Health Protection (Coronavirus, Restrictions) (England) (Amendment) (No. 3) Regulations 2020
Baroness Thornton Excerpts(4 years, 5 months ago)
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Baroness Thornton (Lab)
My Lords, very conveniently, following on from the noble Baroness’s remarks, I will repeat the question that I did not get to put yesterday in the Chamber because other noble Lords and the Minister spoke at length and only six out of 10 questions were taken. I will take 30 seconds; this question is 75 words long. In April and May, a quarter of those who died of coronavirus had dementia, so access to PPE in care settings is vital. Is the Minister aware that the Alzheimer’s Society has learned that families are being charged up to £100 per week extra to cover the cost of PPE? Can he confirm that the newly announced Covid-19 social care task force will investigate the significant and disproportionate impact the pandemic has had on people with dementia? I am happy if he writes to me with the answer to that question and puts it in the Library.
I have a point about a remark made by the noble Baroness, Lady Wheatcroft, about polling, focus groups and the Government. I will check this, but she mentioned that a great deal of polling was going on. I am not surprised to hear that the Government are polling every single day, but she also said that the Government were polling Conservative voters. The Minister will be aware that this is absolutely against the rules, so I put a marker down. I suspect I am not the only person who may have noticed that. It will have to be followed up.
I thank the Minister for introducing the regulations we are discussing. As everyone has said, they address restrictions on businesses and public gatherings and are the third and fourth amendments to the coronavirus restrictions legislation. I particularly thank the House of Lords Secondary Legislation Scrutiny Committee for its rapid scrutiny of the fourth amendments to the legislation and noble Lords for their mostly disciplined contributions, which seemed to cover most points that the Minister will have to answer.
My noble friend Lord Hunt acknowledged that we are again having a theoretical debate and noted the unsatisfactory nature of this process. Indeed, several MPs from all parties said this in the Commons when discussing the third amendments last week. I think they get to discuss the fourth and possibly fifth amendments next week. We find ourselves in the absurd position of debating one set of regulations that have already been replaced alongside another set that are about to be replaced, given that further policy changes have been announced.
We understand why the affirmative procedure has been used when imposing lockdown measures to protect public health, but the justification is less strong when relaxations are being contemplated. If at all possible, such regulations should not be laid at the last minute, as highlighted by the scrutiny committee in its report published this morning. It notes that
“even a short gap between regulations being laid and their coming into effect would better enable those affected to prepare, having seen the law’s actual detailed requirements (rather than just the headline announcement).”
Given that the latest changes are due to come into effect on 4 July, will the Government commit to laying the fifth regulations within the next few days, to ensure that there is more appropriate lead-in time and to enable the JCSI to report and the House to debate the regulations promptly?
We know this is a fast-moving situation, and public awareness of when new changes come into effect is very important, given that failure to comply with the restriction regulations remains a criminal offence. While we welcome the longer lead-in time for the changes coming into effect on 4 July, as business needs time to prepare, I am concerned that many members of the public seem unaware that other relaxations are yet to take effect. What steps are the Government taking to ensure that the public understand the current guidance, as opposed to forthcoming changes splashed across the news?
Does the Minister share my concern that ending the Government’s daily press conferences may have been premature, given that we are in a period of significant change? It has to be said, people less kind than me have said they are very relieved not to see the Hancock half-hour repeated day after day.
It is true that we face uncertain times and many families face unemployment, jeopardy and hardship. I wonder about the Government’s priorities. Could the Minister explain why opening betting shops, theme parks and suchlike seems more urgent than the future of a child from, say, a hard-pressed family who will have missed six months of school and possibly six months of learning and socialising? Those are millions of our children. Other noble Lords have mentioned this.
Why have the Government not put the same imagination and resources that went into, say, the rapid building of the Nightingale hospitals into how to get our children back to school? Why is the money for tutors not being made available for more teachers? Why are we not bringing back retired teachers, for example, like we did with doctors and nurses? We have a different kind of national emergency for our children, but it is none the less an emergency.
Parliament has a role to play in this, and these are not minor or consequential changes that can be nodded through without debate. They affect millions of people’s lives and debating them weeks after the event, as we said, is a bit demeaning to parliamentary democracy. I believe that such changes should always be accompanied by a Statement to Parliament, not showcased in a Downing Street press conference. We are not merely a rubber-stamping exercise to create the veneer of a democratic process. Can we be clear on the reviews? I appreciate why the Secretary of State will be doing things on an ongoing basis, but we need to see the reviews in some documented form so that we can understand the basis on which restrictions are eased and implemented. A progress to normalcy must include a progress to democratic accountability.
Lord Bethell
My Lords, I would like to say an enormous thanks for a valuable and important debate. Over the coming weeks and months, we will continue to ease the restrictions put on individuals, society and businesses by these regulations as it becomes safe to do so. The amendments debated today play an important role in that gradual return to normal life, as outlined in the Prime Minister’s Statement on Tuesday. I remind noble Lords that the Leader of the House was here earlier holding a debate on that Statement, as she has done when there have been other announcement of a similar nature. I acknowledge the value of giving people warning of these changes, as referenced by the noble Lord, Lord Hunt, and I acknowledge the frustration of the noble Lord, Lord Purvis, and the noble Baroness, Lady Thornton, about the sequencing of these amendments, which I think I addressed in my earlier comments.
I am pleased that, as of 4 July, we will relax additional restrictions in a safe way. This is an exciting step towards a more normal way of life. Nevertheless, this return to normal life requires constant and careful surveillance of the latest epidemiological evidence, making changes only when the facts suggest it is safe to do so. We understand the burden these restrictions have placed on not only individuals but society as a whole, so the Government will maintain only the restrictions that are necessary and proportionate.
To reassure my noble friend Lady Wheatcroft, and in reply to the thought-provoking challenge made by my noble friend Lord Robathan, I say that, whatever the argument of those who are sceptical of the evidence-based approach to science-led policy-making, the Government are determined to be led by the science. We will sometimes be in conflict with public attitude and the headline writers, but that will remain our commitment. On that point, I cannot hide from the House that we remain ready to reimpose stricter measures if it becomes necessary. As the Prime Minister outlined in his Statement on Tuesday, we will not hesitate to apply the brakes if a national-level response is required.
The debate has provided an opportunity for Peers to raise points relating to the whole spectrum of our activity. I remind the noble Baroness, Lady Jones, that on 23 March the French Government declared a widespread state of emergency that granted the executive branch enormous powers. This has not been our approach. I assure her that trial by jury remains a cardinal tenet of the British constitution.
I will take a moment to address some of the issues highlighted by noble Lords. I start by paying tribute to the noble Lord, Lord Campbell-Savours, for his remarkable and determined perseverance on masks and distancing. In part due to the kind of pressure that he has characterised, our advice will change from 4 July to one metre-plus, which is one metre’s distance plus mitigations when people cannot stay two metres apart. These mitigations will depend on the workplace or setting. For example, people must wear a face covering on public transport since it is not always possible to stay two metres apart. Put another way, this is one metre plus a face covering. In other spaces, mitigations could include installing screens, making people face away from each other, putting in handwashing facilities, minimising the amount of time people are together and so on. Having mitigations in place at one metre can be broadly equivalent in reducing transmission to staying two metres apart. We have set out Covid-secure guidance to help businesses take the measures that are right for them.
On face coverings, in reference to my noble friend Lord Blencathra, the noble Baroness, Lady Meacher, and the noble Lord, Lord Campbell-Savours, who I mentioned, I say that passengers have been told they will be required to have face masks when travelling from 15 June. There are some exemptions for health, age or equality reasons. Transport usage has been slowly increasing as restrictions are lifted. Social distancing remains the most important way to keep safe, but on public transport it is not always possible to follow this guidance.
Baroness Thornton
Will the Minister give way? I know that it is a strange thing to ask these days. I am using public transport all the time to get to and from your Lordships’ House. I can report that particularly men and young men are not wearing their masks.
Lord Bethell
The noble Baroness is entirely right. It is incredibly tough to persuade people to wear their masks. There is a huge cultural gap. That reason and the insights of our behavioural scientists have led us to move relatively slowly, despite the articulate and passionate exhortations we have had on this subject. We are looking at ways to encourage mask wearing, but it is a struggle and not one that we think that we can necessarily rely on.
On non-essential retail, in response to my noble friend Lady Anelay, I say that I have recently met the Association of Medical Research Charities and I acknowledge the pressures faced by good causes supported by charity shops. The Prime Minister announced a timeline for the reopening of non-essential retail businesses on 25 May. I hope very much that that can bring some relief to that important sector.
We completely understand the impact of the lockdown on the hospitality industry and, as the noble Lord, Lord Scriven, alluded to, garden parties. That is why I am pleased that, following the Prime Minister’s announcement, significant parts of the hospitality and tourism industry will reopen from 4 July. However, to make sure that this is done in as safe a way as possible, all hospitality indoors will be limited to table service. Our guidance will encourage minimal staff and customer contact.
The regulations made on 12 June permitted the use of places of worship for individual prayer. Following the Prime Minister’s announcement on Tuesday, this will be relaxed further and places of worship will be permitted to be open more generally. In response to the noble Baroness, Lady Jolly, I say that this will be a welcome change for those who have been unable to use places of worship for their usual religious practice, and I thank those who have made sacrifices.
In response to my noble friend Lord Naseby, I say that here is no avoiding the fact that singing spreads an aerosol of virus-laden moisture into the air. On cricket, in the words of the Prime Minister, it is plain to everyone that the cricket ball is an infectious vector of disease spreading. I assure the noble Lord, Lord Clark, that we will not hesitate, in the face of a local spike, to bring back whatever lockdown measures are required to save lives and protect the NHS.
The noble Baroness, Lady Ritchie, asked about progress on vaccine development. I am delighted that the UK is taking a leading role in this work. Our best chance of defeating the virus is by working together globally. We have put £84 million into accelerating the work of Oxford University and Imperial College. I pay testament to the work of the scientists there. The noble Baroness also asked about social care; we have set out a comprehensive action plan to support the adult social care sector in England throughout the coronavirus outbreak, including ramping up testing, overhauling the way PPE is delivered to care homes and helping minimise the spread of the virus to keep people safe.
In response to the noble Baronesses, Lady Thornton and Lady Brinton, we cannot avoid the costs of PPE. The global price of PPE has risen dramatically. These costs will have to be borne somehow, somewhere. We are working with Treasury and DH colleagues to figure out ways in which they can be borne.
In response to the noble Baroness, Lady Brinton, on shielding, from 6 July those shielding can spend time outdoors in a group of up to six people, including those outside their household. This can be in a public outdoor space or a private garden. Also from 6 July, those shielding will be able to create a support bubble.
I have answers to questions from a number of noble Lords, including on the devolved Administrations, parliamentary scrutiny and local powers. I will not be able to get through all of them in the time remaining. I thank noble Lords for all their contributions and valuable points during this debate. I reassure the noble Lords, Lord Rennard and Lord Liddle, that a lessons learned process will be undertaken when the time is right, but we are not through this yet.
These regulations have been hugely successful in tackling the spread of the virus. While recognising some local limitations, as mentioned by the noble Lord, Lord Goddard, we are enormously grateful to the public for their sacrifices and to the NHS and social care workers for their hard work on the front line.
Coronavirus
Baroness Thornton Excerpts(4 years, 5 months ago)
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Baroness Thornton (Lab) [V]
To follow on from the question asked in the previous debate by the noble Baroness, Lady Rawlings, in the last week the Secretary of State, when explaining the failure of the NHSX app, said that the Government are committed to trying and supporting any innovation that might work in this pandemic. That attitude is to be applauded, as long as it is not linked to exaggerated promises—and of course it means that some things will not work. It is therefore puzzling that the Government refuse to partner and adapt the Covid Symptom Study app, which might close the gap on the two-thirds of infections not currently being identified and fit into the existing human contact tracing effort. Some 3.5 million of us take 30 seconds a day to report our health; with government support, that could easily and quickly be 10,000,000. The founders from King’s College and ZOE have written to the Prime Minister today. In the spirit of trying everything to find a solution, will the Minister encourage a positive response to that initiative?
The Parliamentary Under-Secretary of State, Department of Health and Social Care (Lord Bethell) (Con)
My Lords, I pay tribute again to those at KCL who developed the symptom-tracking app. The information from it has been enormously helpful over the last few months. In many ways we have benefited from the app’s independence as a source of important front-line intelligence. I am aware of the letter written to the Prime Minister, and I hope very much that we will be able to work more closely together. The information on asymptomatic references is very important. However, I stress that the ONS study suggests that, unfortunately, many people who declare the symptoms of coronavirus are mis-self-diagnosing, and we have to bear that factor in mind.
Nurses: Recruitment
Baroness Thornton Excerpts(4 years, 5 months ago)
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Lord Bethell [V]
The noble Lord is entirely right that the role of nurses in the healthcare system has been extremely well exemplified by the response to Covid. The £5,000 bursary was agreed in collaboration with, and with the input of, the Royal College of Nursing. There is of course other support that students can already access through the student loans system and the existing learning support fund, and that goes a long way towards paying for childcare, travel and other costs in cases of exceptional hardship.
Baroness Thornton (Lab)
My Lords, does the Minister agree with the Chief Nurse, Professor Mark Radford, that student nurses who volunteered to be redeployed on the front line during the pandemic are now feeling cast aside due to the uncertainty about their future, with some finding themselves out of a job but still with debts of up to £30,000 from having done a degree? If he does agree, can he say what the Government intend to do about making them feel less abandoned?
Lord Bethell [V]
The noble Baroness raises a very concerning point. I take the Chief Nurse’s advice and observations at face level. I express my profound thanks to all those nurses who have been redeployed to the front line and have performed an important task but who are now feeling a sense of either anti-climax or uncertainty. I reassure them that there is an enormous number of job opportunities in the NHS, that there is a role for them in the NHS of the future, and that we will be investing massively in the role of nurses in the years ahead, as exemplified by our commitment to recruit.
Covid-19: Mental Health
Baroness Thornton Excerpts(4 years, 5 months ago)
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Lord Bethell [V]
My Lords, the report is extremely helpful and throws a spotlight on an issue that we are deeply concerned about. Immediate help includes a £4.2 million support fund for mental health charities, and a £5 million fund for Mind, specifically to support charities dealing with Covid-related mental health issues. We will continue to invest in mental health in the long term, to support this important area.
Baroness Thornton (Lab) [V]
My Lords, four in 10 pupils are not in regular touch with their teachers, there is a sharp educational divide between the rich and the poor, one in eight children and young people already has diagnosable mental health conditions, and the IFS research now reveals that those groups with the poorest mental health pre-crisis will see the largest deterioration. Does the Minister agree that the Government should put the same amount of resource, energy and imagination that they put into the development of the Nightingale hospitals, for example, into getting our children and young people back to school? Will the Minister commit to the YoungMinds five-point plan, which includes additional support for young people’s mental health as we move out of the pandemic, to meet rising demand, including recommitting to the measures outlined in the NHS Long Term Plan, in full, and funding additional early intervention services?
Lord Bethell [V]
My Lords, the noble Baroness, Lady Thornton, raises an important point on the mental health of young people. A primary concern is the effect that the epidemic has on young people, at a delicate stage of their development. However, the return to schools is a very delicate matter. It requires the confidence of both parents and young people. We do not want to create further distress or concern. Therefore, we are taking steps in a thoughtful and measured fashion, to ensure that both pupils and parents are confident about the journey back to school.
Health Protection (Coronavirus, Restrictions) (England) (Amendment) (No. 2) Regulations 2020
Baroness Thornton Excerpts(4 years, 5 months ago)
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Baroness Thornton (Lab)
My Lords, I thank the Minister for introducing these Covid-19 regulations and all the speakers this evening. Tonight’s debate is taking place at the wrong time. We are being asked to approve amendments retrospectively for the second time. We will have a third lot in about a week and possibly a fourth at the beginning of July. These are the second amendments. We will take the third amendments on 25 June. If the JCSI manages to get through the fourth set of amendments we might get to take them on 25 June, but it is more likely that it will be at the beginning of July.
The regulations before us were created and signed into law on 13 May and discussed in the Commons on 10 June. As noble Lords have said, it is far too late to make any difference to these regulations. Indeed, they include the closure of zoos and safari parks—a decision that the Government have now reversed.
While Parliament did not hear a Statement about the changes in May, as several noble Lords have remarked, the media did from the Prime Minister. That might not seem like a big deal in the middle of a crisis, but it means that we have seen neither the supporting scientific advice nor the impact assessment. The Government have not laid a document setting out how their five tests on relaxation have been met, and the joint biosecurity centre has not reduced the threat level. The MoD’s chief scientific adviser, Dame Angela McLean, has stated that changes to lockdown as modelled need a highly effective track, trace and isolate system to be in place. This does not fill me with confidence.
In global terms, the UK has experienced one of the highest death rates for Covid-19. While the official total is just over 40,000, ONS data suggest that there were more like 50,000 excess deaths during the crisis period. The mortality rate has been more than twice as high in the most deprived areas of England compared with the wealthiest. The Government have been criticised during the debate over PPE and ventilator procurement, and the timing and implementation of lockdown. Older citizens appear to have been sacrificed in their care homes, with a slow lockdown and lack of testing. Children’s education and mental health are in jeopardy because of the lack of leadership and resources in education. Today, we learned that 1.5 million children might be hungry over the summer because free school meals will not be available.
Meanwhile, the state of the economy is deeply worrying. Indeed, Covid-19 has laid bare the structural inequalities at the core of our democracy. Hidden under the headline figures are huge differences in the death rates among specific groups, as several noble Lords mentioned. An early report by the Intensive Care National Audit & Research Centre found that BAME people, who comprise only 14% of the population, constitute 35% of the fatalities from Covid.
We are all aware that these regulations come during yet another crucial phase in the fight against coronavirus and, of course, we all wish that they were not necessary, but sadly we know that these restrictions are required due to the ongoing and serious threats to public health. However, as the noble Lord, Lord Naseby, said, the original regulations were not debated for many weeks after they were introduced, despite the fact that Parliament was sitting. Debating them weeks after the event, when they have already been superseded, as we have heard, is frankly a bit of an insult to Parliament, and yet further evidence that the Government are not doing things in a timely fashion. There is no excuse for this. Surely we can have a clear timetable.
May I ask the Minister for sight of the reviews? My honourable friend Justin Madders MP asked in a Written Question whether the Secretary of State would publish the reviews carried out on 16 April, 7 May and 28 May. He received this Answer on 9 June, the day before the debate in the Commons, which said:
“The Department of Health and Social Care has indicated that it will not be possible to answer this question within the usual … period.”
This is not accountability. There is a failure to allow Parliament to do its job of scrutiny. Here we have the most far-reaching impositions on the life of this country in peacetime—necessary actions that are not being properly scrutinised by Parliament. Will the Minister commit to putting the reviews in the Library?
I hope that on this occasion, the Minister will not say again how hard everyone is working. We know that he is working incredibly hard. We know that everybody is working incredibly hard, and we would all commend that. Labour has been pretty clear that we want the Government to succeed in tackling this horrible virus. So, I implore the Minister to take these questions about accountability, effectiveness and leadership as not undermining the national effort but as legitimate scrutiny.
Given all of the above concerns, a crisis of this scale will of course warrant a full public inquiry, but that will be complex and take time. In the short term, and as a precursor to that inquiry, perhaps we need a rapid exercise in learning the lessons to ensure that the Government are better prepared for a potential second wave of infection and to understand better how to hold it at bay. Does the Minister agree?
Covid-19: Masks
Baroness Thornton Excerpts(4 years, 5 months ago)
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Baroness Thornton (Lab) [V]
My Lords, a speed dating debate such as this one at least ensures brevity. I congratulate noble Lords. There is a theme to the questions: our regret at another issue that exemplifies the Government being slow to act. Is this yet another policy announced without discussion with the devolved Administrations?
Two months ago, Labour backed the Mayor of London’s call for face masks on public transport to be compulsory. Two months ago, we raised the issue of bus drivers needing PPE, and asked whether buses should still run if there is not sufficient PPE. Does the Minister know the answers to these questions, and is he aware of the vulnerability and risk to bus drivers? We must wear masks on public transport from Monday, but who will enforce this policy, and who will help those who forget to bring their masks, forget to put them on, or cannot afford them? We need a comprehensive transport policy, to get our public transport moving, to protect staff and to protect passengers.
The Deputy Speaker
My Lords, may I just see whether the noble Lord, Lord Rennard, is available before we come to the Minister? No, I think he is not. In that case, I call the Minister.
Covid-19: Cancelled Medical Operations
Baroness Thornton Excerpts(4 years, 5 months ago)
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Lord Bethell [V]
I should first like to pay tribute to all those who have been involved in setting up the Nightingale hospitals. People have worked extremely hard to deliver a valuable service to the country. Bed allocation arrangements are made by local trusts and testing within the NHS is now intense. Decisions on the traffic of staff between safe zones and non-safe zones are taken by the local director of infection control.
Baroness Thornton (Lab)
My Lords, it is important that the Minister informs the House about how beds there are in the private sector, how many were occupied, at what cost and whether there will be a renewal. Does the noble Lord share my concern that if there is a second spike of Covid-19, it will lead to further delays in life-saving operations? What contingency arrangements do the Government have in place for this?
Lord Bethell [V]
The noble Baroness is right to raise this concern. The bigger focus is less on the operational restraints, because the NHS has in fact done extremely well to keep the flow of operations going during this period. It is actually on demand. What we are most deeply concerned about is that patients return to hospitals and that their confidence in undertaking procedures is restored. That is why we have put a huge amount of emphasis on the marketing side of things. That is not to understate the importance of the operational side, but it is patient confidence that is our focus at the moment.
Covid-19: R Rate and Lockdown Measures
Baroness Thornton Excerpts(4 years, 5 months ago)
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Baroness Thornton (Lab) [V]
First, will the Minister say what weight the Government attach to the science presented in the figures that the Centre for the Mathematical Modelling of Infectious Diseases at the London School of Hygiene & Tropical Medicine published, which state that R is above one in the south-west and north-west of England? Secondly, the regularly estimated national R rate appears to be a key driver of policy; accurate measurement of R depends on a world-class testing regime, not yet in place; the likelihood is that some geographical areas may have an R close to or above one; and effective local control measures rely on knowing the local R rate. Given all that, when will the system for more accurate measurements of R agreed with the relevant local authorities be available by localities, so that this information can be used to inform and adapt the emerging local planning led by directors of public health?
The Parliamentary Under-Secretary of State, Department of Health and Social Care (Lord Bethell) (Con) [V]
The London School of Hygiene & Tropical Medicine’s report is one model of more than a dozen that contribute to the SPI-M committee, which looks at modelling. We value it, but it is not the only model. Regarding the statistical analysis of R, I pay tribute to the Office for National Statistics, which has put in place a massive testing programme to look at prevalence across the country. Hundreds of thousands of tests are done. This is by far the gold standard in terms of understanding prevalence and it feeds in accurate, up-to-date information for the accurate assessment—not modelling—of R0. It is on that work that we depend.
National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) (Amendment) Regulations 2020
Baroness Thornton Excerpts(4 years, 5 months ago)
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Baroness Thornton (Lab) [V]
My Lords, I thank all noble Lords who have participated in this debate, and my noble friend Lord Hunt for allowing this small but important statutory instrument to receive full scrutiny. There has been intense scrutiny and there are many questions to be addressed by the Minister. I join other noble Lords in paying tribute to those who work in the care sector for their dedication and courage over recent times. I ask for the indulgence of the House to mark national Carers Week and to pay tribute to and recognise the essential role of family carers, who have received precious little attention so far during this pandemic. Support has been desperately hard to access, and many families feel overwhelmed and pushed to breaking point.
Several noble Lords have said that this sector was in crisis before the pandemic and has been cruelly and badly served by the Government from the outset. As the noble Baroness, Lady Barker, mentioned, some of us were waving warning flags about the need to protect this sector from Covid-19 early in the outbreak. We were told that care homes would not be affected. It took a major campaign and pressure—by the media, by my honourable friend Liz Kendall MP, the shadow Minister for Care and Older People, many organisations such as Age UK, local government, MPs from all parties and your Lordships’ House—for the Government to start recognising the terrible toll and neglect in our care homes.
The notion, repeated by the Secretary of State, that a protective ring was put around our care homes is rather insulting, given the number of deaths and the time and chaos involved in providing PPE and testing. The Minister might advise his right honourable friend the Secretary of State to stop using expressions that are patently wrong and that only serve to deepen the anger and sadness of those families who have lost, and continue to lose, relatives in our care homes.
At some point, there will be an examination of the reasons for the mortality among those in care homes, those with dementia, those with learning disabilities and those in our mental health institutions. What we have to work for is seeing that the transparency and honesty of that examination, and of the price paid, will lead to real reform in our care sector.
The statutory instrument that we are discussing concerns the National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) Regulations 2012 and makes provision for, among other things, NHS-funded nursing care. Several noble Lords have explained what all this means. These regulations amend Regulation 20 of the 2012 regulations and increase the rates for NHS-funded nursing care payment by the NHS Commissioning Board or a clinical commissioning group. Like my noble friend Lord Hunt, I welcome the proposed increase in the FNC rate that the NHS pays to care homes to cover the costs of services that must be carried out by a registered nurse. I repeat his question and echo many of the contributions today in asking: what contribution will this upgrade make to the long-term sustainability of the sector? I commend my noble friend Lady Wilcox on her strong support for reform in the sector.
According to a House of Lords Economic Affairs Committee report, as my noble friend Lady Healy said, 1.4 million older people in England had unmet care needs in 2018. The number of older people and working-age adults requiring care is increasing rapidly, while public funding declined in real terms by 13% between 2009 and 2016. When will the Government respond to that report? When will we see a new proposal for a new model of social care, as mentioned by so many noble Lords tonight? Specifically, given that this SI reached us before the pandemic, what plans do the Government have to put this somewhat battered sector on to a more secure footing in the short and long term? What assessment have they made of the impact that increased care costs resulting from the Covid-19 pandemic has had on the care home fees paid by those who are self-funding or partially self-funding?
Last month, the Health Secretary promised that by 6 June, all residents and care home staff would be tested; today, he said that care homes would only have their tests delivered. This is not good enough. The Government have been too slow to act. Care home residents and staff need to be regularly tested if we are to come to grips with this virus. We need to move swiftly to regular testing of family members, too, so that they can safely visit their loved ones. Ministers should now implement a comprehensive strategy for regularly testing more in care homes, including among the under-65s, and give social care services the priority and resources that they deserve. When will they do so?
Covid-19: Obese and Overweight People
Baroness Thornton Excerpts(4 years, 5 months ago)
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Lord Bethell
The noble Baroness is entirely right: there is nothing new to the impact of Covid on those with a high BMI; it is entirely consistent with the impact of other diseases. She is also right that one of the nasty aspects of Covid is its long-term effects, which are not fully understood yet. Evidence suggests that these may be extremely damaging, and it is true that the Prime Minister has spoken about the impact of Covid on him. I have had pneumonia; I know the long-term damage of these kinds of diseases on people. We are looking very hard at offering the kind of support that she describes to those who have been hard hit by Covid.
Baroness Thornton (Lab)
My Lords, as many noble Lords have said, obesity is a significant risk factor in Covid-19. It is critical that we turn the tide on obesity at the earliest opportunity, and this means starting early in life. What steps are the Government taking to implement the measures outlined in chapter 2 of Childhood Obesity: A Plan for Action? Will the Minister commit urgently to restart existing plans to reduce salt, sugar and calories in our everyday foods, extend the soft drinks levy to other sugary and high-calorie foods, limit the advertising of junk food to children and ensure that people are not inundated with promotions for unhealthy food and drink?
Lord Bethell
The noble Baroness is entirely right that chapter 2 outlines an extremely thoughtful roadmap for how to address this issue. It is currently being reconsidered. I cannot make the guarantees she asked for from the Dispatch Box, but I can assure her that we are working hard to see how we can use the example of Covid to make progress on this important agenda.