Coronavirus Bill Debate
Full Debate: Read Full DebateBaroness Uddin
Main Page: Baroness Uddin (Non-affiliated - Life peer)Department Debates - View all Baroness Uddin's debates with the Department of Health and Social Care
(4 years, 8 months ago)
Lords ChamberMy Lords, it is a privilege to follow the noble Lord, Lord Hastings. I agree with the entirety of his contribution. The entire world faces the colossal fear—unimaginable a few weeks ago—of an outbreak of such magnitude; a public health emergency.
Only today Dr Fuad Nahdi’s family laid him to rest as I sat in the Chamber. He lost his battle with several health conditions and finally succumbed to coronavirus. I do not know whether he was able to be resuscitated—whether that facility was available to him. But he was an outstanding community champion and he worked relentlessly—tirelessly—with Government Ministers, churches and the community to keep people safe post 9/11. I express my condolences, heartfelt prayers and good wishes to his family.
Dr Rosena Allin-Khan, an honourable Member of another place, has called for urgent attention to be paid to the shortage of resuscitation units. These are already full, she says, in many hospitals as the numbers of admissions rise. NHS staff face an incredible decision: who will live and who will die? I add my thanks to all those NHS and front-line bravehearts who are putting their own life and well-being aside to take care of us and others.
The country understands that decisions must be made to prevent mass infection and preserve security, with adherence to the norms of a civilised, humane nation. Perhaps liberty is in temporary abeyance—the freedom and privilege that we have enjoyed. Therefore, the Government’s economic measures and responses are welcome, although I have pointed reservations. Since the Bill was published, all parliamentarians have been inundated by constituents and community and business groups alike; they support government measures but are deeply troubled by some aspects of the proposed legislation, and its short- and long-term impact on significant sections of our vulnerable communities. I record my thanks, for their incredible insights, to Toni Meredew at account3; James Lee at the City of London Corporation; Inclusion London; Haji Taslim Funerals; the East London Mosque; and Hasina Zaman from Compassionate Funerals.
I wish to raise two points in particular: first, how the Bill will potentially impact the lives of disabled people such as my noble friend Lady Grey-Thompson. Many fear serious risk to their and thousands of other vulnerable people’s daily care needs, and that they will be abandoned in the emergency situation and left to the discretion of an already overstretched local authority. There are incredible misgivings about measures to suspend provision under the Care Act 2014. The fear is that social care provision is likely to breach the human rights threshold, as has been said, and will be offered only to those in critical and severe need.
We have large numbers of disabled people who require daily care and noble Lords are rightly concerned that the Bill will suspend their right to daily care from a local authority. If, as the legislation proposes, assessment needs are delayed, there will be untold suffering, which will cause lasting mental and physical harm to the well-being of those dependent for their care needs, as well as an unbearable imposition on carers to cope alone.
With regard to mental health services provision, I accept that this is a national emergency and we are being asked to suspend normal freedoms as a new norm. However, we must think carefully about obliterating our social care responsibilities. There is also significant fear about the power of detention by one doctor. I cannot overemphasise caution about that provision, given that many black and minority ethnic citizens experience detention disproportionately, as has been mentioned. Suspending any accountability in the process may leave a generational legacy of damage. Will there be an impact assessment in place to monitor the impact of the proposed legislation?
Equally, I declare an interest as a former social worker. The well-being of those who experience and will continue to experience domestic violence, child sexual and physical abuse, and sexual exploitation depends on social workers, but there is a huge shortage. What are the Government doing to ensure that social workers will also be asked to come back and provide emergency services?
We have worked for decades to advance the rights of people with disabilities, those who live with mental health issues and those who are cared for by social services. I echo the words of my noble friend Lady Grey-Thompson and ask how the Government will adhere to the human rights of people who receive social care and social services support.
I also wish to make a point about the power in the Bill at Schedule 28, which proposes to suspend taking into consideration the preferences of the deceased, regardless of their religious duties and obligations. I apologise to the House for taking a few more minutes to finish this point. The Bill suggests using powers to direct the deceased to be cremated if there is a lack of capacity at storage facilities, thus suspending Section 46(3) of the Public Health (Control of Disease) Act 1984, which prohibits cremation against the wishes of the deceased. This has caused serious panic and anxiety in many parts of our communities and many have written to ask us to raise that matter as Members of Parliament. The honourable Member for Bradford West tabled an amendment to the Bill and has now withdrawn it. I am thankful for her outstanding campaign to mobilise and bring about the Government’s understanding that, even in these times of national existential threat and crisis, we will remain resolute in remaining a society that values freedom of choice, particularly around the dignity of human death.
I spent the whole weekend speaking to various organisations that lead funeral services, including those I mentioned earlier. Will the Minister agree to consult and work with them and with faith-based organisations along the lines that I referred to earlier to ensure—
I have nearly finished. With the leniency of the House I will ask my final question.
I appreciate the fact that the Paymaster-General has given his assurance, but will the Minister assure us that the provisions in Part 4 of Schedule 28 in relation to the wishes of the deceased will be respected? I thank noble Lords for their leniency.