister will be aware of the difficulties faced by disabled and older people during the first major lockdown, such as insufficient social care support services. Will the government guidance to this group now change to address those difficulties, especially if the R rate keeps rising over the coming months? Will he now consider switching off the social care coronavirus easement powers, which were meant to be only a temporary measure, especially as local authorities are now telling us that they no longer use them? These easement powers are a major cause of anxiety among older and disabled people, and it would be an easy thing to do—just switch them off. They are no longer needed, yet they cause untold anxiety.

[Lord Bethell (Con)]

My Lords, I am not sure that I have a precise answer to the noble Baroness’s question on easement powers. It was my impression that they had not been used in the vast majority of areas—only in a few areas—and that, where they had been applied, their use had been of a mainly administrative rather than practical nature. However, I am happy to look into the question that she asks and to reply to her by letter.

Covid-19: Mental Health

Baroness Campbell of Surbiton Excerpts

Tuesday 16th June 2020 Lords Chamber

[Lord Bethell [V]]

My noble friend is entirely right that the fears described as mental health issues are about not only Covid itself but the economic and social consequences. The impact on mental health of the financial crisis 10 years ago was profound, and largely driven by fears of economic hardship. That is paramount. Reducing the distancing is not currently government policy, but we have that under review and news is expected.

[Baroness Campbell of Surbiton (CB) [V]]

My Lords, the CQC reports that deaths of patients detained under the Mental Health Act have doubled in one year, to 122; 56 of these patients died with either confirmed or suspected Covid-19. In the same period, we have also seen the increased use of restraints and seclusion within secure units. What plans do the Government have to address and help reduce inequalities, to prevent further tragic deaths? What steps have they taken to review these questionable restraint and seclusion practices in psychiatric hospitals?

[Lord Bethell [V]]

My Lords, the investment we are making in mental health is profound. Our commitment is to £2.3 billion of extra funding by 2023-24. This is the sort of money necessary to provide the resources that will lead to a kinder, gentler type of mental health provision. I hope it will address the issues that the noble Baroness raises.

Hospitals: Patient Safety

Baroness Campbell of Surbiton Excerpts

Thursday 21st May 2020 Lords Chamber

[Lord Bethell]

The situation of cancer patients is of grave concern. We have restored all the treatments, surgery and other systems necessary for treating cancer, and we have put in place testing facilities so that those with suppressed immunity can be tested and therefore enter treatment centres with confidence. It is a situation that we maintain under review, and we are working hard to ensure that drugs and painkillers are in ready supply.

[Baroness Campbell of Surbiton (CB)]

My Lords, there are many specialist units that provide ongoing support and life-saving treatment to people with long-term, complex disabilities. Many of these units have been turned into Covid wards, for example, the National Spinal Injuries Centre at Stoke Mandeville. Will the Minister inform me when these units are likely to return to their original function? What is happening to this cohort of patients in the meantime?

[Lord Bethell]

My Lords, the NHS chief executive, Sir Simon Stevens, has written to all NHS organisations signalling a change in the phasing of our response to Covid and inviting them to return operations given over to Covid to their previous use wherever possible. I hope very much that this will lower the impact on patients that the noble Baroness described. If she has a specific example in mind, I would be glad to inquire about it.