Health and Social Care Leadership Review

Clive Betts Excerpts

Wednesday 8th June 2022 Commons Chamber

[Sajid Javid]

Yes, I absolutely agree.

[Mr Clive Betts (Sheffield South East) (Lab)]

I hope the Secretary of State will agree that it is key that managers in the NHS and local authorities can work together effectively. I give great credit to the leaders in the clinical commissioning group, the hospital trust, the director of public health, the social care directors and the city council, who worked really well together in Sheffield during the pandemic to deliver a joined-up service and have kept us as MPs thoroughly involved.

As we move on to the slightly wider integrated care system and integrated care board, will he give a commitment that the place-based working that has been so effective in the past will be allowed to continue at local authority level?

Draft Health and Social Care Act 2008 (Regulated Activities) (Amendment) Regulations 2022

Clive Betts Excerpts

Wednesday 26th January 2022 General Committees

[Mr Clive Betts (Sheffield South East) (Lab)]

It is a pleasure to serve under your chairmanship, Mrs Murray. I shall not detain the Committee long; I just want to put on the record that the Levelling Up, Housing and Communities Committee is currently conducting an inquiry into social care and its funding. I will not go into the details of that as I would be straying from my remit this afternoon.

I want to draw attention to two or three issues that are directly relevant and came up, on which we will be reporting as a Committee in due course. We talked to care users and carers the other day and heard some heart-rending stories: “Please when you reform and review, will you do it with us and not to us?”

[The Chair]

Order. I am sure you meant the Minister and not me.

[Mr Betts]

I did mean the Minister; I am sure you would do it only too well, Mrs Murray, without having to be directed in that way. I was explaining what the carers and the people receiving care were saying. I hope the Minister reflects on that message in future.

There are two direct issues to do with Care Quality Commission inspections that came out from our conversations as well; the Minister may at some point wish to think about discussing these with the CQC. One is: “Why does it always announce inspections before they happen? They change the arrangements in our home before the inspectors come, so what’s the point of the inspection? If you’re really going to find out what is happening, go in and inspect without giving the warning.” That is a matter directly to do with the regulations—how they are implemented in future.

The other issue is something that the local government and social care ombudsman said to us at a different hearing. He is really concerned that so many care homes do not clearly demonstrate to the residents, and their friends and relatives who visit, that if things are wrong they can access not merely a complaints procedure themselves but that procedure can lead on to a report to the ombudsman. We are all too well aware of that, but residents often are not.

The CQC could draw attention to that in their inspections and relationship with the sector. The ombudsman is asking for specific parliamentary powers, but this could be done through encouragement from the CQC when it is inspecting, saying, “Have you got your complaints procedure up there? Is there a clear indication to people that they can go to the ombudsman if they are not satisfied?” That is something positive that inspectors could do as part of the regime and regulations that we are discussing today.

Vaccination Strategy

Clive Betts Excerpts

Wednesday 12th January 2022 Commons Chamber

[Maggie Throup]

My hon. Friend is quite right that we do bear responsibility. I do not take these decisions lightly at all and neither does my right hon. Friend the Secretary of State. That is why the JCVI and the CMO continually review not just the UK data but the national data for every age range, every vaccine and every eventuality. The CMO will have heard my hon. Friend’s request and I am sure he will be completely focused on making sure that the JCVI continues to monitor the situation in the specific way my hon. Friend asks for.

[Mr Clive Betts (Sheffield South East) (Lab)]

First, I congratulate everyone in Sheffield—including GPs, the hospitals and the city council—who worked brilliantly together to deliver thousands of vaccines in the run-up to Christmas.

I want to ask about people with compromised immune systems, and I declare my own interest in that. Having the third dose, followed by a booster, is absolutely right, but to begin with there was a lot of confusion about whether the consultant or the GP should be responsible for contacting people. I think it has just about been sorted out, but I have received an email today from my constituent Jeanette, who says that although everyone in her situation should have received a letter offering the availability of new treatments, she got a letter but her husband did not; that although everyone should have been sent a PCR test in the post, she did not get one; and that although she was told to ring 119, when she did so she could not find the option to complain that she had not received a PCR test. Will the Minister have a look at who is responsible for the availability of new treatments and the sending of PCR tests, and at what happens when things do not happen properly?

[Maggie Throup]

I thank the hon. Gentleman for raising this important part of our strategy to make sure we can react quickly in respect of those with certain conditions. Giving them ready access to the antivirals is the third part of our strategy to combat coronavirus. GPs and hospital consultants should link up to make sure that the right conditions are considered. I advise the hon. Gentleman’s constituent initially to contact her GP to make sure that she fits the category. If she has received the letter but no PCR test, she should contact 119—Test and Trace—

[Mr Betts]

She can’t!

[Maggie Throup]

Or she should go online to find out whether there has been a mismatch in the data. If she has received the letter saying that she should receive the PCR so that she can do one if she has symptoms, we just need to make sure that she gets one delivered to her home.

Covid-19 Update

Clive Betts Excerpts

Monday 6th December 2021 Commons Chamber

[Mr Clive Betts (Sheffield South East) (Lab)]

I refer the Secretary of State to the issue of third doses. I welcome the Government’s policy of giving people with compromised immune systems a third dose, and I declare my own interest in that. I ask him, though, why is there so much confusion around who is responsible for advising people with an entitlement to a third dose. There is a lot of confusion between secondary and primary care providers. Secondly, why is it not possible to go online to book an appointment for a third dose as it is to book one for a first, second or booster dose?

[Sajid Javid]

The reason it is not possible to go online to book a third dose is that, often, the GP will need to make a judgment on the particular individual. A lot of cases are different, and often it depends on the reason why that individual is immunosuppressed. It could be for a temporary reason. It could be a long-term issue. It also depends a lot on whether that individual has had any other recent infection. It is a clinical decision. It is right that it is made by a GP, but as soon as that decision is made by the responsible clinician, that person should of course get their third dose as soon as possible.

Adult Social Care

Clive Betts Excerpts

Wednesday 1st December 2021 Commons Chamber

[Gillian Keegan]

I thank my right hon. Friend for recognising that reaching this point is actually a milestone. It is the first time that any Government have reached this point.

Housing is key. We will increase the capacity of local areas to deliver supported housing. We will increase local expenditure on support services for those living in supported housing. We will adapt more supported housing units to make them suitable for use, as well as incentivising longer-term investment in new supported housing by local areas and housing providers. In the coming months, we will be working in partnership with local authorities, housing providers and others to design and establish our new investment in housing.

[Mr Clive Betts (Sheffield South East) (Lab)]

I welcome the measures to enable people to stay in their own homes. That is exactly what the Housing, Communities and Local Government Committee recommended some years ago in our report into older persons’ housing.

Will the Minister confirm that in the statement there was no money to improve the pay and conditions of the workforce, without which we will carry on getting churn; no money to help companies that are now exiting the social care sector; and no money to deal with the crisis in funding that local authorities are facing, which both the Health Committee and the Housing, Communities and Local Government Committee recognised? Does she accept that without money for any of those things, nothing at all will change?

[Gillian Keegan]

There is money to invest in the sustainability and professionalisation of the workforce. Local authorities have a local government settlement for this three-year period. We are exploring a number of options and we will set out further detail at the local government finance settlement later this year. That is when the hon. Gentleman will hear more about the costs that councils will have.

Public Health

Clive Betts Excerpts

Tuesday 30th November 2021 Commons Chamber

[Maggie Throup]

I must continue.

They became mandatory in transport hubs, including taxis and private hire vehicles. From the same time, close contacts with confirmed or suspected cases of the covid-19 omicron variant will be legally required to self-isolate. These measures will remain in place until the end of the day on Monday 20 December. By this point, we will review the measures to see whether they remain necessary. We do not wish to keep any measures of this nature in place any longer than is absolutely necessary. However, these measures are an important step in the fight against the virus, particularly while we wait to discover the full implications of the threat from omicron.

[Mr Clive Betts (Sheffield South East) (Lab)]

The word “mandatory” was used but is that not just a word in the statutory instrument? In practice is it not unenforceable? As Darren Pearce, the manager of Meadowhall shopping centre, said in evidence to the Housing, Communities and Local Government Committee, “The biggest problem we had last time was about trying to get face coverings to be worn. I saw a group of young people going to Meadowhall, saying very loudly, ‘If they ask you, just say you’ve got asthma.’ Then they say, ‘We’ve got asthma. We’re exempt’, and there is nothing anyone can do, is there?” That causes all sorts of tensions with the shop assistants and with other people wearing face masks, who feel that some people are getting away with it. What is the Minister going to do about that situation?

[Maggie Throup]

I find it quite intriguing that the Labour party has been calling for this measure for some time and, now we are introducing it, it is unhappy about it.

--- Later in debate ---

[Maggie Throup]

I will continue.

The requirement to wear face coverings is not new. We have asked people to do their bit to stop the spread of the virus before, so we are again asking people to play their part, this time to help slow down any transmission of this new variant of concern.

[Mr Betts]

Will the Minister give way?

[Maggie Throup]

No, I must make progress. I have been very generous with my time up until now.

However, anyone who has an age, health or disability reason for not wearing a face covering need not wear one, and they need not provide proof of their exemption. The Scientific Advisory Group for Emergencies has found that face coverings are likely to reduce transmission through all routes by partially reducing the emissions of and exposure to the full range of aerosols and droplets that carry the virus. This includes those that remain airborne and those that deposit on surfaces.

[Maggie Throup]

I must make progress.

Scientific evidence also shows that all types of face coverings are to some extent effective in reducing the transmission of covid-19 in all settings. This is through a combination of source control, which limits the spread of the virus from a person, and protection to the wearer. Laboratory data shows that even non-medical masks, such as cloth masks made of two or three layers, may have similar filtration efficiency to surgical masks. As ever, we are guided by the advice of our scientific and medical experts. We will keep these measures under review, and we will take further action if necessary.

[Mr Betts]

Will the Minister give way on the point of exemptions?

[Maggie Throup]

No, I must make progress.

The self-isolation regulations were introduced to provide a legal requirement to self-isolate for individuals who have been notified that they have tested positive for covid-19 or that they are a close contact of a positive case. On 16 August, thanks to the success of the vaccine roll-out, we were able to introduce a number of exemptions to self-isolation for close contacts, including for those who are fully vaccinated or under the age of 18 years old. Given the greater threat that may be posed by the omicron variant, we have reviewed the application of these exemptions. This latest amendment to the self-isolation regulations is targeted at helping to slow its spread. From 4 am today, all individuals notified by NHS Test and Trace or a public health official that they are a close contact of a confirmed or suspected case of the covid-19 omicron variant are legally required to self-isolate for a period of 10 days, regardless of their age or vaccination status.

--- Later in debate ---

[Alex Norris]

We will now start to see how effective these regulations are—they have only been going for nine and a half hours—but I will shortly address my reticence about members of staff whose primary job has not traditionally been to enforce such measures now being put in that position. That gets to the point my hon. Friend the Member for Sheffield South East (Mr Betts) was addressing.

[Mr Betts]

The issue is that enforcement is impossible when people can just claim an exemption and we are not allowed to ask, “Why have you got an exemption; can you prove it?” Does my hon. Friend agree that we should have had a system in place from the beginning where if people wanted an exemption—a medical exemption is what the Minister called it—there had to be medical confirmation that they were entitled to it because they had a medical condition that meant wearing a mask was damaging to their health?

[Alex Norris]

We are after the fact now on that, but I think we have to protect the principle that we do not expect people to wear masks if doing so is detrimental to their health. That is the right level of proportionality, but we are reliant on good faith and people not abusing that, and I would be disappointed to hear of cases such as those my hon. Friend raised.

I particularly want to raise with Ministers a point about shop workers. Our hard-working shop workers have given us so much during the last 20 months. They have kept open the vital community assets that mean we were all able to be fed and watered. In return they have faced increasing violence and abuse. It should be made very clear that they are not being asked to police this; I hope the Minister will do that and also give more detail, as colleagues clearly wish to hear it, about how enforcement will work in practice.

The largest number of infections is now in those aged under 20, with the peak at approximately 10. This is a big part of continuing transmission, yet the changing and drifting policies on masks have created confusion across schools, colleges and universities. Can the Minister confirm what the new requirements are across all settings?

Covid-19: Government Response

Clive Betts Excerpts

Thursday 21st October 2021 Commons Chamber

[Maggie Throup]

My right hon. Friend is right to say that the number of hospitalisations is now lower than it was a few months ago. People do not need to wait to be contacted by their GP, community pharmacy or the NHS to come forward for their booster jab, so long as they are six months plus one week past their second jab. We are encouraging everybody to come forward, even if they have not formally been invited, by dialling 119 or going online.

[Mr Clive Betts (Sheffield South East) (Lab)]

I have been fortunate in the past few weeks to go to both France and Italy. Both countries have vaccination rates very similar to the UK’s—in fact Italy has a slightly higher rate now—but the difference is that a person cannot go on public transport or into a supermarket without wearing a face mask, and they cannot go into a bar, restaurant or leisure centre without showing a health passport. Infection rates in those countries are now around a tenth of the infection rate in this country. Does the Minister accept those public health measures have brought down those countries’ infection rates well below our level, or does she think there are other reasons why infection rates are so much higher in our country than in Italy and France?

[Maggie Throup]

We laid before the House our autumn and winter plan, which outlines the non-pharmaceutical interventions on which people can make their own decisions, because we believe people can make informed choices. As people see the levels rising, they will look at the guidance again and perhaps make the decision to wear a face covering in more venues.

Oral Answers to Questions

Clive Betts Excerpts

Tuesday 19th October 2021 Commons Chamber

[Mr Speaker]

I call Matt Hancock—sorry, Clive Betts.

[Mr Clive Betts (Sheffield South East) (Lab)]

I do not know how to respond to that, Mr Speaker, but I will carry on. In declaring an interest, I welcome the Government’s decision to give a third jab to people with compromised immune systems. There has, however, been confusion in the NHS about the difference between a booster jab and a third jab. May I therefore ask the Secretary of State where is the responsibility in the NHS for advising people and arranging the third jab, and what will be the time gap between getting a third jab and a booster, as opposed to the second jab and a booster?

[Sajid Javid]

The hon. Gentleman will know that the gaps between vaccinations, especially for different people in different groups, is a decision that the Government would be advised on by the Joint Committee on Vaccination and Immunisation, and as soon as we get that advice, we will always publish it and act on it. It is important that everyone comes forward who is invited for their third jab if they are immunocompromised or for their third jab as a booster jab. As he will know, not everyone who is immunocompromised can benefit from the vaccine, but he might be interested to know that we are working on procuring new treatments that will help significantly.

Oral Answers to Questions

Clive Betts Excerpts

Tuesday 13th July 2021 Commons Chamber

[Kerry McCarthy (Bristol East) (Lab)]

What support his Department is providing to young carers during the covid-19 outbreak.

[Mr Clive Betts (Sheffield South East) (Lab)]

What steps his Department is taking to ensure that unpaid carers can access the support they need to provide care to family members.

[The Minister for Care (Helen Whately)]

We recognise how much carers do and the huge demands that caring places on them. We have made carers a priority group for covid-19 testing and vaccination, funded carers’ organisations and asked local authorities to meet their duties to identify and support carers. We have also provided guidance and funding through the £1.5 billion infection control fund to support the reopening of day services.

[Helen Whately]

I thank the hon. Lady for her question and her correspondence on this. She makes a very important point and I will make sure of that.

[Mr Clive Betts (Sheffield South East) (Lab)]

When the Select Committee on Housing, Communities and Local Government went to Germany about four years ago to look at its social care system, we saw that people entitled to public funding for social care could either pay the public authorities or care agencies to deliver it. Alternatively, for a slightly reduced amount of money, they could pay their family members, which meant that the person receiving care got the care they wanted, family members got paid for their efforts and the public purse actually saved some money. In reforming the social care system, would the Minister look at introducing elements of the German system into our system in this country?

[Helen Whately]

The Secretary of State has already said that we are working on our plans for social care reform, and we will be bringing them forward later this year. Of course, as part of those plans we are considering unpaid carers.

Covid-19 Update

Clive Betts Excerpts

Monday 28th June 2021 Commons Chamber

[Sajid Javid]

I thank my right hon. Friend for his welcome. On his question, I simply say yes, I will.

[Mr Clive Betts (Sheffield South East) (Lab) [V]]

I welcome the Secretary of State to his new role. He could begin by launching cross-party work on social care reform by responding to the 2018 report by the Housing, Communities and Local Government Committee and the Health and Social Care Committee, because three years later we are still waiting for a Government response.

On test and trace specifically, the NAO report on the national system that was published the other day was hardly complimentary. The Secretary of State will be aware, from his previous role as Secretary of State for Housing, Communities and Local Government, of the great professionalism of directors of public health and the work that they do. As the NAO report says, in many cases they are still waiting for up-to-date data to deal with local covid outbreaks. Will the Secretary of State commit to rectifying that situation and ensuring that directors of public health are fully involved in the new model for testing and tracing that will be undertaken from July this year?

[Sajid Javid]

I think the hon. Gentleman agrees with me on the importance of social care, which we have discussed in the past and will no doubt discuss again going forward. He mentioned the NAO report; if he will allow me, I will take a closer look at that and write to him.