Social Care: Person-centred Dementia Care

Baroness Ritchie of Downpatrick Excerpts

Monday 17th May 2021 Lords Chamber

[Lord Bethell (Con)]

My Lords, the noble Baroness puts the case for supported housing social care for those with low levels of dementia extremely well. It is slightly beyond the purview of the Department of Health, but the case she makes is strong. I would be glad to go back to the department and find out if any measures are taking place.

[Baroness Ritchie of Downpatrick (Non-Afl) [V]]

[Inaudible.]

Covid-19: One Year Report

Baroness Ritchie of Downpatrick Excerpts

Thursday 25th March 2021 Lords Chamber

[Baroness Ritchie of Downpatrick (Non-Afl) [V]]

My Lords, it is a pleasure to follow the noble Baroness, Lady Walmsley. In this instance, I am supporting the regret Motion in the name of the noble Baroness, Lady Thornton. I thank the Minister for the explanation of the regulations and the note on what has happened in the past year. I pay tribute to all those nurses, doctors, ancillary staff and carers, as well as the scientists who brought us the vaccination programme. Who would have thought it? If any of us could have imagined a year ago that more than 126,000 people in the UK would die with Covid and that there would be 4.3 million cases, we would rightly have been dumbstruck.

This Government have made very serious errors in the intervening period. They have taken too long for lockdown and wasted vast amounts of public money on their failed test and trace scheme and unsuitable PPE equipment. Therefore, I agree with the noble Baroness, Lady Andrews, and many others that there is a need for a public inquiry into the handling of this pandemic by the Government. A year is a long time in politics and it is a long time with coronavirus for the many people who have lost loved ones, who have suffered from Covid themselves and who have been isolated and marginalised because they have had to shield.

Thankfully, we now have a vaccination programme under way and, by Tuesday of this week, 41% of the population had received a first vaccination. Credit where it is due: that is a very good start. However, do not lose sight of the fact that just 3.3% had received both shots by that date, which makes the row over the supply and use of the AstraZeneca vaccination even worse than it first seems. Concentration on the vital issue of getting people across the globe vaccinated would be a good idea because we are all in this together, right across the world. Therefore, why are we wasting time and effort on a row that could cost lives?

London has laid claim to millions of doses of the Oxford/AstraZeneca Covid-19 jab, produced in a Dutch factory, sparking a fierce battle with the European Commission, which says that they should be used in the EU. I note that, as of last night, there was an indication from both the UK and the EU that they would work together—perhaps, in the wind-up, the Minister could provide us with an update on that. I will not try to go into the details of the opposing sides, but I stress that the Covid virus does not respect borders. France and Germany have had fresh outbreaks and, in spite of regulations, it will inevitably reach these shores. We ignore this at our peril.

If different nations fail to work together, we will all suffer. Fighting over a fair distribution of the different vaccines is humiliating and embarrassing. This is not some blame game of who claimed this or that; this is not just about health in the UK. It is about global health and our global interdependence. Vaccinations will be a part of our lives for some time and we are very thankful for the vaccines, but we need to move away from the notion that protecting people is merely a local, or even national, matter. It is an international matter, because a vaccinated world protects us all.

Health Protection (Coronavirus, International Travel) (England) (Amendment) (No. 7) Regulations 2021

Baroness Ritchie of Downpatrick Excerpts

Monday 22nd March 2021 Lords Chamber

[Baroness Ritchie of Downpatrick (Non-Afl) [V]]

My Lords, I congratulate the noble Baroness, Lady Chapman, on her maiden speech. We worked together in the other place when we were Members there, so I look forward to working with her in this House.

I support the Motion in the name of the noble Baroness, Lady Thornton. The regulations should have been laid earlier, despite the warning from the Scientific Advisory Group for Emergencies on 21 January that:

“Reactive, geographically targeted travel bans cannot be relied upon to stop importation of new variants”


of Covid-19. Why was this the case? Why are we dealing with this legislation in retrospect? In fact, the noble Lord, Lord Hunt, has referred to the subsequent regulations, which we will no doubt debate in future weeks.

There is a view that the Government failed to prevent the Brazilian strain of Covid-19 entering the UK, that the policy applies only to the 33 red-list countries and that 99% of passengers arriving in the UK are therefore exempt. So, could the Minister indicate what action the Government will take to ensure comprehensive hotel quarantine for all UK arrivals in order to prevent the importation of new variants of Covid-19? Is there not an onus of legal responsibility on the Government to ensure the public health protection of all our citizens? In asking that question, I do commend the Government on the rollout of the vaccination programme.

There is also a view that under these new regulations, a passenger could avoid their managed quarantine by separating the legs of their journey. Is there not a case for the Government to review their hotel quarantine policy to make it fit for purpose?

[The Deputy Speaker (Lord Russell of Liverpool) (CB)]

The noble Lord, Lord Randall of Uxbridge, has withdrawn, so I call the noble Lord, Lord Bhatia.

Health and Social Care Update

Baroness Ritchie of Downpatrick Excerpts

Monday 22nd March 2021 Lords Chamber

[Lord Bethell (Con)]

My Lords, the noble Lord puts the situation well. I do not agree with every aspect of his assessment, but his concerns are shared by the Government. We keep the whole situation under review, but the bottom line is that we do not know the impact of the variants of concern on the vaccine and vice versa. We keep the situation very closely monitored. The measures in place are entirely proportionate to the threat we face but, should that escalate, we will not hesitate to take the necessary decisions.

[Baroness Ritchie of Downpatrick (Non-Afl) [V]]

My Lords, in commending the rollout of the vaccination programme, could the Minister indicate whether the Government have made arrangements for its continuation in subsequent years? What discussions have there been and potential arrangements made with the devolved Administrations on this?

[Lord Bethell (Con)]

My Lords, we very much hope that the vaccination programme being delivered today will lead to an inflection point in the whole country’s approach to vaccinations overall. That is not just for Covid, but for flu, HPV and other prophylactics. We are on the brink of a massive change in our mindset regarding preventive medicine. There is an opportunity here for us to completely change the way in which we do healthcare—from an emphasis on late-stage and acute medicine to preventive early-stage medicine. The stakes are enormous. We are determined to grab this opportunity with both hands and we will take our friends in the devolved authorities with us.

Women’s Health Strategy

Baroness Ritchie of Downpatrick Excerpts

Tuesday 9th March 2021 Lords Chamber

[Baroness Ritchie of Downpatrick (Non-Afl) [V]]

My Lords, participants in clinical trials for breast and ovarian cancer not only take the medication as part of those clinical trials, whether they are double-blind or whatever, but give information about their genomic background and their ongoing assessments. Would it be possible, subject to their permission, to use that information from women as part of the strategy for updating and improving women’s health?

[Lord Bethell (Con)]

The noble Baroness is way ahead of me on that extremely specific point. I would be very happy to understand it more clearly, and if she could write to me with the details, I would be happy to take it on board.

Covid-19: Vaccination Programme

Baroness Ritchie of Downpatrick Excerpts

Wednesday 24th February 2021 Lords Chamber

[Lord Bethell (Con)]

My Lords, I do not agree with the noble Lord’s analysis. We are sometimes constrained by supply, but I am reassured that we will hit the targets that I articulated. London has a younger demographic, which is why the rollout percentages can seem lower than in other areas.

[Baroness Ritchie of Downpatrick (Non-Afl) [V]]

My Lords, will the Minister outline the Government’s strategy to address those areas and people who are reluctant to take up the vaccine? Those of us who have had it know that it is the passport to our freedom.

[Lord Bethell (Con)]

My Lords, we have an extremely sophisticated and energetic programme in this regard. Let me flag that the most important influencers in anyone’s decision on whether to take the vaccine are the people whom they know and love. The best way to encourage vaccine uptake is to take the vaccine yourself.

Covid-19: Vaccinations

Baroness Ritchie of Downpatrick Excerpts

Wednesday 13th January 2021 Lords Chamber

[Viscount Younger of Leckie (Con)]

My Lords, I would urge speakers to keep their questions short—one question, please—to allow all speakers to contribute.

[Baroness Ritchie of Downpatrick (Non-Afl) [V]]

My Lords, based on the scientific and medical evidence, which undoubtedly will be gathered throughout this vaccination process, can the Minister indicate if there will be annual rollouts of the vaccination programme from 2022 onwards?

[Lord Bethell (Con)]

My Lords, I cannot look into the future with that much clarity, but the noble Baroness raises a possibility that surely must be accounted for. It is possible that this kind of coronavirus may mutate; it may need to be managed, as we do other flus. It is too early to make that call but that is the kind of thinking that goes into the development of the NIHP—the new National Institute for Health Protection.

Medicines and Medical Devices Bill

Baroness Ritchie of Downpatrick Excerpts

Report stage & Report stage (Hansard): House of Lords & Report: 1st sitting & Report: 1st sitting: House of Lords
Tuesday 12th January 2021 Lords Chamber

[Baroness Ritchie of Downpatrick (Non-Afl) [V]]

My Lords, I am delighted to follow the noble Baroness, Lady Bennett of Manor Castle.

At this stage, let me congratulate the noble Baroness, Lady Cumberlege, on her thought-provoking report, First Do No Harm, which really led to the position we are in today. I also thank the Minister—the noble Lord, Lord Bethell—for bringing forward on Report this amendment regarding the patient safety commissioner and putting it on a statutory basis. Led by the noble Baronesses, Lady Cumberlege and Lady Thornton, we have had several meetings with the Minister on this particular issue. He gave commitments in this respect, for which I, for one, am particularly grateful.

Naturally, as with everything, I have some questions, to which I and others would like some answers. On the nature of the patient safety commissioner’s appointment, how independent will they be? They will be accountable to the Secretary of State for Health and the department, but what does that level of accountability mean? What will the nature of the regulations circumscribing the appointment be? When will the appointment actually take place? What is the timeframe? Will there be adequate resources on an ongoing annual basis to fund this position, to ensure that the patient safety commissioner can act as an advocate on behalf of patients?

We have heard what the Minister had to say: that patient safety is the golden thread holding this Bill together. That is particularly important, but the patient safety commissioner will be the person who will have to provide direction and leadership. This was one of the principal aims and outcomes of the report by the noble Baroness, Lady Cumberlege, First Do No Harm. Patients who have been unwell and feel that they have been slighted or undermined in their dealings with medical practitioners want to feel safe and have confidence that they are being listened to. I hope that, whenever the regulations are published and enacted, this appointment can take place at very short notice. And, of course, the commissioner must be someone who commands respect and is a person of standing.

It is vital that the commissioner leads, with full patient group engagement and involvement, on the development of a set of principles for better patient safety that governs the way the commissioner fulfils his or her remit. I am delighted to support the government amendment. It goes without saying that I also support Amendment 65 in the name of the noble Baroness, Lady Cumberlege. There are issues with who the person is accountable to—the Department of Health, in this instance. I know that the noble Baroness was looking for the Cabinet Office, but that is just a detail. We have arrived at an important stage today, and I welcome that.

Finally, I have been talking to the Minister at the meetings organised by the department with the noble Baroness, Lady Cumberlege, to give an update on Northern Ireland, where there are several ongoing inquiries. The Minister and his officials were very helpful and are having discussions with the Minister for Health in Northern Ireland. Maybe today the Minister could provide me and your Lordships’ House with an update on the position within the Northern Ireland Executive and Department of Health.

Health Protection (Coronavirus, Restrictions) (Self-Isolation and Linked Households) (England) Regulations 2020

Baroness Ritchie of Downpatrick Excerpts

Thursday 7th January 2021 Lords Chamber

[Baroness Ritchie of Downpatrick (Non-Afl) [V]]

My Lords, it is a pleasure to take part in this debate. The rate of infection is undoubtedly higher now with the ability of the mutated version of the virus to transmit more easily. Control measures have to be put in place and need to be adhered to by all of us—there is a major element of personal responsibility for our own health and the health of our family, friends and communities. As the Minister and other noble Lords have said, the only way out of this Covid dilemma is through the application of vaccines, of which we now have two. I note that the European Medicines Agency has also approved the Moderna vaccine, so I wonder when the UK medicines agency will also approve it.

I have some other questions for the Minister in relation to vaccines. How many doses of each of the vaccines have been ordered for the four parts of the UK, and how many exist in England, Scotland, Wales and Northern Ireland? There have been some suggestions in the media that there are problems in securing sufficient quantities in order to vaccinate all the population. When is it estimated that the vaccine implementation programme will be completed? Will it be by the summer, autumn or winter of 2021? Given that taking the vaccine is down to personal choice, what plans do the Government have to exhort people to take it?

There have been some suggestions that there is a global shortage of glass vials to package up the vaccines, with long waits for safety checks and for ensuring that there are enough vaccinators. Can the Minister assure me on those various areas?

Nutrition (Amendment etc.) (EU Exit) Regulations 2020

Baroness Ritchie of Downpatrick Excerpts

Wednesday 25th November 2020 Grand Committee

[Baroness Ritchie of Downpatrick (Non-Afl) [V]]

My Lords, I declare my interest as a member of the Common Frameworks Scrutiny Committee and thank the Minister for his explanation of the regulations which are being introduced primarily to implement the protocol on Ireland/Northern Ireland and to address the deficiencies in retained EU law. I agree with the Minister that it is important to protect public health.

I will concentrate on the areas that have an impact on the Northern Ireland protocol and the intersection with that particular common framework. I have certain questions that I would like the Minister to answer. If he cannot provide answers today, perhaps he will provide them in writing to me. I underscore the point again that public health is of vital importance. Therefore, where do the regulations intersect with the Nutrition Related Labelling, Composition and Standards common framework, which is currently subject to ongoing consultation? Was cognisance taken of this provisional framework in drawing up this statutory instrument? From what I gathered from the Minister, that was the case. I contend that there are issues and therefore a need for ongoing scrutiny and parliamentary reports where such intersections occur.

While Northern Ireland officials, Ministers, and particularly in this instance the Department of Health and Social Care and Minister Swann will no doubt participate fully in this framework, does the Minister anticipate any issues related to policy divergence between Northern Ireland and the rest of the UK at the end of the transition period? I note that the noble Lord, Lord Bourne of Aberystwyth, referred to certain issues to do with divergence in relation to the protocol.

What was the nature of the consultation with the Northern Ireland Executive and particularly the Department of Health and Social Care and the Food Standards Agency regarding the content of this statutory instrument? It is interesting to note that although Annexe 2 of the Northern Ireland protocol states that EU nutrition rules will continue to apply to Northern Ireland, I could not find any reference to that in the initial documents in the provisional common framework. That may have been corrected in the further documentation on this. Why is that the case? The likelihood of divergence will increase over time and could potentially have serious implications for the future operation of the UK-wide framework as well as for public health.

I come at this from a position of not wanting a border in the Irish Sea, and I come politically from the point of view that I do not want a border on the island of Ireland between the UK and the European Union. But issues thrown up yesterday by the Northern Ireland Retail Consortium have been amplified by the First Minister and Deputy First Minister in letters to the European Commission. There are currently two lists of foods: prohibited and allowed. If we want to ensure that public health is promoted in Northern Ireland, it is important that those foods on the prohibited list, such as seed potatoes and other types of seeds, can go on to that allowed list to ensure a continuation of a varied diet and varied access to foodstuffs and food supplies for all consumers in Northern Ireland. That is vital.

Two weeks ago at Oral Questions, I asked the Minister for the Cabinet Office, the noble Lord, Lord True, about this issue, and he said that it was a matter of ongoing negotiations. As we are just five weeks from the end of the transition period, I ask the Minister, the noble Lord, Lord Bethell, whether there has been any progress on those negotiations or any definite outcome. It is vital to not only our retail industry, but to public health, diet and food standards in Northern Ireland.

It is important that flexibilities are introduced to ensure that certain foods are moved from the prohibited to the allowed list to ensure good public health as well as a buoyant economy, and that local consumers have access to affordable food supplies and are not forced to resort further to food banks.

I am as guilty as the next person in these debates in traversing and travelling in various directions. As well as this statutory instrument on nutritional matters, there is the other common framework about food and feed policy approaches that throws up issues about the Northern Ireland protocol. I am simply asking for equality and access to all the same foodstuffs that we currently have, so that all consumers can access a good-quality diet at an affordable cost.

[The Deputy Chairman of Committees (Lord McNicol of West Kilbride) (Lab)]

My Lords, the next speaker, the noble Lord, Lord Bhatia, will be followed by the noble Baroness, Lady Thornton.